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首页> 外文期刊>Annals of epidemiology >The male-female health-survival paradox: a survey and register study of the impact of sex-specific selection and information bias.
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The male-female health-survival paradox: a survey and register study of the impact of sex-specific selection and information bias.

机译：男女健康生存悖论：针对性别选择和信息偏见影响的调查和登记研究。

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PURPOSE: This study examined whether the health-survival paradox could be due partially to sex-specific selection and information bias in surveys. METHODS: The study is based on the linkage of three population-based surveys of 15,330 Danes aged 46-102 years with health registers covering the total Danish population regarding hospitalizations within the last 2 years and prescription medicine within 6 months before the baseline surveys. RESULTS: Men had higher participation rates than women at all ages. Hospitalized women and women taking medications had higher participation rate compared with nonhospitalized women (difference=0.7%-3.0%) and female nonusers (difference=0.8%-7.6%), respectively, whereas no consistent pattern was found among men according to hospitalization or medication use status. Men used fewer medications than women, but they underreported medication use to a similar degree as did women. CONCLUSIONS: Hospitalized women, as well as women using prescription medicine, were slightly overrepresented in the surveys. Hence, the study found some evidence that selection bias in surveys may contribute to the explanation of the health-survival paradox, but its contribution is likely to be small. However, there was no evidence for sex-specific reporting of medication use among study participants.
机译：目的：本研究检查了健康生存悖论是否部分归因于性别选择和调查中的信息偏见。方法：该研究基于对15330名年龄在46-102岁之间的丹麦人的三项基于人口的调查与健康记录的联系，该记录涵盖了在基线调查之前的最近两年内住院和在6个月内处方药的丹麦总人口。结果：所有年龄段的男性参与率均高于女性。住院的妇女和服药的妇女的参与率分别高于未住院的妇女（差异= 0.7％-3.0％）和女性非使用者（差异= 0.8％-7.6％），而根据住院或住院的男性之间没有一致的规律用药状况。男性比女性使用更少的药物，但是他们低估了药物使用的程度，与女性相似。结论：在调查中，住院妇女以及使用处方药的妇女人数略有过多。因此，该研究发现一些证据表明，调查中的选择偏见可能有助于解释健康生存悖论，但其贡献可能很小。但是，没有证据表明研究参与者中有针对性别的用药报告。

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