We examined the factors associated with the evaluation of health description vignettes and how Japanese people make decisions related to the eight health dimensions (mobility, emotions, pain, relationship with others, sleep and energy, vision, recognition/remembering abilities, and self-care). We investigated a dataset of 4,959 respondents (≥ 18 years) from the Japanese World Health Survey. Ordered probit models were used to identify factors associated with all health dimensions. On all dimensions, older people appraised extreme problems as less problematic than young people did. Compared with men, women reported greater severity in the case of extreme problems on three health dimensions: emotion, pain, and sleep/energy. The study also found negative effects of alcohol consumption in almost all dimensions. Doctors and other health care workers should be careful when assessing severity of health problems in older individuals; in this population, health problems may be more severe than reported.

译文

我们研究了与健康描述小插曲评估相关的因素,以及日本人如何做出与八个健康维度 (流动性,情绪,疼痛,与他人的关系,睡眠和能量,视力,识别/记忆能力和自我护理) 相关的决策。我们调查了来自日本世界卫生调查的4,959名受访者 (≥ 18岁) 的数据集。有序概率模型用于识别与所有健康维度相关的因素。在各个方面,老年人认为极端问题比年轻人少。与男性相比,女性在三个健康方面的极端问题 (情感,疼痛和睡眠/能量) 的严重程度更高。该研究还发现,几乎所有方面都对饮酒产生负面影响。在评估老年人健康问题的严重程度时,医生和其他医护人员应谨慎; 在这一人群中,健康问题可能比报告的更严重。

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