Praca Oryginalna Original Article
Transkrypt
Praca Oryginalna Original Article
Praca Oryginalna Zdr Publ 2012;122(4): 400-405 -405 Original Article samooceny stanu zdrowia Psycho-social determinants in health state self-evaluation by Polish midwives Streszczenie Abstract ! " # $ %&&'*! +' &&* % ' ! , & %% & #./35% '!6 ' 7& 8 9 :8+<=5# & & $$< %%&! % #% '& && #&& >?@#@@@@A#&& &>?@#@@BA# >?@#@@=CA#'D'%>?@#@@EBA >?@#@@@CA# %''%&>?@#@@@@A! F '&! G' & # #'%#! ' &' & ' # &' ' ! HI ' I % %I %I%%I%! J %<' ''<I'&' I! JI% %''% #&%K&''# I'I ./35 I''% ' ! J & ' : + L& :8+<=5# K& '' &% & &# '' ' K& < % %&! M I I'& ' ' I % ' I I ' N &'&%% ' ' 'I >?@!@@@@A! G &' &# 'I & >?@!@@BA# ' >?@!@@=CA# ''%& >?@!@@EBA# '' & >?@!@@@CA!J ' % %'''I'>?@!@@@@A! O '<I'& I% I I' ' % !J' 'I % % '<I'& ' & I '# #''%& &! ! # # & #! I# '<I'& '# #'&! G '8:''Q#R&'S&% H':#M 'QIT&'#' © Zdr Publ 2012;122(4) Zdr Publ 2012;122(4) INTRODUCTION :&'& I& %% I& % %# '%' '%'UBV!:'& %'' % & & '%%K& &' I &' I &IU=V! :'&' %'I' I I % I ' &'&!O'' # W WI '' : + U:8+V#&!G%I '%K& &'I&%&' &IU.V!:&K&'% '''%% %% I'I !F& '# && I'# & &'&#&%&' UC#/V!WI %& X'#%' %&'!:'& %I ''# ' 'I &'&U3#YV! AIM J %<' '<I'&'' I! "#$%& J I% % ''% # &% K& ''# I'I ./35 I '' % ' ! J & ' : + L& :8+<=5# K& '' &% & &# '' ' K& < % %&! [ % & ''''!J' I %&I +<K&>\2A &!]@!@/ I'& ''%! 401 < % % %& '%' && >E!C5^A! MI# &< %#I>B5!@.^A I/@ %'%'I>B@!5E^A %! S''>CE!BE^A'&I% I I#'& %I ' &%>/@!3Y^A! '>/=!C=^A# >//!//^AG%'#I& >=C!5C^A&'I II I >CB!Y5^A a <%!T'#I>BB!=Y^AI% 'I # >B/!3B^Aa I''%'#>B5!/Y^A &%>BE!Y.^A! 8I >YY!E5^A I% I %& >EB!/@^A & % >EB!=Y^A! :%' I &<% >=5!CE^Ac& >BY!5B^A I >E!53^A! W& % Ia >EY!//^A I &'%>EB!=Y<5B!5Y^Aa' ''% &!8 #I' % & >5!3/^Ac I# I I &' %# !! I I >BC!B5^A'%#IN>B3!CE^A &<% 'II>/!E/^A &% % &! J ' % <' '<I'& '&' &'''%&! 8I'I% I#I% & >e@!@/A# I'& ' % >/Y!CC^A! HI# I I'& ' I% >.@!YC^A! 8' I IaI ' >=!Y=^A>J'BA! TABLE ) *+ , * - , .* :'<I'&' f%& I% % I% # I '>?/.EA E!// /Y!C. .B!5Y =!@C &>?/5EA E!@. /E!@. .B!=Y =!3E >[email protected] 5!.C /E!3Y =E!3B .!.Y " '(# <>?35CA E!5= //!E. ..!=C =!@B &<>?=3EA BB!/Y /Y!@5 =Y!3B .!Y. JI% %& I''I% % >=5!@E^A# < % >B5!CY^A#&%>B3!Y3^A#< %>B/!