广东省城镇居民自测健康评定量表的常模研究

Norms on the construction of self-rated health measurement scale of urban residents in Guangdong

目的初步构建广东省城镇居民自测健康评定量表（SRHMS V1．0）常模。方法采用区域分层随机抽样的方法并按照1：1的男女比例，选取广东省广州、茂名、汕头、韶关、深圳5个城市的城镇居民共6000名，采用以SRHMSV1．0为核心的自制调查问卷对研究对象进行调查，对收回数据进行统计分析并建立相应的均数常模、百分位常模和划界常模。结果以40岁、50岁、60岁为划界点将研究对象分为4个年龄组并以性别为基础建立均数常模，男性〈40岁组、40～岁组、50～岁组及60～岁组的量表总得分结果分别为（78．57±10．10）、（76．93±9．90）、（75．33±10．66）、（69．45±13．90）；女性〈40岁组、40～岁组、50～岁组及60～岁组的量表总得分结果分别为（77．03±10．00）、（74．55±10．27）、（72．24±11．76）、（66．48±14．37）。以5％为间距，建立了SRHMS V1．0的5分位至95分位的百分位常模。以（x-s）、（x-0．5s）、（x＋0．5s）、（x＋s）为界点，将广东省城镇居民的健康状态按照SRHMS V1．0量表总分从低至高依次划分为健康很差、健康较差、一般、健康较好、健康很好5种健康状态。结论本研究初步构建了广东省城镇居民自测健康评定量表（SRHMS V1．0）的常模，为研究该人群的健康状况及影响因素提供参考依据。

Objective To establish the norms of Self-rated Health Measurement Scale Version 1.0 （SRHMS V1.0） for urban residents in Guangdong. Methods We used regional stratified random sampling method to select 6000 urban residents of 5 cities in Guangdong （including Guangzhou, Maoming, Shantou, Shaoguan and Shenzhen）for a questionnaire investigation with SRHMS V1.0, and establish the norms of mean, percentile and threshold based on characteristics of SRHMS V1.0 scores. Results The residents can be divided into 8 groups on the basis of gender and cut-off point of age 40,50 and 60. The mean norms of SRHMS V1.0 total scores were ： （ 78.57± 10.10） , （76.93±9.90） , （ 75.33±10.66）, （ 69.45±13.90） for males under age40,40-50,50-60 and above 60 respectively ; （ 77.03 ± 10.00 ） , （ 74.55 ± 10.27 ）, （ 72.24± 11.76 ）, （66.48±14.37）for females under age40,40-50,50-60 and above 60 respectively. The percentile norms of SRHMS V1.0 from 5 percent to 95 percent were established with 5% as interval. The norms of cutting off scores were established as five states according to the scores of TS, namely severe poor health,poor health,gen- eral health,good health and fairly good health,with（ x-s）, （x-0.5s）, （ x＋0.5s）, （x＋s） as cutting off scores. Conclusion The study established the SRHMS V1.0 norms for urban residents of Guangdong preliminarily,which provides reference for further research of the population＇ s health status and its impacting factors.