兰州市城镇居民亚健康状况及影响因素

Sub-health status and Its impact factors among urban residents in Lanzhou city

目的:了解兰州市城镇居民的亚健康状况,探讨其亚健康的相关影响因素,为进一步提高居民健康水平,改善其生活方式提供科学依据。方法:采用分层整群抽样方法,抽取甘肃省兰州市辖区内1139名城镇居民,进行城镇居民亚健康状况问卷调查。根据中国城镇居民亚健康评定量表(SHMS V1.0)常模分析兰州市城镇居民亚健康检出率,并采用卡方检验,二分类logistic回归分析其影响因素。结果:根据SHMS V1.0量表总分转化分,将兰州市城镇居民健康状态范围划分为,[0,54.60]为疾病,[54.60,60.67]为重度亚健康,[60.67,72.81]为中度亚健康,[72.81,78.88]为轻度亚健康,[78.88,100]为健康。兰州市城镇居民亚健康检出率为67.04%。不同性别、性格、受二手烟影响程度、人生态度、挫商、体育锻炼频率、每周晒太阳的时间、和父母关系、兴趣爱好(χ^2=5.212,35.729,26.797,3.926,74.789,72.473,24.819,58.074,34.033;P<0.05)对居民亚健康的检出率差异有统计学意义。这些因素中,性格、体育锻炼频率、和父母关系以及挫商是居民发生亚健康的主要危险因素。结论:兰州城镇居民亚健康检出情况与其他各地相似,且其亚健康主要影响因素多与性格及社会心理因素及不良生活方式相关。

Objective:To investigate the current status of sub-health among urban residents in Lanzhou city and to explore its influencing factors,so as to provide scientific basis for further improving health of residents.Methods:Stratified cluster sampling method was employed.A total of 1139 urban residents from Lanzhou City,Gansu Province,were recruited.According to the norms of Sub-health Measurement Scale Version 1.0(SHMS V1.0),we analyzed the sub-health rate of urban residents in Lanzhou.Chi-square test and binary logistic regression were conducted to analyze its influencing factors.Results:According to the mean score of SHMS V1.0,five health states were classified,in terms of disease[0,54.60],severe sub-health[54.60,60.67],moderate sub-health[60.67,72.81],mild sub-health[72.81,78.88]and healthy states[78.88,100].The sub-health detection rate of urban residents in Lanzhou city was 67.04%.Gender,personality,whether affected by secondhand smoke,attitude of life,frustration quotient(ability to deal with setbacks and regulate pressure),frequency of physical exercise,time of basking per week,relationship with parents and hobbies had significant differences in the detection rate of sub-health among residents(χ^2=5.212,35.729,26.797,3.926,74.789,72.473,24.819,58.074,34.033;P<0.05).Among these factors,personality,frequency of physical exercise,relationship with parents and frustration quotient were the main risk factors of residents’sub-health.Conclusion:The detection rate of sub-health of urban residents in Lanzhou is similar to other places,personality and psychosocial factors and lifestyle factors are the main influencing factors of sub-health status.