Department of Biostatistics, School of Public Health, Harbin Medical University, Harbin, People's Republic of China.
PLoS One. 2011;6(12):e28411. doi: 10.1371/journal.pone.0028411. Epub 2011 Dec 2.
The purpose of this study was to examine the change in health status of China's adult population between the years of 2003 and 2008 due to rapid economic growth and medical system improvement.
Data from the third and fourth Chinese national health services surveys covering 141,927 residents in 2003 and 136,371 residents in 2008 who were aged >18 years were analyzed.
Chinese respondents in 2008 were more likely to report disease than in 2003. Smoking slightly decreased among men and women, and regular exercise showed much improvement. Stratified analyses revealed significant subpopulation disparities in rate ratios for 2008/2003 in the presence of chronic disease, with greater increases among women, elderly, the Han nationality, unmarried and widow, illiterate, rural, and regions east of China than other groups.
Chinese adults in 2008 had worse health status than in 2003 in terms of presence of chronic disease. China's reform of health care will face more complex challenges in coming years from the deteriorating health status in Chinese adults.
本研究旨在探讨 2003 年至 2008 年期间，中国经济快速增长和医疗体制改善对成年人健康状况的影响。
分析了 2003 年和 2008 年覆盖 141927 名和 136371 名年龄大于 18 岁的居民的第三次和第四次全国卫生服务调查数据。
2008 年中国受访者报告患病的比例高于 2003 年。男性和女性的吸烟率略有下降，而有规律的锻炼则有了很大改善。分层分析显示，在存在慢性病的情况下，2008 年/2003 年的率比在不同亚人群中存在显著差异，女性、老年人、汉族、未婚和丧偶、文盲、农村和中国东部地区的增长率高于其他人群。
与 2003 年相比，2008 年中国成年人的慢性病患病率更差。未来几年，中国成年人健康状况恶化，中国的医疗保健改革将面临更加复杂的挑战。
