中国全科医学2016，Vol.19Issue(27)：3356-3360,5.DOI:10.3969/j.issn.1007-9572.2016.27.019
十堰市老年人自评健康状况及影响因素调查与路径分析
Self-rated Health Status of Elders in Shiyan and Its Influencing Factors and Path Analysis
摘要
Abstract
Objective To investigate the self - rated health status of elders in Shiyan and explore its influencing factors,influencing characters and effective size,in order to provide references for the policies of improving self - rated health level and healthy aging. Methods At December 2012,firstly,all counties,cities and districts of Shiyan were ranked in accordance with the proportion of elders in a high - to - low order. Bailang Development Zone with a proportion of elders aged 60 and above close to the average proportion of Shiyan(14. 1% )was chosen. All the housing estates in Bailang Development Zone were numbered,and by random number table method,three housing estates were selected,including Jian' er,Ji' an and Erjidian housing estate. All elders aged 60 or above in the three housing estates were numbered according to gender and age,and 1 091 elders were selected as subjects. According to the actual health status of elders in Shiyan,a self - designed questionnaire was made with reference to the Scale of Elderly Health Status and Relevant Factors made by the Institute of Psychology of University of Liverpool. The questionnaire content included the general data and self - rated health status of elders. A total of 1 091 questionnaires were distributed,and 1 001 effective questionnaires were collected with an effective recovery rate of 91. 8% . Results Among the 1 001 elders,the number of elders with very good,good,barely good and poor self - rated health status was 114(11. 4% ),499(49. 8% ),302(30. 2% ) and 86(8. 6% )respectively. Significant differences existed in self -rated health status between elders with different status of smoking,alcohol consumption,chronic diseases,satisfaction with economic income and life,optimistic attitude,change in health status,economic difficulties,events that make people sad(P< 0. 05 ) . Logistic regression analysis showed that smoking,change in health status,chronic diseases,satisfaction with economic income and life and optimistic attitude were influencing factors for the self - rated health status of elders(P < 0. 05). Path analysis showed that satisfaction with life was the most important influencing factors for self - rated health status of elders. Conclusion Elders in Shiyan have favorable self - rated health status. Smoking,change in health status,chronic diseases,satisfaction with economic income and life and optimistic attitude are influencing factors for the self - rated health status of elders,and satisfaction with life has great influence on the satisfaction degree with life.关键词
自评健康/影响因素/老年人/路径分析Key words
Self - rated health/Influencing factors/Elders/Path analysis分类
医药卫生引用本文复制引用
钟森,汪文新,柴云,卢祖洵..十堰市老年人自评健康状况及影响因素调查与路径分析[J].中国全科医学,2016,19(27):3356-3360,5.基金项目
江苏省教育厅高校哲学社会科学基金项目 （）
