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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Impact of coronary heart disease on health functioning in an aging population: are there differences according to socioeconomic position?
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Impact of coronary heart disease on health functioning in an aging population: are there differences according to socioeconomic position?

机译：冠心病对老年人群健康功能的影响：根据社会经济状况是否存在差异？

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OBJECTIVE: To examine differences in the effect of coronary heart disease (CHD) on health functioning according to socioeconomic position. Research on social inequality in health has tended to concentrate on differences in disease prevalence and mortality rather than on the impact of disease on functioning. As outcomes improve for those with CHD, it is important to know how their health is affected in the long term. METHODS: The analysis uses questionnaire data from phase 3 (1991-1993) to phase 7 (2003-2005) of the Whitehall II Study of civil servants (n = 8292). Differences between those in higher and lower employment grades in the relationship between CHD and physical and mental health functioning were measured according to the Short Form 36 General Health Survey (SF-36). A growth curve model of change in SF-36 physical and mental health from five repeated-measures over the 12-year period was then estimated. RESULTS: The differences in SF-36 health between those with and without preexisting CHD depended on employment grade. For those with CHD, physical health was initially poorer in lower grades than in higher ones; this difference persisted throughout. The mental health of respondents with CHD in the lowest grades deteriorated over time whereas for members of the higher grades, the prevailing trend was for improving mental health. CONCLUSIONS: CHD has a more detrimental effect on physical and mental health functioning among those in more disadvantaged socioeconomic positions.
机译：目的：根据社会经济状况调查冠心病（CHD）对健康功能的影响差异。关于健康方面社会不平等的研究往往集中在疾病患病率和死亡率方面的差异，而不是疾病对功能的影响。随着冠心病患者结局的改善，重要的是要了解长期健康状况。方法：该分析使用了白厅II公务员研究（n = 8292）从第3阶段（1991-1993）到第7阶段（2003-2005）的问卷数据。根据简短表格36总体健康调查（SF-36），测量了处于较高就业水平和较低就业水平的人之间的冠心病与身心健康功能之间的差异。然后，估算了在12年期间通过五次重复测量得出的SF-36身心健康变化的增长曲线模型。结果：患有和不患有冠心病的人之间SF-36健康的差异取决于就业等级。对于患有冠心病的人，低年级的身体健康起初要比高年级的人差。这种差异贯穿始终。患有低冠心病的受访者的心理健康会随着时间的流逝而恶化，而对于较高年级的受访者来说，主要趋势是改善心理健康。结论：在社会经济地位较弱的人群中，冠心病对身心健康的影响更大。

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