自我评估的身体健康预测老年人的死亡率超出了客观的健康风险
Anna C Reinwarth1,2, Felix S Wicke3, Nora Hettich3
1Department of Psychosomatic Medicine and Psychotherapy, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany. Anna.Reinwarth@unimedizin-mainz.de.
Scientific reports
|November 9, 2023
概括
自我评估的身体健康,但不是心理健康,预测死亡率,特别是在男性中. 身体健康不佳的评级是一个严重的迹象,尤其对男性来说,即使考虑到客观的健康因素.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 以前的研究经常将身体和心理健康结合起来,忽视了特定疾病的影响.
- 了解不同的自我评价健康成分对于准确的死亡率预测至关重要.
研究的目的:
- 从中年到老年,分析自我评估的身体和心理健康轨迹.
- 调查它们与死亡率的独立关联,控制客观健康指标.
- 检查这些协会中的性别特异性差异.
主要方法:
- 使用了大量基于人口的样本 (N=14,993) 与基线自我评估健康评估.
- 采用考克斯回归模型来评估死亡风险,对混因素进行调整.
- 根据性别分析的效果修改.
主要成果:
- 自我评价的身体健康状况差在中年 (55-64岁) 达到顶峰,而心理健康状况差在45-54岁年龄组是最高的.
- 糟糕的自我评价的身体健康,而不是心理健康,独立预测的死亡率.
- 自我评估的身体健康不良与死亡率之间的关联在男性中更为强烈.
结论:
- 自我评估的身体健康是死亡率的重要,独立的预测因素,特别是在男性中.
- 主观的身体健康评级需要认真考虑作为预后指标.
- 在各个年龄组的身体和心理健康自我评价中存在不同的模式.
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