Determinants of and socio-economic disparities in self-rated health in China.
Determinants of and socio-economic disparities in self-rated health in China.
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DOI：
10.1186/s12939-016-0496-4
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发表时间：
2017-01-11
影响因子：
4.8
通讯作者：
Zhao H
中科院分区：
文献类型：
--
作者：
Cai J;Coyte PC;Zhao H
自评健康(SRH)不仅被用来衡量健康状况和健康不平等，而且还被用作发病率和死亡率的有力预测指标。本研究的目的是：1)评估影响中国公民自评健康差异的因素；2)探索社会经济地位对自测健康的影响过程。数据来源于中国综合社会调查(CGSS)(2013)。自评健康的决定因素从四个主要维度进行了分析：人口统计特征、社会经济地位、生活方式和心理社会因素。为了分析决定因素，对不同的变量计算了自评健康状况良好的多变量优势比。二元逻辑回归分析被用来评估生活方式和心理社会因素对社会经济状况和自测健康之间的关系的解释程度。约65%的受访者称自己的健康状况良好。女性、老年人、已婚或单身受访者以及西部中国的居民报告自评健康状况的可能性较小。与同龄人相比，那些从事工作、家庭收入较高、社会阶层较高、社会经济地位较高的受访者更有可能报告自己的健康状况良好。正常体重和经常运动的受访者，以及那些生活幸福、没有抑郁、与家人和朋友关系良好的受访者，都与良好的自我评估健康有关。我们还发现，社会经济地位对自测健康的影响部分是由生活方式和心理社会因素解释的。目前的研究结果支持这样一种观点，即社会经济地位和生活方式以及心理社会因素都与良好的自我评估健康有关。针对这些因素的干预可以改善人群的健康状况。抑郁是自我评估健康的最有影响力的预测因素，尤其是对女性和老年人。尽管生活方式和心理社会因素在一定程度上解释了社会经济地位与健康之间的联系，但社会经济地位与健康之间存在差异的原因必须进一步探讨。更重要的是，为什么相同的决定因素对不同人群的健康有不同的影响强度，还需要进一步研究。
Self-rated health (SRH) is not only used to measure health status and health inequalities, but also as a strong predictor of morbidity and mortality. The purpose of this study was to: 1) evaluate the factors that account for variations in self-rated health among Chinese citizens; and to 2) explore the process through which socio-economic status may impact self-rated health. Data were derived from the Chinese General Social Survey (CGSS) (2013). Determinants of self-rated health were analyzed along four main dimensions: demographic characteristics, socio-economic status, lifestyle, and psychosocial factors. Multivariate odds ratios for good self-rated health were calculated for different variables in order to analyze the determinants. Binary logistic regression analysis was performed to assess the extent to which lifestyle and psychosocial factors explained the association between socio-economic status and self-rated health. About 65% of the survey respondents reported good self-rated health. Women, the elderly, married or single respondents and residents of Western China were less likely to report good self-rated health. Respondents who were engaged in work, had higher household income, reported high social class and higher socio-economic status compared with peers were more likely to report good self-rated health. Normal weight and physically active respondents along with those reporting a happy life, no depression, and good relationships with families and friends were related to good self-rated health. We also found the effect of socio-economic status on self-rated health was partly explained by lifestyle and psychosocial factors. The present findings support the notion that both socio-economic status and lifestyle as well as psychosocial factors were related with good self-rated health. The interventions targeting these factors could improve the health status of the population. The depression was the most influential predictor of self-rated health, especially for the women and the elderly. Although lifestyle and psychosocial factors explained partly the the association between socio-economic status and health, the reason why socio-economic difference exists in health must be further explored. What’s more, it needs to be further studied why the same determinant has different influence strengths on the health of different groups of people.