中国居民自感健康与常见慢性病关系

Correlation between self-rated health and common chronic diseases in Chinese residents

目的研究中国居民自感健康与常见慢性病的关系,并定量估计慢性病对患者自感健康造成的损失程度。方法利用第4次国家卫生服务调查资料,根据患病率高低选取中国居民最为常见的慢性病病种,对常见慢性病与自感健康的关系进行单因素和多因素分析,分别比较不同种类和不同数量慢性病患者与非慢性病患者自感健康评分的差异。结果中国≥15岁人群中前6位主要慢性病依次为高血压病、糖尿病、胃肠炎、类风湿性关节炎、脑血管病和椎间盘疾病;校正年龄、性别之后,患上述疾病者的自感健康评分与非慢性病患者评分的平均差值分别为脑血管病16.74分,类风湿性关节炎11.56分,椎间盘疾病11.46分,糖尿病10.82分,胃肠炎9.25分和高血压病8.30分;患有1、2、3种及以上慢性病,自感健康评分比未患慢性病分别降低9.39,13.58和17.52分。结论我国居民自感健康和慢性病患病情况存在着密切关联,自感健康与慢性病患病数量呈明显的负相关,不同种类慢性病造成的自感健康受损程度不同。

Objective To explore the correlation between self-rated health and the most common chronic diseases among Chinese residents and to assess the extent of harm of chronic disease to the patients＇ self-rated health. Methods Univariate and multivariate analysis were applied to explore the correlation between chronic diseases and self-rated health and to assess the extent of harm of chronic disease to self-rated health among Chinese citizens aged 15 years and above recruited in the 4th National Health Household Interview Survey conducted in 2008. Results The six main chronic diseases among the residents were hypertension（H）,diabetes（DM）,gastroenteritis（G）,rheumatoid arthritis（RA）,cerebrovascular diseases（CVD）,and intervertebral disc diseases（I）.After adjusting for age and sex,the ranking of the score of self-rated health reduced by the chronic diseases from high to low were CVD（16.74）,RA（11.56）,I（11.46）,DM（10.82）,G（9.25）,and H（8.30）.The score reduction of self-rated health for patients with 1 to 3 chronic diseases were 9.39,13.58,and 17.52. Conclusion There is a close negative relationship between self-rated health and chronic disease among Chinese residents aged 15 years and above,and the reduction of self-rated health is different among patients with different chronic diseases.