Sullivan M, Karlsson J
Health Care Research Unit, Institute of Internal Medicine, Sahlgrenska University Hospital and Göteborg University, Sweden.
J Clin Epidemiol. 1998 Nov;51(11):1105-13. doi: 10.1016/s0895-4356(98)00102-4.
Assumptions of the variation in SF-36 scale scores were tested in relation to external criteria in 8930 respondents comprising the Swedish norming population. Physical health scales were strongly associated with age, while small differences were found for the Mental Health scale across age groups. Females reported poorer health than males, particularly in ages between 30-40 and over 70. Worse health profiles were associated with social risk factors (unemployment, divorce, etc.). The disability pension rate was strongly related to reduced Physical Functioning and increased Bodily Pain. The use of medical care was reflected in general health scores (i.e., the lower the scale score, the higher the care consumption). Self-reported physical and psychological symptoms were selectively related to SF-36 scales. All SF-36 scales, except Mental Health, were more strongly related to ratings of health satisfaction than to global quality of life. Combinations of the SF-36 well-being scales explained a substantial part of the variance of these ratings. In conclusion, the performed criterion-validity tests support the cross-cultural stability of the SF-36.
在由瑞典常模人群组成的8930名受访者中，针对SF-36量表得分的变化假设与外部标准进行了检验。身体健康量表与年龄密切相关，而各年龄组心理健康量表的差异较小。女性报告的健康状况比男性差，尤其是在30至40岁以及70岁以上人群中。较差的健康状况与社会风险因素（失业、离婚等）相关。残疾养老金率与身体功能下降和身体疼痛加剧密切相关。医疗保健的使用反映在总体健康得分上（即量表得分越低，医疗消费越高）。自我报告的身体和心理症状与SF-36量表存在选择性关联。除心理健康外，所有SF-36量表与健康满意度评分的相关性均强于与总体生活质量的相关性。SF-36幸福感量表的组合解释了这些评分差异的很大一部分。总之，所进行的效标效度检验支持了SF-36的跨文化稳定性。
