Faculty of Public Health, Hanoi Medical University, Hanoi, Vietnam.
Geriatr Gerontol Int. 2010 Apr;10(2):209-15. doi: 10.1111/j.1447-0594.2010.00583.x.
This paper aims to describe self-rated health (SRH) status among older adults in a rural community of Vietnam, and examine individual and household-level factors associated with good health rating among the study populations.
The study was carried out in the Bavi district, a rural community located 60 km west of Hanoi, the capital, within the Epidemiological Field Laboratory of Bavi (FilaBavi) in Vietnam in 2006. All people aged 50 years and over who lived within the district were surveyed. Face-to-face household interviews were conducted by trained surveyors using standard World Health Organization/INDEPTH network questionnaire- summary version. A logistic multilevel modeling approach was applied to analyze the association between SRH and both individual and household-level factors.
The proportion of people aged 50 years and older in FilaBavi reported having good/very good health and poor/very poor health was 15.1% and 24.8%, respectively. SRH status was reported to be better among: (i) men; (ii) younger people; (iii) people with higher education; (iv) people who were currently in marital a partnership; (v) those from wealthier households; and (vi) those who were living in riverside/island or highland areas compared to those of other categories of the same variable.
The findings reveal that there exist problems of inequality in health among older adults in the study setting by sex, age, education, wealth status and place of residence. We also found a considerable contribution of the household-level factors to SRH of the study populations.
本文旨在描述越南农村社区老年人的自评健康（SRH）状况，并探讨与研究人群良好健康评分相关的个体和家庭层面因素。
该研究于 2006 年在越南巴维区（Bavi district）进行，该地区位于首都河内以西 60 公里处，属于越南巴维流行病学现场实验室（FilaBavi）。调查对象为居住在该地区的所有 50 岁及以上人群。受过培训的调查员通过标准的世界卫生组织/INDEPTH 网络问卷-摘要版进行面对面的家庭访谈。采用逻辑多层建模方法分析 SRH 与个体和家庭层面因素之间的关联。
FilaBavi 中 50 岁及以上人群报告良好/非常好健康和差/非常差健康的比例分别为 15.1%和 24.8%。SRH 状况报告更好的人群包括：（i）男性；（ii）年轻人；（iii）受过更高教育的人；（iv）目前处于婚姻伴侣关系的人；（v）来自更富裕家庭的人；以及（vi）居住在河边/岛屿或高地地区的人，与其他类别的同一变量相比。
研究结果表明，在所研究的环境中，老年人的健康存在性别、年龄、教育、财富状况和居住地不平等问题。我们还发现，家庭层面因素对研究人群的 SRH 有相当大的贡献。
