The Centers for Disease Control and Prevention's Healthy Days Measures – Population tracking of perceived physical and mental health over time

被引:498
作者
David G Moriarty
Mathew M Zack
Rosemarie Kobau
机构
[1] Division of Adult and Community Health,U.S. Department of Health and Human Services, Centers for Disease Prevention and Control, National Center for Chronic Disease Prevention and Control
关键词
Behavioral Risk Factor Surveillance System; Generic HRQOL Measure; Behavioral Risk Factor Surveillance System Survey; Frequent Mental Distress; Medicare Health Outcome Survey;
D O I
10.1186/1477-7525-1-37
中图分类号
学科分类号
摘要
To promote the health and quality of life of United States residents, the U.S. Department of Health and Human Services' Centers for Disease Control and Prevention (CDC) – with 54 state and territorial health agencies – has supported population surveillance of health-related quality of life (HRQOL). HRQOL was defined as "perceived physical and mental health over time." Commonly-used measures of health status and activity limitation were identified and a set of "Healthy Days" HRQOL measures was developed and validated. A core set of these measures (the CDC HRQOL-4) asks about self-rated general health and the number of recent days when a person was physically unhealthy, mentally unhealthy, or limited in usual activities. A summary measure combines physically and mentally unhealthy days. From 1993 to 2001, more than 1.2 million adults responded to the CDC HRQOL-4 in each state-based Behavioral Risk Factor Surveillance System (BRFSS) telephone interview. More than one fifth of all BRFSS respondents also responded to a set of related questions – including five items that assess the presence, main cause and duration of a current activity limitation, and the need for activity-related personal and routine care; as well as five items that ask about recent days of pain, depression, anxiety, sleeplessness, and vitality.
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