贵州黔南地区农村留守老年人健康自评状况及其影响因素分析  

Self-rated health and its influencing factors among left-behind elderly in Qiannan rural minority arears of Guizhou province

作　　者：周全湘 杨敬源 佘福强[1] 赵倩[1] 曹显明[1] 余跃生[1] ZHOU Quan-xiang;YANG Jing-yuan;SHE Fu-qiang(Qiannan Medical Technology College for Nationalities,Duyun,Guizhou Province 558000,China)

机构地区：[1]黔南民族医学高等专科学校,贵州都匀558000 [2]贵州医科大学公共卫生学院流行病学教研室

出　　处：《中国公共卫生》2018年第9期1263-1265,共3页Chinese Journal of Public Health

基　　金：贵州省教育厅基金[黔教研合JG字(2014)015];黔南民族医学高等专科学校科研基金(QNYZ201513)

摘　　要：目的了解贵州黔南地区农村留守老年人健康自评状况及其影响因素,为提高老年人的健康状况提供参考依据。方法于2015年12月—2016年3月采用分层整群随机抽样方法在贵州黔南地区抽取1 260名农村留守老年人进行问卷调查。结果贵州黔南地区1 260名农村留守老年人中,健康自评状况为"好"者318人(25.24%),"一般"者592人(46.98%)"差"者350人(27.78%);有序多变量logistic回归分析结果显示,女性、患慢性病和日常生活功能受损的农村留守老年人健康自评状况较差,家庭月均收入≥1 000元、过去1年接受健康教育活动、就诊一般便利和便利的农村留守老年人健康自评状况较好。结论贵州黔南地区农村留守老年人健康自评状况相对较差;性别、家庭月均收入、是否患慢性病、日常生活功能是否受损、过去1年是否接受健康教育活动和就诊便利程度是当地农村留守老年人健康自评状况的主要影响因素。Objective To examine the status and influencing factors of self-rated health among left-behind elderly in rural minority areas of southern Guizhou province（Qiannan） and to provide references for improving health condition of the elderly. Methods Using stratified random cluster sampling, we selected 1 260 rural residents ≥ 60 years old and being leftbehind at least 6 months due to their children＇s migration for working in Qiannan rural minority areas; then we conducted a questionnaire survey in the residents between December 2015 and March 2016. Results Of the participants, 318（25.24%）,592（46.98%）, and 350（27.78%） reported good, fair, and poor health, respectively. The results of ordinal logistic regression analysis demonstrated that the participants of female gender, with chronic disease, and with impaired activities of daily living（ADL） were more likely to report poor health; whereas,those with monthly family income of 1 000 RMB Yuan or more,participating in health education programs during previous one year, and without inconvenience when seeing a doctor were more likely to report good health. Conclusion The self-rated health is relatively poor and mainly influenced by gender,familial economic condition, whether suffering chronic disease, whether having impaired ADL, whether receiving health education during previous one year,and whether being convenient to see a doctor among the left-behind elderly in Qiannan rural minority areas.

关 键 词：健康自评 影响因素 留守老年人 

分 类 号：R161.7[医药卫生—公共卫生与预防医学]