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丹麦人群研究中的“连贯感”、社会阶层与健康

["Sense of coherence", social class and health in a Danish population study].

作者信息

Due E P, Holstein B E

机构信息

Københavns Universitet, Institut for Folkesundhedsvidenskab, Afdeling for Social Medicin og Psykosocial Sundhed.

出版信息

Ugeskr Laeger. 1998 Dec 14;160(51):7424-9.

PMID:9889656
Abstract

The objectives are a) to present Antonovsky's concept Sense of Coherence (SOC) and his 13-item SOC-scale, b) to describe the distribution of SOC in a random sample of five age groups in the Danish population, and c) to study the association of SOC to sex, age, social class, and health. The Danish Longitudinal Health Behaviour Study (DLHBS) collected self-administered questionnaire data from a random sample of the population born in 1975, 1965, 1940, 1930, and 1920. The baseline study took place in 1990, response rate 71%, n = 2,858. The article reports data from the first follow-up in 1994, response rate 86% of the survivors, n = 2,352. SOC shows no gender differences; it is significantly lower in the youngest age group and increases with age. SOC is highest in the highest social classes. Poor SOC is associated with poor self-rated health and high prevalence of symptoms. Poor SOC is associated with high prevalence of long-term illness among respondents older than 50 years of age.

摘要

目标如下

a) 介绍安东诺夫斯基的连贯感概念(SOC)及其13项SOC量表;b) 描述丹麦人口中五个年龄组的随机样本里SOC的分布情况;c) 研究SOC与性别、年龄、社会阶层及健康之间的关联。丹麦纵向健康行为研究(DLHBS)从1975年、1965年、1940年、1930年和1920年出生的人口随机样本中收集了自填式问卷调查数据。基线研究于1990年进行,应答率为71%,n = 2858。本文报告了1994年首次随访的数据,幸存者的应答率为86%,n = 2352。SOC不存在性别差异;在最年轻的年龄组中显著较低,并随年龄增长而增加。SOC在最高社会阶层中最高。低水平的SOC与自我评价健康状况差和症状高患病率相关。在50岁以上的受访者中,低水平的SOC与长期疾病的高患病率相关。

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