Yu Tong, Jiang Yan, Gamber Michelle, Ali Gholam, Xu Tan, Sun Wenjie
School of Humanity and Management, Wannan Medical College, Wuhu, Anhui, China.
Texas Health and Science University, Austin, TX.
Medicine (Baltimore). 2019 Mar;98(12):e14904. doi: 10.1097/MD.0000000000014904.
To investigate whether socioeconomic status is associated with the self-rated health (SRH) status among Chinese.A cross sectional study including a national sample was conducted among Chinese adults in 2008. In total, 3225 participants were selected by a multistage cluster sampling method. Both general self-rated health and time-comparative self-rated health were measured by a standardized questionnaire. Logistic regression models were used to estimate the odds ratios (ORs) (95% confidence intervals, CIs) of occupation with SRH by occupation, and adjusted for age, sex, education, area, marriage, smoking, drinking, and health status.Overall, 34.4% of study participants reported "good" on the general SRH (male: 35.8%; female: 32.9%) and 26.2% reported "good" on the time-comparative SRH (male: 27.2%; female: 25.3%). The prevalence of "good" general SRH varied from 28.8% to 52.8% and the prevalence of time-comparative SHR varied from 21.7% to 33.9% in different occupations. The adjusted OR (Odd Ratio) for "good" on the general SRH was 1.35 (95% CI: 1.20-1.52) for the occupation of civil servants, 2.23 (95% CI: 1.96-2.54) for farmers, and 1.15 (95%CI: 1.01-1.31) for businessmen. The full adjusted OR of "good" on the time-comparative SRH was 1.36 (95% CI: 1.17-1.58) for students and was 1.25 (95% CI: 1.10-1.42) for civil servants.In presented study, 34.4% of the participants reported "good" on the general SRH, and 26.2% participants reported "good" on the time-comparative SRH. The prevalence of "good" general SRH and "good" time-comparative SRH varied among occupations.
探讨社会经济地位是否与中国人的自评健康（SRH）状况相关。2008年在中国成年人中开展了一项包含全国样本的横断面研究。总共通过多阶段整群抽样方法选取了3225名参与者。一般自评健康和时间比较自评健康均通过标准化问卷进行测量。采用逻辑回归模型按职业估计职业与SRH的比值比（ORs）（95%置信区间，CIs），并对年龄、性别、教育程度、地区、婚姻状况、吸烟、饮酒和健康状况进行了校正。总体而言，34.4%的研究参与者在一般SRH方面报告为“良好”（男性：35.8%；女性：32.9%），26.2%的参与者在时间比较SRH方面报告为“良好”（男性：27.2%；女性：25.3%）。不同职业中，一般SRH“良好”的患病率在28.8%至52.8%之间，时间比较SRH“良好”的患病率在21.7%至33.9%之间。一般SRH“良好”的校正OR（比值比），公务员职业为1.35（95%CI：1.20 - 1.52），农民为2.23（95%CI：1.96 - 2.54），商人则为1.15（95%CI：1.01 - 1.31）。在时间比较SRH方面，学生“良好”的完全校正OR为1.36（95%CI：1.17 - 1.58），公务员为1.25（95%CI：1.10 - 1.42）。在本研究中，34.4%的参与者在一般SRH方面报告为“良好”，26.2%的参与者在时间比较SRH方面报告为“良好”。一般SRH“良好”和时间比较SRH“良好”的患病率在不同职业中有所不同。
