Physical Health Status Of Elderly In Jinan And Its Factors

Research backgroundHealth is the human eternal topic, health including physical, psychological and social adaptation three categories, is a complex and multidimensional biology and sociological phenomena, human survival and development of elements, and one body health is the most intuitive category. The elderly in health field is a "social vulnerable group". The influence of aging of life organisms is various. Although aging is not a kind of disease, when older, physical status, immunity decline, disease risk rises, cause of senile disease, prevalence increasingly severe increase accelerated, which brought serious economic burden and make broad family become poverty due to illness. To know the elderly true body health level, through the objective health score and old self-induction health evaluation, is of positive significance for the government to make health policies and working direction, for the elderly to improve health level and improve the life quality.Research purposeThe purpose of this research is to understand the health status of the elderly in Jinan, including objective health score and self-induction health, and analyzes the influencing factors. Do the health education and health promotion according to the results. Provide corresponding policy recommendations for the relevant government departments to improve the health level of the elderly. Research methodsWith multi-stage cluster sampling stratified random sampling, questionnaire survey was conducted among urban and rural elderly aged above 65 urban residents in Jinan. First, according to the proportion of the population in the downtown of Jinan city, each district randomly 2-3 community, each community randomly 60-70 elderly to do the questionnaire; second, we randomly choose three villages in each county town, and each village about 40 elderly to do the questionnaire.Research outcome and conclusion1. Urban and rural elderly sample demographic characteristics exist below differences:ethnic composition:rural elderly is full of han, among urban elderly there are 3.81% are hui; urban elderly cultural degree above the elderly; the proportion of widows, lives alone elderly in urban is higher than in rural; the average number of children of rural elderly is more than of urban, the years of living in the community or country of rural elderly is longer than urban elderly; abut the number of familiar friends, the frequency of meeting people not live together with, the frequency of participate in collective activities per week, rural elderly is more than urban elderly; the monthly income and self-evaluation economic situation of urban elderly is better than rural elderly.2. The chronic disease prevalence of the elderly is 63.12%, the top five chronic diseases are high blood pressure, heart disease, diabetes, chronic bronchitis, cervical spondylosis, every elderly patient with chronic illness suffer from 1.62 kinds of diseases. The chronic disease morbidity of the urban elderly is higher than the rural elderly, in the top five chronic diseases ranking not all the same between urban and rural elderly, every urban elderly patients suffering from more chronic disease species rural elderly.3. The objective health scores of the rural elderly are higher than the urban elderly. Age, the degree of their likeness to the place of residence, urban and rural state, the average monthly income of the elderly are the main affecting factors to the objective health scores. When older, health score lower, the elderly who select the "general "in the question of the degree of their likeness to the place of residence get the highest score. Monthly income and health score was correlated, but the regression coefficient estimates is not great.4. Perceived health status, how the health self-assessment changes over five years, the differences between urban and rural elderly are not statistically significant; compared with their peers, urban elderly evaluate their health status better than the rural elderly. Perceived health status is consistent with the objective health status. The number of familiar friends and the frequency of participation in group activities are the main factors of perceived health status. more friends the better the perceived health status; participate in more collective activities will have good perceived health status.Policy suggestion:1. The elderly in Jinan city have a high prevalence of the chronic disease, health status of rural elderly is better than urban elderly.2. Age, the likeness to the community, urban and rural status, and average monthly personal income are the influence factors to the objective health status scores of the elderly. Among these factors, age and urban-rural status both are constant factors, the correlation coefficient of monthly income is not great. Therefore, the operational factors to improve the objective health score of the elderly is improve the degree of their likeness to the place of residence, strengthening their sense of belonging.3. The influence factors to the elderly perceived health status in Jinan city are the number of familiar friends, participate in collective activities. So we should encourage them to make more friends, increase communication with the outside world.