全球活动受限指标在测量残疾方面的应用——中国，2019 - 2022年
Application of Global Activity Limitation Indicator on Measuring Disability - China, 2019-2022.
作者信息
Cai Yue, Cui Xiang, Wang Xiaoxu, Wu Shiyong, Gu Dongfeng
机构信息
Center for Health Statistics and Information, National Health Commission, Beijing, China.
Department of Epidemiology, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
出版信息
China CDC Wkly. 2025 May 23;7(21):718-724. doi: 10.46234/ccdcw2025.118.
WHAT IS ALREADY KNOWN ABOUT THIS TOPIC?: As a one-item survey instrument, the global activity limitation indicator (GALI) is simpler and easier to measure disability than traditional instruments. The reliability of GALI has been proven in different regions, though it is affected by cultural differences.
WHAT IS ADDED BY THIS REPORT?: This study systematically evaluates the applicability of GALI in China using a nationally representative survey. GALI demonstrates a high response rate and is significantly associated with traditional disability instruments, illness, and depression. At the county level, GALI is positively associated with mortality, while negatively associated with the number of physicians per thousand residents.
WHAT ARE THE IMPLICATIONS FOR PUBLIC HEALTH PRACTICE?: GALI could serve as a reliable measure of disability for the population of the Chinese mainland. The results suggest that a higher number of physicians per thousand residents is associated with reduced activity limitation. Additional evidence is needed to validate this association.
关于该主题已了解的情况
作为一项单项调查工具，全球活动受限指标（GALI）比传统工具更简单，测量残疾情况更容易。GALI的可靠性已在不同地区得到证实，不过它会受到文化差异的影响。
本报告新增了哪些内容
本研究使用具有全国代表性的调查系统评估了GALI在中国的适用性。GALI显示出高应答率，并且与传统残疾工具、疾病及抑郁显著相关。在县级层面，GALI与死亡率呈正相关，而与每千名居民中的医生数量呈负相关。
对公共卫生实践有何启示
GALI可作为中国大陆人群残疾情况的可靠衡量指标。结果表明，每千名居民中有更多医生与活动受限减少相关。需要更多证据来验证这种关联。
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