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目的探讨苏州地区躯体亚健康状态的分布、影响因素及不良后果,为采取干预措施提供合理依据。方法采用整群抽样的现况研究方法,选取城乡居民3 578人作为研究对象。采用北京协和医科院组织专家制定的《个人健康状况调查表》进行问卷调查。采用非条件Logistic回归模型探讨影响躯体亚健康的因素,采用协方差分析比较躯体健康状况对生活质量和健康水平的影响。结果多因素Logistic回归分析结果显示,饮酒、女性、离婚或丧偶、疲劳、睡眠不规律、学生和农民均是躯体亚健康的危险因素(均P<0.05);将躯体状况评分按四分位分组后,调整完性别、职业、文化程度等因素后,经协方差分析发现,随着躯体状况分数的增大,生活质量和健康质量呈现增高的趋势(均P<0.01)。结论躯体亚健康有多种危险因素,躯体亚健康程度加重会导致生活质量和健康质量水平的下降;应采取各种针对性的干预措施,提高其健康水平。
Objective To investigate the distribution, influencing factors and adverse consequences of somatic sub-health status in Suzhou, and to provide a reasonable basis for the intervention. Methods Based on the study of current status of cluster sampling, 3 578 urban and rural residents were selected as research subjects. Using Beijing Union Medical College Hospital experts to develop “personal health status questionnaire” to conduct a questionnaire survey. Non-conditional Logistic regression model was used to explore the factors influencing somatic sub-health, and covariance analysis was used to compare the effects of somatic fitness on quality of life and health status. Results The multivariate Logistic regression analysis showed that alcohol consumption, female, divorced or widowed, fatigue and irregular sleep, both students and peasants were risk factors for somatic sub-health (all P <0.05). The physical status scores were divided into quartiles After adjustment for gender, occupation and education, covariance analysis showed that the quality of life and health quality tended to increase with the increase of physical status scores (all P <0.01). Conclusion Somatic subhealth has many risk factors. Substantial somatic subhealth will lead to the decline of quality of life and health quality. Various targeted intervention measures should be taken to improve their health.