PDF(Pubmed)
Abstract：
UNASSIGNED: Latinos report lower self-rated health (SRH) than non-Hispanic White persons. However, the association between SRH and medically diagnosed chronic diseases (MDCDs) remains understudied in Latino populations. This study assessed the relationship between a single-item SRH indicator and MDCD status among predominantly Latino adults in Puerto Rico.
UNASSIGNED: Participants (30-75 years; n=965) of the Puerto Rico Observational Study of Psychosocial, Environmental, and Chronic Disease Trends (PROSPECT) reported SRH (excellent/very good, good, or fair/poor) and MDCD (ever vs never). We performed multivariate logistic regressions to evaluate the association between SRH and MDCD, which adjusted for key socioeconomic, demographic, and behavioral confounders.
UNASSIGNED: Twenty-seven percent of participants reported excellent/very good SRH, 39% good, and 34% fair/poor. Participants with fair/poor SRH (vs excellent/very good) were more likely to report MDCD for painful inflammation (odds ratio [OR]=4.95 [95% CI, 3.27-7.48]), kidney disease (4.64 [2.16-9.97]), sleep disorder (4.47 [2.83-7.05]), migraine headaches (4.07 [2.52-6.58]), overweight/obesity (3.84 [2.51-5.88]), depression (3.61 [2.28-5.74]), hypertension (3.59 [2.43-5.32]), high blood sugar (3.43 [2.00-5.89]), cardiovascular disease (3.13 [2.01-4.87]), anxiety (2.87 [1.85-4.44]), arthritis (2.80 [1.83-4.30]), diabetes (2.46 [1.57-3.83]), respiratory problems (2.45 [1.59-3.79]), stomach problems (2.44 [1.57-3.81]), eye disease (2.42 [1.44-4.06]), gallbladder disease (2.34 [1.35-4.05]), liver disease (2.26 [1.38-3.70]), heartburn (2.25 [1.55-3.26]), hyperlipidemia (2.10 [1.44-3.06]), and thyroid conditions (2.04 [1.30-3.21]).
UNASSIGNED: SRH may reflect MDCD burden and serve as a valid screener to efficiently identify Latino individuals in high need of clinical services. This is relevant in Puerto Rico, where chronic disease rates remain high amid limited, disparate access to health care.
UNASSIGNED: Participants (30-75 years; n=965) of the Puerto Rico Observational Study of Psychosocial, Environmental, and Chronic Disease Trends (PROSPECT) reported SRH (excellent/very good, good, or fair/poor) and MDCD (ever vs never). We performed multivariate logistic regressions to evaluate the association between SRH and MDCD, which adjusted for key socioeconomic, demographic, and behavioral confounders.
UNASSIGNED: Twenty-seven percent of participants reported excellent/very good SRH, 39% good, and 34% fair/poor. Participants with fair/poor SRH (vs excellent/very good) were more likely to report MDCD for painful inflammation (odds ratio [OR]=4.95 [95% CI, 3.27-7.48]), kidney disease (4.64 [2.16-9.97]), sleep disorder (4.47 [2.83-7.05]), migraine headaches (4.07 [2.52-6.58]), overweight/obesity (3.84 [2.51-5.88]), depression (3.61 [2.28-5.74]), hypertension (3.59 [2.43-5.32]), high blood sugar (3.43 [2.00-5.89]), cardiovascular disease (3.13 [2.01-4.87]), anxiety (2.87 [1.85-4.44]), arthritis (2.80 [1.83-4.30]), diabetes (2.46 [1.57-3.83]), respiratory problems (2.45 [1.59-3.79]), stomach problems (2.44 [1.57-3.81]), eye disease (2.42 [1.44-4.06]), gallbladder disease (2.34 [1.35-4.05]), liver disease (2.26 [1.38-3.70]), heartburn (2.25 [1.55-3.26]), hyperlipidemia (2.10 [1.44-3.06]), and thyroid conditions (2.04 [1.30-3.21]).
