Is there an association between disease ignorance and self-rated health? The HUNT Study, a cross-sectional survey

作者: Pål Jørgensen , Arnulf Langhammer , Steinar Krokstad , Siri Forsmo

DOI: 10.1136/BMJOPEN-2014-004962

关键词: Self-rated healthEpidemiologyPopulationPediatricsPublic healthDiabetes mellitusDiseaseMedicineThyroid functionCross-sectional study

摘要: Objective To explore whether awareness versus unawareness of thyroid dysfunction, diabetes mellitus or hypertension is associated with self-rated health. Design Large-scale, cross-sectional population-based study. The association between function, and blood pressure health was explored by multiple logistic regression analysis. Setting second survey the Nord-Trondelag Health Study, HUNT2, 1995–1997. Participants 33 734 persons aged 40–70 years. Primary outcome measures Logistic used to estimate ORs for good as a function status, status status. Results Persons aware their hypothyroidism, reported poorer than individuals without such conditions. Women unknown subclinical hypothyroidism better women normal In men, probable well mild/moderate not Furthermore, severe normotensive persons. Conclusions People undiagnosed but prevalent often have health, while when diagnoses, they report reduced Use screening, more sensitive tests widened diagnostic criteria might negative effect on perceived in population.

参考文章(51)
Peter M. Layde, Clare E. Guse, Linda N. Meurer, Self-rated health status: a new vital sign for primary care? WMJ : official publication of the State Medical Society of Wisconsin. ,vol. 100, pp. 35- ,(2001)
N R C Campbell, A Chockalingam, N Khan, Lack of control of high blood pressure and treatment recommendations in Canada. Canadian Journal of Cardiology. ,vol. 18, pp. 657- 661 ,(2002)
Amy G. Huebschmann, Trina Mizrahi, Alyssa Soenksen, Brenda L. Beaty, Thomas D. Denberg, Reducing Clinical Inertia in Hypertension Treatment: A Pragmatic Randomized Controlled Trial Journal of Clinical Hypertension. ,vol. 14, pp. 322- 329 ,(2012) , 10.1111/J.1751-7176.2012.00607.X
Arnulf Langhammer, Steinar Krokstad, Pål Romundstad, Jon Heggland, Jostein Holmen, The HUNT study: participation is associated with survival and depends on socioeconomic status, diseases and symptoms BMC Medical Research Methodology. ,vol. 12, pp. 143- 143 ,(2012) , 10.1186/1471-2288-12-143
Ala’a Alkerwi, Sybil Pagny, Marie-Lise Lair, Charles Delagardelle, Jean Beissel, Level of Unawareness and Management of Diabetes, Hypertension, and Dyslipidemia among Adults in Luxembourg: Findings from ORISCAV-LUX Study PLoS ONE. ,vol. 8, pp. e57920- ,(2013) , 10.1371/JOURNAL.PONE.0057920
R. Moynihan, J. Doust, D. Henry, Preventing overdiagnosis: how to stop harming the healthy BMJ. ,vol. 344, pp. 3502- ,(2012) , 10.1136/BMJ.E3502
Michael D. Cabana, Cynthia S. Rand, Neil R. Powe, Albert W. Wu, Modena H. Wilson, Paul-André C. Abboud, Haya R. Rubin, Why Don't Physicians Follow Clinical Practice Guidelines?: A Framework for Improvement JAMA. ,vol. 282, pp. 1458- 1465 ,(1999) , 10.1001/JAMA.282.15.1458
J R Bloom, S Monterossa, Hypertension labeling and sense of well-being. American Journal of Public Health. ,vol. 71, pp. 1228- 1232 ,(1981) , 10.2105/AJPH.71.11.1228
Ellen L. Idler, Yael Benyamini, Self-rated health and mortality : a review of twenty-seven community studies Journal of Health and Social Behavior. ,vol. 38, pp. 21- 37 ,(1997) , 10.2307/2955359