Study On The Prevalence And Risk Factors Of Sub-health Status Among People In Qianjiang City

Objective: Through the investigation on the sub-health status of people in Qianjiang City, to establish the norm of Sub-health Assessment Scale(Sub-Health Measurement Scale Version 1, referred to as SHMS V1.0), to explore the main features and distribution of sub-healthy group, to find out the incidence and main risk factors of sub-health ststus, to provide scientific basis for putting forward some pertinence intervention coutermeasures of sub-health status.Methods: 18 to 60 years old group in Qianjiang City was taken as the research object. Questionnaire investigation was carried on a total of 3000 people from ten districts of Qianjiang City with stratified random sampling method according to the equal number requirements of gender and age group. The questionnaire include demographic characteristics, lifestyle and experience events, sub-health assessment scale, health related quality of life measurement SF-36. Frequency and constituent ratio were used to describle demographic characteristics, lifestyle and experience events.(Means±SD)were used to describle scale scores, t-test or variance analysis was used to compare scores, chi-square test was used to the comparision between intensity, and the logistic regression analysis was used to analyze the risk factors of sub-health.Results: 1. After reliability and validity test, internal consistency Cronbach'sa of total scale was 0.879; split half reliability was 0.802. In content validity, the correlation coefficient between each item score and each dimension score was 0.647 ~ 0.908, the correlation coefficient between each dimension score and each subscale score was 0.645~0.898. In structure validity, 9 common factors were identified, cumulative variance contribution rate was 62.464%. 2. SHMS V1.0 scores of people in Qianjiang City was(76.06 + 10.89), and the scores of psychological subscale was(74.31 + 13.69), the scores of mental subscale was(72.73 + 14.46), the scores of social subscale was(64.30 + 15.23). There were significant differences between different genders in the scores of psychological symptoms and cognitive function, psychological scale and total scale(P<0.05). There were significant differences among different age groups in the scores of all dimensions and scales in exception of the dimension of psychological symptoms(P<0.05). 3. There were statistical significance between sub-health group and non sub-health group in education, marriage, occupation, personal monthly income, family income, average daily working hours, drinking, breakfast, food preferences, nutrition, sleep time, staying up late, physical exercise, living satisfaction and long time maintain posture, study / work satisfaction in physical, psychological subscale and total scale scores(P < 0.05). 4. Occupation, family income, sleep time, staying up late, physical exercises, place of residence satisfaction, study/work environment satisfaction were the main risk factors to determine whether people of Qianjiang City are sub-healthy or not. Age, occupation, nutritional status, satisfaction of place of residence, study/work environment satisfaction are the main factors that cause different sub-health state of people in Qianjiang City.Conclusions: SHMS V1.0 which was applied to the sub health survey in Qianjiang City had good reliability and validity, and was suitable for the evaluation of sub health status in Qianjiang city. Sub-health status in people of Qianjiang city was not optimistic, and risk factors were diversified, high age groups, business people and industrial workers should be paid attention to and pertinence measures should be taken for the prevention of sub-health by paying attention to nutrition, reduction of staying up late, adequate sleep, more physical exercises.