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[老年人自评健康的地区差异及决定因素]

[Regional Differences and Determinants of Self-rated Health in Elderly].

作者信息

Luo Hui-qiang, Qian Jia-hui, Wu Kan, Cao Pei-ya, Ren Xiao-hui

出版信息

Sichuan Da Xue Xue Bao Yi Xue Ban. 2016 Mar;47(2):248-52.

PMID:27263304
Abstract

OBJECTIVE

To determine differences of self-rated health in elderly people across geographic regions of China, and to identify factors influencing self-rated health of elderly.

METHODS

Ordered logistic modeling was performed using the China Health and Retirement Longitudinal Study (CHARLS) data in 2013.

RESULTS

Elderly people resided in Eastern China had better self-rated health than their counterparts residing in Middle (partial regression coefficient 0.252, P < 0.01) and Western (partial regression coefficient 0.338, P < 0.001) China. Sex, residency, education, per capita consumption expenditure, smoking and drinking, social participation, chronic diseases, and life satisfaction were identified as associated with self-rated health of elderly.

CONCLUSION

There are regional differences in self-rated health of elderly. Policy priorities should be given to Middle and Western China, with more health resources being allocated to those regions. Regional economic and educational inequalities need to be addressed. Healthy lifestyle should be promoted.

摘要

目的

确定中国不同地理区域老年人自评健康状况的差异,并找出影响老年人自评健康的因素。

方法

使用2013年中国健康与养老追踪调查(CHARLS)数据进行有序逻辑回归建模。

结果

居住在中国东部的老年人自评健康状况优于居住在中部(偏回归系数0.252,P<0.01)和西部(偏回归系数0.338,P<0.001)的老年人。性别、居住地区、教育程度、人均消费支出、吸烟和饮酒、社会参与、慢性病以及生活满意度被确定为与老年人自评健康相关。

结论

老年人自评健康存在地区差异。应优先考虑中国中部和西部,向这些地区分配更多的健康资源。需要解决地区经济和教育不平等问题。应促进健康的生活方式。

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