ورود به سایت

در سایت حساب کاربری ندارید؟ ثبت نام در سایت (به زودی!)

ثبت نام

دانلود انواع مقالات آی اس آی

دسته بندی مقالات

با عضویت در سایت مقاله یاب از تخفیف ویژه بهرمند شوید! عضويت (به زودی!)
تاریخ امروز
جمعه, ۱۲ بهمن

انجمن سلامت خود امتیاز با چند عوارض، بیماری های مزمن و عوامل روانی اجتماعی در یک میانسال و گروه های قدیمی تر از عمل به طور کلی : مطالعه از نوع مقطعی

Association of self-rated health with multi morbidity, chronic disease and psychosocial factors in a large middle-aged and older cohort from general practice: a cross-sectional study

نویسندگان

این بخش تنها برای اعضا قابل مشاهده است

ورودعضویت
اطلاعات مجله Mavaddatet al. BMC Family Practice2014,15:185 http://www.biomedcentral.com/1471-2296/15/185
سال انتشار 2014
فرمت فایل PDF
کد مقاله 20968

پس از پرداخت آنلاین، فوراً لینک دانلود مقاله به شما نمایش داده می شود.

اضافه‌کردن به سبدخرید

چکیده (انگلیسی):

Background:The prevalence of coexisting chronic conditions (multimorbidity) is rising. Disease labels, however,
give little information about impact on subjective health and personal illness experience. We aim to examine the
strength of association of single and multimorbid physical chronic diseases with self-rated health in a middle-aged
and older population in England, and to determine whether any association is mediated by depression and other
psychosocial factors.
Methods:25 268 individuals aged 39 to 79 years recruited from general practice registers in the European Prospective
Investigation of Cancer (EPIC-Norfolk) study, completed a survey including self-rated health, psychosocial function and
presence of common physical chronic conditions (cancer, stroke, heart attack, diabetes, asthma/bronchitis and arthritis).
Logistic regression models determined odds of“moderate/poor”compared to“good/excellent”health by condition
and number of conditions adjusting for psychosocial measures.
Results:One-third (8252) reported one, around 7.5% (1899) two, and around 1% (194) three or more conditions. Odds
of“moderate/poor”self-rated health worsened with increasing number of conditions (one (OR = 1.3(1.2–1.4)) versus
three or more (OR = 3.4(2.3–5.1)), and were highest where there was comorbidity with stroke (OR = 8.7(4.6–16.7)) or
heart attack (OR = 8.5(5.3–13.6)). Psychosocial measures did not explain the association between chronic diseases and
multimorbidity with self-rated health.The relationship of multimorbidity with self-rated health was particularly strong in
men compared to women (three or more conditions: men (OR = 5.2(3.0–8.9)), women OR = 2.1(1.1–3.9)).
Conclusions:Self-rated health provides a simple, integrative patient-centred assessment for evaluation of illness in the
context of multiple chronic disease diagnoses. Those registering in general practice in particular men with three or
more diseases or those with cardiovascular comorbidities and with poorer self-rated health may warrant further
assessment and intervention to improve their physical and subjective health.

کلمات کلیدی مقاله (فارسی):

پزشکی عمومی عمل / خانواده، عمومی یکپارچه سلامت ذهنی چند همبودی عوارض

کلمات کلیدی مقاله (انگلیسی):

Keywords:General practice/family medicine, General integrated subjective health multi morbidity comorbidity

پس از پرداخت آنلاین، فوراً لینک دانلود مقاله به شما نمایش داده می شود.

اضافه‌کردن به سبدخرید
کلیه حقوق مادی و معنوی برای ایران مقاله محفوظ است
در حال بارگذاری