Changes of adult population health status in China from 2003 to 2008.

Changes of adult population health status in China from 2003 to 2008.
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DOI:
10.1371/journal.pone.0028411
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发表时间:
2011
期刊:
影响因子:
3.7
通讯作者:
Liu M
Liu M
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Sun H;Zhang Q;Luo X;Quan H;Zhang F;Liu C;Liu M

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本研究的目的是考察2003年至2008年中国成年人口健康状况的变化,由于经济的快速增长和医疗体系的改善。分析了2003年和2008年中国第三次和第四次国家卫生服务调查的141,927名和136,371名18岁以上居民的数据。2008年中国受访者报告疾病的可能性比2003年更高。男性和女性的吸烟率略有下降,定期锻炼显示出很大的改善。分层分析显示,2008/2003年慢性病患病率存在显著的亚人群差异,女性、老年人、汉族、未婚寡妇、文盲、农村和华东地区的患病率比其他人群的患病率增加更大。2008年中国成年人的健康状况在慢性病方面比2003年更差。由于中国成年人健康状况的恶化,中国的医疗保健改革在未来几年将面临更复杂的挑战。
The purpose of this study was to examine the change in health status of China's adult population between the years of 2003 and 2008 due to rapid economic growth and medical system improvement. Data from the third and fourth Chinese national health services surveys covering 141,927 residents in 2003 and 136,371 residents in 2008 who were aged >18 years were analyzed. Chinese respondents in 2008 were more likely to report disease than in 2003. Smoking slightly decreased among men and women, and regular exercise showed much improvement. Stratified analyses revealed significant subpopulation disparities in rate ratios for 2008/2003 in the presence of chronic disease, with greater increases among women, elderly, the Han nationality, unmarried and widow, illiterate, rural, and regions east of China than other groups. Chinese adults in 2008 had worse health status than in 2003 in terms of presence of chronic disease. China's reform of health care will face more complex challenges in coming years from the deteriorating health status in Chinese adults.
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