@Y^A#%>B=!B^A &< %>Y!/B^A' ! J I% %& I ' % =/ Y3# % % C=!C=_Y!.B! S' '>CE!@=^ACB</@% I >.=!/5^A'% .B<C@%%&!`&% Ia'.@%a ' && >3!.@^A %& # ' >?C.=A 5!C5 /3!CE .B!CE =!// nationwide poll 5!BB /Y!CC .@!YC =!Y= +=D ?B/D<I'& 2 \ ?B=!3.5?@!3.@B JK&% ' I%&' I% %& % &!J'=I'& ' '' >?./3EA &% I %'' &'I'&>%%%&'A>J'=A! 402 Zdr Publ 2012;122(4) TABLE 5 6 * 0 , %+57 ** * 8.0+ 9* 0 *, :8+ scales ?./35 TABLE1* *, . , ,* 2 .*3 4 * , Nx :F M M :8++ C.!B3. Y!=.E BE 43 YB 39 CE B3!YY^ I>?=B3A :'<I'&' I D % I% % I Y!EY CC!5B .5!./ Y!EY :8+M C3!.5. E!B@5 B/ 46 Y@ 41 /= BY!CE^ >?BB.3A /!3. //!=E .3!@5 =!55 :8+M C@!@EB Y!C3Y 14 40 /3 ./ 46 BE!3.^ ' >?BY@3A E!E/ 3@!.E =5!@= B!Y3 ' #I>?/@5A BE!@C /Y!EC =@!5E .!BC %' :8+ B=5!3.Y BE!=5= // B=E MN L@!=/ L@!Y/ 191 BBY z 142 BC!BB^ F&'& '' 2 2 + D ?5D<I'& &&&[ %#I'& I% &B=5!3.Y!MI'& X !! < '#%' %&'I% %&'&' '& &UE<B@V! M II'& 'I% '& %& ' I ' N &' &' & ' >BE!@C^A>\2?B.@!/C@c ?5c?@!@@@@A# ''I >B5!.E^A>\2?E3!EE.c ?5c?@!@@@@A! 8 # II'& ' I I '& ' '' I >]@!@/c ]@!@Bc ]@!@@BA %& I &' \ ?B.@!/C@ ?@!@@@@ I>?/YCA :'<I'&' I D % I% % I Y!EC CE!YE .Y!3. /!Y/ >?BY/BA Y!.B /5!Y@ .@!YB =!=E seldom (n=1010) B@!/@ /E!YB =E!EB B!5E ' #I>?=.=A B5!E. /3!@. ==!CB B!Y= F&'& '' 2 2 + D ?5D<I'& \ ?E3!EE. ?@!@@@@ I N &' &' & '>Y!EY^A ''I>/!Y/^A>J'.A! + I% I % I &'%&%& TABLE/",*, . , . , 0 :& eastern ^ f%' < &< ^ ^ central ^ & ^ ^ total ^ always =/!@5 ==!/3 =.!BB =3!C5 .@!5Y =3!EY =/!@= I =/!EC =/!C= =/!5= =C!B3 =Y!3B =C!YY =/!CY occasionally ==!=E =/!=/ ==!BC =B!BB B3!Y5 =@!@5 =B!E. I' B@!BB Y!=C E!=/ BC!E/ E!/E 5!EB 5!E3 I B3!3Y B5!/. =@!/E B.!.5 B3!@C BE!C3 BY!E= '>?B@@!@@^A ?/.C ?/5C n=1030 ?3EY ?=3E ?C=E ?./CB ^ total ^ \2?/C!YEC :&' ?@!@@@@ f%' < &< ^ ^ central ^ & ^ eastern ^ always 3@!3Y 3=!35 3=!@C 3Y!.@ 3E!33 3/!Y. 3.!5B I B5!B@ B3!CY BY!E3 B/!B= BB!/Y B3!// B3!3/ occasionally 3!5. 5!@E E!=/ E!BC 3!Y= Y!C3 Y!53 I' /!@3 C!YB .!@B .!C5 /!== =!B@ .!Y/ I E!=C Y!@3 E!E. /!53 Y!EC E!B3 Y!Y. ?/.C ?/5/ n=1030 ?3EE ?=3E n=429 ?./CC ^ total ^ Y!.B Y!5C '>?B@@!@@^A \2?=5!3=5 :&& ?@!@Y3@ f%' < &< ^ ^ central ^ & ^ eastern ^ always E!B@ /!/3 Y!5B I B=!EB 5!CC BB!B. BB!/= B@!E= B.!3E BB!C3 occasionally =Y!EY =/!3. =E!