中国西部流动老年人口自评健康状况及其影响因素  

Self-rated Health Status and Influencing Factors Among Floating Elderly Population in Western China

作　　者：李相荣 张秀敏[1] 任正 范馨文 郭霞 时宏 查双 乔舒茵 赵晗方 刘红箭[1] LI Xiangrong(School of Public Health,Jilin University,Changchun,Jilin,130021,China)

机构地区：[1]吉林大学公共卫生学院,吉林长春130021

出　　处：《医学与社会》2021年第4期1-5,共5页Medicine and Society

基　　金：吉林省科技厅项目,编号为20200101133FG;吉林省卫健委项目,编号为2017G018。

摘　　要：目的:分析我国西部流动老年人口自评健康状况及其影响因素,为提高流动老年人口健康水平及制定健康老龄化政策提供实证参考依据。方法:从2017年国家流动人口动态监测数据中筛选出西部地区2587名流动老年人口作为研究对象,采用描述性统计方法分析流动老年人口基本人口学特征情况及自评健康状况,采用卡方检验与二分类logistic回归分析流动老年人口自评健康的影响因素。结果:中国西部流动老年人口中自评健康结果为“健康”者2049人(79.2%),“不健康”者538人(20.8%)。多因素分析结果表明高教育程度、高收入水平的流动老年人口具有较好的自评健康状况,年内患病、自评慢性病患病、居住地到最近医疗服务机构的时间>15分钟的流动老年人口具有较差的自评健康状况。结论:我国西部流动老年人口自评健康状况不容乐观,仍需改善。应重点关注低教育程度、低收入水平、客观健康状况差、卫生服务可及性差的流动老年人口。Objective:To analyze the self-rated health status and its influencing factors among floating elderly population in western China,and to provide empirical references basis for improving health level of floating elderly population and formulating healthy aging policies.Methods:2587 people of floating elderly population in the Chinese western region were selected as the participants from the 2017 China Migrant Population Dynamic Monitoring Survey Data.Descriptive statistical methods were used to analyze demographic characteristics and self-rated health status of floating elderly population.Binary logistic regression and chi-square test were used to analyze influencing factors on self-rated health status among floating elderly population.Results:2049(79.2%)participants among floating elderly population were reported having healthy condition,and 538(20.8%)participants were reported having unhealthy condition.Multivariate analysis results showed that the floating elderly population with high education level and high income level had better self-rated health status,while the floating elderly population with diseases,self-rated chronic diseases and place of residence was more than 15 minutes far from the nearest medical service institution had poor self-rated health.Conclusion:Self-rated health status of the floating elderly population in western China is not optimistic and still needs improvement.More attention should be paid to the floating elderly population with low education level,low income level,poor health situation,poor accessibility of health services.

关 键 词：自评健康状况 流动老年人口 西部地区 影响因素 

分 类 号：R195[医药卫生—卫生统计学]