Alonso J, Regidor E, Barrio G, Prieto L, Rodríguez C, de la Fuente L
Unidad de Investigación en Servicios Sanitarios, Instituto Municipal de Investigación Médica (IMIM), Barcelona.
Med Clin (Barc). 1998 Oct 10;111(11):410-6.
Perceived health status measurements reference values an important information source for health services research. Population-based norms have been proposed to increase their interpretability. In this paper, we have obtained the norms of the Spanish version of the SF-36 Health Survey and have compared them with US norms the questionnaire.
Data were obtained in the home interview survey on drug consumption (February 1996). This is a cross-sectional study of a multi-stage, stratified random sample of non-institutionalized individuals 15 and older residents in Spain. The final sample included 9,984 individuals, but the analysis is based on those individuals 18 or older (n = 9,151). Personal home interviews were carried out. Information included: the SF-36, legal and illegal drugs consumption, and socio-demographic data, among others. Central trend and dispersion statistics were estimated for each of the SF-36 dimension scores according to gender and age group. Cronbach's alpha coefficients were calculated to estimate the reliability of scores.
For most SF-36 dimensions, scores were higher (better) among men and among younger age groups (p < 0.01). There was a monotonic score gradient by age which was more intense for physical function and bodily pain. All Cronbach's alpha coefficients were higher than 0.7 (ranging from 0.78 to 0.96). Spanish norms were very similar to those obtained in the US.
Results presented should be considered the population-based norms of the Spanish version of the SF-36 Health Survey and may be useful for interpreting the questionnaire scores. These norms, which are very similar to the original US questionnaire both in absolute values and in the gender and age group distribution patterns, should be carefully used. Considerations for use discussed in the paper should be taken into account.
感知健康状况测量为健康服务研究提供了重要的信息来源。基于人群的标准已被提出以提高其可解释性。在本文中，我们获得了西班牙文版SF - 36健康调查的标准，并将其与美国版问卷的标准进行了比较。
数据来自于家庭药物消费访谈调查（1996年2月）。这是一项对西班牙15岁及以上非机构化居民进行的多阶段分层随机抽样的横断面研究。最终样本包括9984人，但分析基于18岁及以上的个体（n = 9151）。进行了个人家庭访谈。信息包括：SF - 36、合法和非法药物消费以及社会人口统计学数据等。根据性别和年龄组对SF - 36各维度得分估计中心趋势和离散统计量。计算克朗巴哈系数以估计得分的可靠性。
对于大多数SF - 36维度，男性和较年轻年龄组的得分更高（更好）（p < 0.01）。存在按年龄的单调得分梯度，身体功能和身体疼痛方面更为明显。所有克朗巴哈系数均高于0.7（范围从0.78至0.96）。西班牙的标准与美国获得的标准非常相似。
所呈现的结果应被视为西班牙文版SF - 36健康调查基于人群的标准，可能有助于解释问卷得分。这些标准在绝对值以及性别和年龄组分布模式方面与美国原版问卷非常相似，应谨慎使用。应考虑本文中讨论的使用注意事项。