UNASSIGNED: SRH may reflect MDCD burden and serve as a valid screener to efficiently identify Latino individuals in high need of clinical services. This is relevant in Puerto Rico, where chronic disease rates remain high amid limited, disparate access to health care.
摘要：
■拉丁美洲人报告的自评健康状况（SRH）低于非西班牙裔白人。然而,在拉丁裔人群中,SRH与医学诊断的慢性病(MDCD)之间的关联仍未得到充分研究.这项研究评估了波多黎各主要拉丁裔成年人的一项SRH指标与MDCD状态之间的关系。
■波多黎各社会心理观察研究的参与者（30-75岁；n=965），Environmental,和慢性病趋势(前景)报告了SRH(优秀/非常好，不错,或公平/贫穷)和MDCD(从未与从未)。我们进行了多变量逻辑回归来评估SRH和MDCD之间的关联，根据关键的社会经济因素进行了调整，人口统计学,和行为混杂因素。
■27％的参与者报告了优异/非常好的SRH，39%好,和34％的公平/差。SRH正常/差（与优秀/非常好）的参与者更有可能报告疼痛性炎症的MDCD（比值比[OR]=4.95[95％CI，3.27-7.48]），肾病（4.64[2.16-9.97]），睡眠障碍（4.47[2.83-7.05]），偏头痛（4.07[2.52-6.58]），超重/肥胖（3.84[2.51-5.88]），抑郁症（3.61[2.28-5.74]），高血压（3.59[2.43-5.32]），高血糖（3.43[2.00-5.89]），心血管疾病（3.13[2.01-4.87]），焦虑（2.87[1.85-4.44]），关节炎（2.80[1.83-4.30]），糖尿病（2.46[1.57-3.83]），呼吸系统问题（2.45[1.59-3.79]），胃部问题（2.44[1.57-3.81]），眼病（2.42[1.44-4.06]），胆囊疾病（2.34[1.35-4.05]），肝病（2.26[1.38-3.70]），胃灼热（2.25[1.55-3.26]），高脂血症（2.10[1.44-3.06]），和甲状腺状况（2.04[1.30-3.21]）。
■SRH可能反映了MDCD负担，并作为有效的筛选器，可以有效地识别需要临床服务的拉丁裔个人。这与波多黎各有关，在有限的情况下，慢性病发病率仍然很高，获得医疗保健的机会不同。
■波多黎各社会心理观察研究的参与者（30-75岁；n=965），Environmental,和慢性病趋势(前景)报告了SRH(优秀/非常好，不错,或公平/贫穷)和MDCD(从未与从未)。我们进行了多变量逻辑回归来评估SRH和MDCD之间的关联，根据关键的社会经济因素进行了调整，人口统计学,和行为混杂因素。
■27％的参与者报告了优异/非常好的SRH，39%好,和34％的公平/差。SRH正常/差（与优秀/非常好）的参与者更有可能报告疼痛性炎症的MDCD（比值比[OR]=4.95[95％CI，3.27-7.48]），肾病（4.64[2.16-9.97]），睡眠障碍（4.47[2.83-7.05]），偏头痛（4.07[2.52-6.58]），超重/肥胖（3.84[2.51-5.88]），抑郁症（3.61[2.28-5.74]），高血压（3.59[2.43-5.32]），高血糖（3.43[2.00-5.89]），心血管疾病（3.13[2.01-4.87]），焦虑（2.87[1.85-4.44]），关节炎（2.80[1.83-4.30]），糖尿病（2.46[1.57-3.83]），呼吸系统问题（2.45[1.59-3.79]），胃部问题（2.44[1.57-3.81]），眼病（2.42[1.44-4.06]），胆囊疾病（2.34[1.35-4.05]），肝病（2.26[1.38-3.70]），胃灼热（2.25[1.55-3.26]），高脂血症（2.10[1.44-3.06]），和甲状腺状况（2.04[1.30-3.21]）。
■SRH可能反映了MDCD负担，并作为有效的筛选器，可以有效地识别需要临床服务的拉丁裔个人。这与波多黎各有关，在有限的情况下，慢性病发病率仍然很高，获得医疗保健的机会不同。
