van Doorn C
Department of Epidemiology and Public Health, School of Medicine, Yale Univesity, New Haven, Connecticut, USA.
J Gerontol B Psychol Sci Soc Sci. 1998 May;53(3):S137-43. doi: 10.1093/geronb/53b.3.s137.
Survival analyses are used to examine the predictive value of spouse-rated limitations due to health problems and spouse-rated life expectancy for 3-year mortality in a communication sample of elderly Australian married couples, net of health status indicators, health behaviors, and sociodemographic factors. Tests for gender differences in the effects and for empirical overlap with self-ratings of health expectancy were also done. Findings show that both spouse-ratings are predictive of husbands' mortality, while for wives' mortality the parallel measures are not predictive in the adjusted model. Wives' rating are not substitutes for other health indicators or for self-ratings of health and life expectancy. The independent effect suggests that wives are more astute reporters or judges of their husbands' mortality risk for that wives' perceptions indicate tangible influences on husbands' health and mortality risk. Future analyses should be directed toward finding mechanisms linking spouse perceptions to health outcomes.
生存分析用于检验在澳大利亚老年已婚夫妇的交流样本中，排除健康状况指标、健康行为和社会人口学因素后，配偶评定的因健康问题导致的限制以及配偶评定的预期寿命对3年死亡率的预测价值。还进行了关于影响方面的性别差异测试以及与健康预期自评的实证重叠测试。研究结果表明，配偶双方的评定都能预测丈夫的死亡率，而在调整后的模型中，对于妻子的死亡率，类似的评定并无预测作用。妻子的评定不能替代其他健康指标或健康与预期寿命的自评。这种独立效应表明，妻子是丈夫死亡风险更敏锐的报告者或评判者，因为妻子的认知对丈夫的健康和死亡风险有切实影响。未来的分析应致力于找出将配偶认知与健康结果联系起来的机制。
