农村中老年人健康效用值的测量及其影响因素研究  

Measurement and Influencing Factors of Health Utility Value of Middle-aged and Elderly Residents in Rural Areas

作　　者：丁士祥[1] 马骁[1] 唐雪[1] 杨婷[1] 

机构地区：[1]四川大学华西公共卫生学院健康与社会行为学系,四川省成都市610041

出　　处：《中国全科医学》2017年第26期3272-3276,共5页Chinese General Practice

摘　　要：目的以农村中老年人为调查对象,从SF-12量表提取条目形成SF-6D,进行健康效用值换算并分析其影响因素。方法 2016年4月,采用多阶段分层随机抽样,选取四川省富顺县240户家庭年龄≥45岁且在本地居住超过6个月者为调查对象。采用一般情况调查问卷收集调查对象基本特征资料,采用SF-12量表调查健康状态,从中提取条目3、5、6、8、10、11、12,形成6维度7条目的SF-6D量表,依据英国SF-6D健康效用值积分体系换算调查对象的健康效用值。结果本研究共调查265名中老年人,2名主要数据缺失,263名纳入分析。健康效用值为0.34~1.00,中位数为0.66,平均为(0.67±0.14)。不同性别、婚姻状况者健康效用值比较,差异无统计学意义(P>0.05)。不同年龄、文化程度、家庭人均年收入、2周病伤和半年慢病的发生情况,以及基本公共卫生服务获得情况者健康效用值比较,差异有统计学意义(P<0.05)。多因素Logistic回归分析显示,家庭人均年收入<3 000元、2周病伤、半年慢病是健康效用值降低的危险因素(P<0.05)。结论农村中老年人健康效用值较低,低收入及2周病伤、半年慢病的发生是健康效用值降低的危险因素。应当加快建立基于我国人群偏好的SF-6D健康效用值积分体系,提高健康效用值测量结果可信度。Objective This study enrolled middle-aged and elderly residents in rural areas as survey objects,and the items were extracted from the SF-12 scale to form SF-6D,the health utility value conversion was performed and its influencing factors was analyzed. Methods In April 2016,using multistage and stratified random sampling method,people over the age of 45 years old who had lived locally for more than 6 months in 240 households were selected from Fushun County,Sichuan Province as study subjects. Basic characteristic data and health status data of the survey subjects were collected by general situation questionnaire and SF-12 scale,respectively. The item 3,5,6,8,10,11 and 12 of SF-12 scale were extracted to constitute the SF-6D scale（ including 6 dimensions and 7 items）. The health utility value of the subjects were calculated according to the United Kingdom SF-6D health utility value integration system. Results A total of 265 middle-aged and elderly people were enrolled in the study. The main data of 2 people were lost and 263 cases were included in the analysis. The health utility value were between 0. 34 and 1. 00,the median was 0. 66 as well as the average value was（ 0. 67 ± 0. 14）. There were no significant differences in the health utility value between different gender and marital status（ P〈0. 05）. There were significant differences in the health utility value of different age,education level,family per capita annual income,illness within two weeks,chronic disease within half a year,as well as access to basic public health services（ P〈0. 05）. Multivariate Logistic regression analysis showed that family per capita annual income below 3 000 yuan,illness within two weeks,chronic disease within half a year are risk factors of the lower health utility value（ P〈0. 05）. Conclusion The health utility value of middle-aged and elderly residents in rural areas is relatively low. Low income,illness within two weeks,chronic disease within half a year are risk factors of the lower health utility v

关 键 词：老年人身心健康评价 健康效用值 SF-12 SF-6D 

分 类 号：R592[医药卫生—老年医学]