Department of Intensive Care Unit, The First Affiliated Hospital of Jinan University, Guangzhou, China.
The First Clinical Medical College, Jinan University, Guangzhou, China.
J Korean Acad Nurs. 2021 Feb;51(1):5-14. doi: 10.4040/jkan.20241.
This study aimed to investigate sub-health status (SHS) of people living in China during the Coronavirus disease 2019 (COVID-19) COVID-19 pandemic. COVID-19 is a severe acute respiratory syndrome coronavirus (SARS-CoV) infection-induced acute infectious disease, which is featured by universal susceptibility and strong infectivity, and SHS (a status of low quality health) refers to a status of low-quality health. COVID-19 has gradually developed into a global pandemic, making the public in a high stress situation in physiological, psychological and social states in the short term.
From March 6 to 11, 2020, a large-scale cross-sectional survey was conducted by convenient sampling, and SHS assessment scale was used in the questionnaire. The ordinal logistic regression analysis was used to identify the factors affecting SHS.
In this study, 17,078 questionnaires were delivered with 16,820 effective questionnaires collected, and 10,715 subjects (63.7%) were found with SHS, with moderate SHS primarily. Physiological sub-scale scored the highest, followed by psychological and social sub-scales. Ordinal logistic regression analysis indicated that man, only-child, workers and farmers were risk factors of SHS. Protective factors of SHS included living in rural areas and townships, laid-off retirees and education degree.
It shows many people in China place in a poor health status during COVID-19 pandemic. It is necessary that relevant departments pay more attention to people with poor health such as men, only-child, urban people, workers and farmers, and groups with high education degree during and after pandemic stabilization.
本研究旨在探讨新型冠状病毒病（COVID-19）大流行期间中国人群的亚健康状态（SHS）。COVID-19 是一种由严重急性呼吸系统综合征冠状病毒（SARS-CoV）感染引起的急性传染病，具有普遍易感性和强传染性，SHS（低健康质量状态）是指低健康质量的状态。COVID-19 已逐渐发展成为全球大流行疾病，使公众在生理、心理和社会状态方面短期内处于高度应激状态。
2020 年 3 月 6 日至 11 日，采用便利抽样法进行了大规模横断面调查，并使用亚健康评估量表进行问卷调查。采用有序逻辑回归分析识别影响 SHS 的因素。
本研究共发放问卷 17078 份，有效回收问卷 16820 份，其中 10715 名受试者（63.7%）存在 SHS，以中度 SHS 为主。生理子量表得分最高，其次是心理和社会子量表。有序逻辑回归分析表明，男性、独生子、工人和农民是 SHS 的危险因素。SHS 的保护因素包括居住在农村和乡镇、下岗退休人员和教育程度。
表明 COVID-19 大流行期间中国许多人处于健康状况不佳的状态。在疫情稳定期间和之后，相关部门有必要更加关注男性、独生子、城市人群、工人和农民以及高教育程度群体等健康状况较差的人群。