@. .=!3/ =.!EE =3!BE =Y!53 I' =B!=E =3!EB BE!=3 =.!.= =/!@@ =B!Y@ ==!@3 I =5!5C .=!// .C!3Y =.!CY =5!B@ .B!B. .@!/Y '>?B@@!@@^A ?/.B ?/5. n=1024 ?3E3 ?=3E n=424 ?./=3 \2?C3!Y5E 5!@C BB!B5 ?@!@@@3 Zdr Publ 2012;122(4) 403 TABLE/ ",*, . , . , 0 :&& f%' < &< ^ ^ central ^ & ^ eastern ^ ^ total ^ always E!B@ /!/3 Y!5B 5!@C BB!B5 Y!.B Y!5C I B=!EB 5!CC BB!B. BB!/= B@!E= B.!3E BB!C3 occasionally =Y!EY =/!3. I' =B!=E =3!EB =E!@. .=!3/ =.!EE =3!BE =Y!53 BE!=3 =.!.= =/!@@ =B!Y@ ==!@3 I =5!5C .=!// .C!3Y =.!CY =5!B@ .B!B. .@!/Y '>?B@@!@@^A ?/.B ?/5. n=1024 ?3E3 ?=3E n=424 ?./=3 \2?//!B=3 I ' & # '# %#''%& &'C! 8I'I% I>/@!C5^A' II & # I TABLE:* *, . , 2 . , *+ 3 * * 2 *2 .02 . :'<I'&' :& I% % I% '>?EE3A B=!3C /E!@B =3!/= D I =!E= I>?5@=A 5!.B /Y!5E .@!3@ =!BB ''>?YY.A 3!E3 /Y!.B .=!.C .!C5 I' >?.C5A E!3@ //!@B .C!3Y B!Y= I>?3.BA 3!5Y /Y!.Y .=!3/ .!@B +2D ?B=D<I'& \2?.=!5=/ ?@!@@B@ :'<I'&' :&' ?@!@@@@ >=B!E.^A a ''! 8I & >E@!/3^A I & ' I ' >Y!53^A''!|I 'I &&''%&>.=!5/^A 'I >.C!=/^Aa''!T'#'I >B5!C^A&' &&&# 'I&a''>==!@3^A! I'& ' I % 'I & >B=!3C^A >\2?.=!5=/c ?B=c ?@!@@B@A# ' >B@!//^A >\2?.@!.CCc ?B=c?@!@@=CA#''%&>B=!C=^A>\2?=3!EC.c ?B=c ?@!@@EBA & >B=!E3^A >\2?.C!53Bc ?B=c ?@!@@@CA! TABLE ; . * , . , ,* . , * * O'' >%' :8+A :'<I'&' D I C!=B I% % I% always (n=2264) B@!// /E!=. =E!CE D I =!YC I>?/5@A /!=/ /E!BC ..!5@ =!YB I%'I'>?BY=/A E!BY /E!BC .B!=/ =!C. B/!@B 3.!E. B5!CE B!3E ''I'>?5/@A ''>?=E=A E!/B /C!=3 .C!@C .!B5 %'I'>?E5.A I' >?B..A 3!@= /B!EE .5!E/ =!=3 +2D ?3D<I'& I>?=YCA 2 + D ?B=D<I'& Y!33 /3!=@ 2 \ ?.@!.CC ..!5C =!B5 ?@!@@= :'<I'&' :&''%& ''I'>?B@/3A always (n=322) B=!C= /E!Y@ =3!@5 D I =!E@ I>?EC.A B@!C. /5!CE =E!Y5 B!.@ occasionally (n=1212) E!BY /E!C= .@!3B =!EB I' >?CYYA 5!== /.!EE ..!/C .!./ I>?3ECA Y!Y/ /C!5Y ..!CE .!E@ +2D ?B=D<I'& I% % \2?=3!EC. I% ?@!@@EB :'<I'&' :&& : ' >:8++A I% % I% '>?=E@A B=!E3 /3!C. =5!=5 D I B!C. 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W& %%%'' ' % >2 =BC.!C35c ?@!@@@@AWI% %'I'%'X '>2?C.!C=Bc?@!@@@@A# %'>2=BCC!C/=c?@!@@@@A %&'>2 =B/@!3/@c?@!@@@@A' ' % >J'3A! & ' %< +% &[ % #I% %&'%'& I %'' # '' a''>B=5!3.YAX '>C.!B3.A#%'>C3!.5.A %&'>C@!@EBAUE#5#B@V! J ' & ''%&'%''X } XB./!