摘要
Abstract
[ Objective ] To assess the relevance between social functions/economic situations and self-rated health (SRH) and to estimate the population attributable risk proportion (PARP) among Chinese elders. [ Methods ] Articles of interest were systematically and comprehensively identified through searches of English and Chinese databases (Jan 1960-July 2009). Combined odds ratio (OR) and 95% confidence interval (CI) of relevant risk factors were calculated. Based on these combined OR values and the population exposure rate, PAPR was estimated. [ Results ] Four cross-sectional studies were included and analyzed. The main social functions associated with poor self-rated health among Chinese elders were unpleasant life[ OR 2.98, 95% CI (1.82, 4.87) ], disharmonious family[ OR 2.71, 95% CI(2.10, 3.51) ], and lack of care[ OR 1.68, 95% CI(1.16, 2.43) ], for which the PAPR were 24.19%, 19.65% and 14.18% respectively. Their economic conditions were overdraft [OR 2.02, 95% CI (1.19, 3.43) ], difficult to pay medical expenses [ OR 1.94, 95% CI (1.41, 2.68) ], and monthly family income less than 100 Yuan[ OR 1.77, 95% CI (1.46, 2.15) ]. The top three economic conditions associated with self-rated health in Chinese elders were difficult to pay medical expenses, monthly family income less than 100 Yuan and no self-earned income, for which the PAPR were 24.83%, 18.42% and 18.05% respectively. [ Conclusion ] The control and prevention of chronic disease for the elders and encouraging them to participate in social activities are still what the community health care centers and administrations focusing on. However, the relevance between socioeconomic factors and serf-rated health remains in suspense due to the lack of studies and evidence.关键词
健康自评/社会健康功能/经济状况/系统评价/人群归因危险度Key words
self-rated health/social function/economic situation/systematic review/population attributable risk proportion分类
医药卫生
