健康适能评定量表的常模构建:基于对中国5782名城市老年人调查  

Establishment of the norms of Healthy Fitness Measurement Scale Version 1.0(HFMS V1.0)for Chinese urban elderly

作　　者：黄晨 刘倩[2,3] 邱恒[1,2] 蒋丽洁 张金华 吴伟旋[2] 许军 HUANG Chen;LIU Qian;QIU Heng;JIANG Lijie;ZHANG Jinhua;WU Weixuan;XU Jun(School of Public Health,Southern Medical University,Guangzhou 510515,China;Department of Health Economics Administration,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China;School of Health Services Management,Southern Medical University,Guangzhou 510515,China;President's Office,Southern Medical University,Guangzhou 510515,China;Dean's Office,Guangdong Provincial Hospital for Occupational Disease Prevention and Treatment,Guangzhou 510300,China)

机构地区：[1]南方医科大学公共卫生学院 [2]南方医科大学南方医院卫生经济管理科 [3]南方医科大学卫生管理学院 [4]广东省职业病防治院院长办公室 [5]南方医科大学校长办公室

出　　处：《南方医科大学学报》2021年第2期223-229,共7页Journal of Southern Medical University

基　　金：广州市科技计划项目(201803010089);国家自然科学基金(71673126);广东省高校哲学社科重点实验室:“公共卫生政策研究与评价”重点实验室(2015WSY0010);广州市人文社会科学重点研究基地:“广州公共卫生服务体系建设研究基地(2021-2023年)”。

摘　　要：目的建立中国城市老年人健康适能评定量表(HFMS V1.0)的常模。方法采用多阶段分层抽样方法,选取全国6个地区,包括华南地区的广州市、华东地区的合肥市、华北地区的天津市、东北地区的沈阳市、西南地区的泸州市和西北地区的兰州市共5782名城市老年人进行健康适能水平状况的流行病学调查。在分析中国城市老年人HFMS V1.0评分特点的基础上建立均数常模、百分位常模和划界常模。结果分性别和年龄组(60~64岁,65~69岁,70~74岁,75~79岁和≥80岁)建立了中国城市老年人健康适能评定量表总分及生理适能、心理适能和社会适能子量表得分的均数常模、百分位常模,并分别以x±s和x±0.5 s为界,将中国城市老年人的健康适能水平状况,按健康适能评定量表总分从低到高依次划为很低、比较低、一般、比较高和非常高等5种水平。结论构建了中国城市老年人健康适能评定量表常模,为开展中国城市老年人健康适能水平状况的测量提供了评价标准,也为进一步探讨我国老年人健康适能水平状况的影响因素奠定了理论基础和实践依据。Objective To establish the norms of Healthy Fitness Measurement Scale Version 1.0(HFMS V1.0)for Chinese urban elderly.Methods Using a multistage stratified sampling method,we conducted a large-scale epidemiological investigation among 5782 urban elderly residents sampled from Guangzhou(south China),Hefei(East China),Tianjin(north China),Shenyang(northeast China),Luzhou(southwest China)and Lanzhou(northwest China).The mean,percentile and threshold norms were established based on the characteristics of HFMS V1.0 scores for Chinese urban elderly.Results The mean and percentile norms of total,physical,mental and social healthy fitness of Chinese urban elderly were established according to gender and different age groups(60-64,65-69,70-74,75-79,and≥80 years).The threshold norms of HFMS V1.0 were divided into 5 states,namely very low,low,moderate,high and very high states according to the Mean±SD and Mean±0.5SD of the converted scores.Conclusion The established norms of Healthy Fitness Measurement Scale(HFMS V1.0)for Chinese urban elderly provide evaluation criteria for Chinese elderly healthy fitness level and facilitate exploration of healthy fitness status and its influencing factors in Chinese urban elderly.

关 键 词：城市老年人 健康适能 健康适能评定量表(HFMS V1.0) 常模 

分 类 号：R161.7[医药卫生—公共卫生与预防医学]