社会经济地位、社会支持对青年人自评健康状况的影响——基于CGSS 2017年调查数据的实证研究  

The Effects of Socioeconomic Status and Social Support on Youth Health:Empirical Research Based on CGSS 2017 Survey Data

作　　者：何福逵 朱宝平 王茜[1,2] HE Fukui;ZHU Baoping;WANG Qian(Center of Health Administration and Development Studies,Hubei University of Medicine,Shiyan,Hubei 442000,China)

机构地区：[1]湖北医药学院卫生管理与卫生事业发展研究中心,湖北十堰442000 [2]湖北医药学院公共卫生与健康学院,湖北十堰442000

出　　处：《中国社会医学杂志》2023年第5期553-557,共5页Chinese Journal of Social Medicine

摘　　要：目的探讨青年健康现状以及社会经济地位、社会支持对青年人自评健康的影响,为实施青年健康策略提供依据。方法利用中国综合社会调查2017年数据,采用多阶分层抽样方法,数据清洗后最终纳入4633个有效样本,应用二元Logistic回归分析青年人群自评健康的影响因素。结果青年人群自评健康较好者占72.90%。社会经济地位中,受教育水平越高自评健康越高(与小学及以下相比,初中高中和中专学历OR=1.614,95%CI:1.319~1.976,大学及以上OR=1.813,95%CI:1.417~2.321);社会阶层越高自评健康越高(OR=1.386,95%CI:1.311~1.699);个人年收入越高自评健康越高(年收入5000~20000元:OR=1.301,95%CI:1.036~1.634,年收入20000元以上:OR=1.594,95%CI:1.293~1.964)。社会支持中,家庭经济水平越高自评健康越高(平均水平OR=1.501,95%CI:1.297~1.737,平均水平以上:OR=1.804,95%CI:1.296~2.511);生活中朋友关系密切(OR=1.351,95%CI:1.162~1.571)、使用互联网(OR=1.240,95%CI:1.030~1.493)的自评健康更高。而年龄(26~35岁:OR=0.524,95%CI:0.409~0.672,36~45岁:OR=0.332,95%CI:0.255~0.433)、婚姻(在婚OR=1.295,95%CI:1.065~1.573)也是影响青年人群自评健康的重要因素。结论青年人整体的健康状况并不乐观,青年人社会经济地位和社会支持亟需提升,对低教育水平、低家庭经济水平和低个人收入水平的青年人群应着重实施健康干预。Objective Exploring the current state of youth health and the impact of socio-economic status and social support on youth health to inform the implementation of youth health strategies.Methods Using the 2017 data of the China General Social Survey,the data survey adopts a multi-stage mixed sampling method.After data clea-ning,4633 valid samples were finally included.Chi-square test and binary logistic regression were used to analyze the influencing factors of self-assessed health of young people.Results The percentage of young people with better self-rated health was 72.90%.Higher level of education was associated with higher self-rated health(comparing with primary school and below,junior high school and secondary school education OR=1.614,95%CI:1.319-1.976,college and above OR=1.813,95%CI:1.417-2.321).Higher social class was associated with higher self-rated health(OR=1.386,95%CI:1.311-1.699).Higher individual annual income was associated with higher self-rated health(comparing with annual income 5000 yuan,income 5000-20000 yuan OR=1.301,95%CI:1.036-1.634,and above 20000 yuan OR=1.594,95%CI:1.293-1.964).Higher self-rated health was associated with higher family economic level(comparing with below average,at average OR=1.501,95%CI:1.297-1.737,and above average OR=1.804,95%CI:1.296-2.511).Having close relationship with friends(OR=1.351,95%CI:1.162-1.571)and using the Internet in life(OR=1.240,95%CI:1.030-1.493)were associated with higher self-rated health.Also,age(comparing with 18-25 years,age 26-35 OR=0.524,95%CI:0.409-0.672,age 36-45 OR=0.332,95%CI:0.255-0.433)and marriage(comparing with never married OR=1.295,95%CI:1.065-1.573)were also significant influencing factors on self-rated health in the youth population.Conclusion The ove-rall health status of young people is not well,and there is still much room for improvement.Improving the socioeconomic status and social support level of youth is of great significance to further improve the health status of the youth group.

关 键 词：青年 健康素养 健康的社会决定因素 社会经济地位 社会支持 影响因素 

分 类 号：R395.6[哲学宗教—心理学]