成都市高新区老年人健康自评影响因素分析

目的 了解成都市社区老年人健康自评状况及影响因素，为提高老年人健康水平和生命质量提供依据。 方法 利用2014年成都市高新区居民家庭健康入户调查数据，共有983名老年人纳入研究。分析健康自评与老年人社会人口特征、躯体健康、心理及行为因素的关系。单因素分析采用秩和检验的方法，多因素分析运用多分类Logistic回归模型进行分析。 结果 983名老年人中健康自评为好的占47.9%，一般的占40.8%；差的占11.3%。老年人健康自评状况与是否空巢（u=3.433，P=0.001,）、锻炼时间（χ2=11.863，P<0.001）、两周是否患病（u=7.261，P<0.001）、1个月内是否感到焦虑或抑郁（u=9.173，P<0.001）、患慢病种类（χ2=44600，P<0.001）、记忆力是否受损（u=9.562，P<0.001）等因素有关。 结论 应加大对城市社区空巢老年人健康问题的关注。鼓励老年人参与社区活动，保证足够的锻炼时间，做好老年人的心理卫生保健工作，进行记忆力恢复训练对提高老年人健康水平有重要作用。

Determinants of self-rated health status among the elderly in urban community of Chengdu

Objective This work was to investigate the self-rated health status of the elderly and its determinants in urban community of Chengdu. Methods The data was generated from cross-sectional health household survey conducted in 2013 in Gaoxin region of Chengdu. There were 983 aged people included in the analysis. Rank-sum test was used to conduct univariate analysis. Multinomial logistic regression model was used to conduct multivariate analysis. Results Among the 983 aged people, 47.9% rated their health as good, 40.8% average and 11.3% poor. Multinomial logistic model showed that the elderly people being empty nest, with chronic disease, suffering illness during past two weeks, in hospitalization, with poor daily activities, with insufficient physical exercise, with perceived anxiety or depression, or with perceived poor memory had poorer self-rated health status. Conclusion More attention should be paid to health problems of the empty-nest elderlies of urban community. The elderly are recommended to participate in community activities and be active in exercise, and conduct memory resume training.