@@c IX=C!BCcS?B@YCUEV } XB.3!YCc IX=B!YBcS?=C@U5V } XB./!E/c IXB5!E=cS?5EUB@V! J I% & I ' I'& ' I ' N &' & ' >?@!@@@@A ''I>?@!@@@@A!:&' ' N&%' %'I#%[' #<' % ' ! + %% <# I& UC#BB#B=V! F&' & I''I&' '&& UB.V! :'&I I ' &% &' '# %I% I &''% '%&&' UBCV! G ' ' ' & ' &! :& & N ' &% ' I''! JI% I ' ''I & &' &! ' '% ' ' I% '%% && % ' &' &c I#&'%IK&&'&UB/#B3V! J I% I I'& ' % # I & & & ! :& I ''%& %U=3V!W'%%%I '%&%'%&# I'%''UB.V! M II'& ' I I '''%'' >?@!@@@@A K&'#''I' ''>?@!@@@@A!F %'& I &'# I' a ' ' a % I'&! WI ''I'&%K&I&I 'IUBYV!R&# %' &' I %N#% 'I%''%!W%'I' %&' ''%UBEV!J& ' && N# I '' N'' UB3V!F % '& I &'# I''~ ' 'c ' % &I'&'U3#BE#B5V! CONCLUSIONS B! :&' & I & %%I&%%#'%' '%'! =! J I% %& %'' '' 'I' ''! .! W % '<I'& I% I I'' %! C! J ' I % % '<I'&' &I '# #''%& &! /! J & &' & ' ' 'I I% ''<I'&'! ACKNOWLEDGEMENTS J & '' & '' =@@/<=@@Y =@/F@..=E! "=""<" B! WI W! & ! GX G!H<S #H!:> A!'% !6X6 ! S&6ScB55Y!!=@3<.B! =! H'':!:' '%'& !fIO '!=@@=c3>CAX.@=<=C! .! : H! f' % & & %! 8 & *!GXH!:#f!+$'> A!6# !6X6 S&6Sc=@@/!!C5<3Y! Zdr Publ 2012;122(4) C! :F#O&R#zIMf!WI[:+ :' ' %I I I! |& '! B55EcB=XC/Y<E@! /! |M#T ,!z' WI[:+ :'aI!| '+&H'!=@@/c/5X C3@<3! 3! T O# 7''% 78! : # '! G' < : '!|&&'H'!B553c3XBY/<E@! Y! M M! 7 '&% W! WI[% '% !'%G&!=@@/c.X .5<C=! E! 6M#F& ,!& & %!GXH!:#J!> A!" aa # & & ' ! *X 6 ! R& H&c=@@B!!=@.<B=! 5! W &W!&'%* ! f ! , %X W M !T!f %6 Tc=@@.! B@!,* W# 6* G# G<'& O! & ' & '< '% ! W QI M +&< :' !=@@Cc/5XB/Y<3.! BB!: S! J ' # # # % I '%' %''%& !:M R!=@@@cC@X3.<Y@! B=!I,M#R '& ,!:'< '%&I& ' ' ! : +%:!=@@.cBY>CAX.CY</Y! B.!G<'& O# 7 M# M<:& * M! & ' %! GX M! M<:& *# O! G<'& > A! '% %'%! 6X"6Tc=@@5!!/.<Y! BC!,%'<M& 7! 6 '& & WGF:!6 T!=@@Bc/CXC3=<YB! B/!7''S#:f! 6# #$!GXH!:#f!+$'> A!6# ! 6X 6 S& 6Sc =@@/! !=5<CE! C@/ B3!:H#+$'f!6a # #!GXH!:#f!+$' > A! 6 # ! 6X 6 ! S& 6Sc=@@/!!BB<=E! BY! J! :&& & & X ' ! GX H! :#J! > A! " aa#&& ' ! *X6 !R& H&#=@@B!!C.<//! BE!O&*|!&$& %! GX H! :# J! > A! " aa#&& ' ! *X6 !R& H&c=@@B!!B=Y<.E! B5!F& ,# 7 ! & % ' &#& !W'' S!B553cB>=AX3/<YC! *> F! ! a &#!!# ! !a &c ! ! a &c % EWA GOLONKA a # : ' Q$#QM T&'! > OG<'& QM : 'Q$ W'!fB#=@<@/5T&' |<'X&'& %'! '!DN!CEEB/=EEE@5 '!CEEB/=EE5.C