广西桂林市社区老年人健康自评状况及其影响因素分析

Study on self-rated health status of the elderly and its influence factors in Guilin community

目的了解桂林市老年人的健康自评状况及其影响因素。方法采用分层整群随机抽样方法，对桂林市社区60岁以上老年人进行人户调查。调查所得资料用EpiData3．1建立数据库，双人录入校检，用SPSS13．0软件进行资料管理、统计描述、χ2检验、Logistic回归统计分析。结果老年人健康自评状况差、一般、好、很好的比例分别为12．9％、41．7％、36．5％、8．9％。Logistic回归分析结果显示，影响老年人健康自评状况的因素有文化程度、饮食口味、经济状况、是否需要依靠药物或医疗帮助、骑车或做家务1h以上、上三层楼、情绪低落、抑郁、亲友关系、参加社保情况、两周患病情况，其OR值及95％C1分别为0．69（0．52～0．92）、1．27（1．02-1．58）、0．66（0．54—0．81）、0．50（0．40～0．63）、0．68（0．52～0．90）、0．70（0．51～0．95）、0．69（0．49～0．93）、0．60（0．47～0．77）、0．43（0．26—0．70）、0．42（0．30～0．58）。结论桂林市社区老年人健康自评状况总体比较差。经济状况良好、经常参加体育锻炼、亲友关系良好、近两周无患病、参加社保等因素对老年人健康自评作用好。，

Objective To understand the self-rated health status of the elderly of Guilin community and explore the influence factors. Methods By adopting the method of stratified cluster random sampling survey, household survey was carried out on the city community in the elderly aged 60 and above. A database of survey questionnaire was established with EpiData 3.1, SPSS13.0 software was used for data management, statistical description, chi-square, Logistic regression statistical analysis. Results The proportion of very kind of Self-rated Health Status of the elderly as bad, normal, good,very good was 12. 9% ,41.7% ,36. 5% and 8.9% ,respectively. The logistic regressive analysis showed the influence factors of the self-rated health status of the elderly were education, dietary taste, economic condition, drug and medical help depen- ding, riding a bike more than one hour, doing the housework, going upstairs over three floors, depression, friends or family relations, medical insurance, two weeks prevalence, etc. The OR and its 95% CI was 0. 69 （0. 52 -0. 92 ）, 1.27 （ 1.02 - 1.58） ,0. 66（0. 54 -0. 81 ） ,0. 50（0.40 -0. 63） ,0. 68（0. 52 -0. 90） ,0.70（0. 51 - 0. 95） ,0. 69（0. 49 -0. 93） ,0. 60 （0. 47 -0. 77） ,0. 43（0. 26 -0. 70） ,0. 42（0. 30 -0. 58）. Conclusion The overall self-rated health status of the elderly in Guilin is bad. The better economic condition, regular exercise, good family relations, without ill within nearly two weeks, social security and other factors can increase the score of self-rated health status of the elderly.