Study On The Self-rated Health Status And Influencing Factors In Chinese Adults

Objective:Based on China Family Panel Studies(CFPS),we selected the data of Chinese adults self-rated health(SRH),social demographic characteristics,objective health status,utilization of health services,social capital status and lifestyle.We described the status and population distribution of self-rated health among Chinese adults.What’s more,we analyzed the influencing factors of self-rated health among Chinese adults.It is expected to provide suggestions for the government to make health decisions,allocate health resources and carry out health services.We hope that this study can provide policy basis for improving adult life quality,life satisfaction and happiness in China.Methods:Data came from CFPS2018,which adopted a multi-stage,implicitly stratified and systematic probability sampling method proportional to the population size.The subject of this study is the adult residents over 18 years old in the database.SPSS24.0 software was used for complex weighted analysis.The enumeration data use rate and composition ratio(%)to describe statistically.Thex~2test was used for comparison between groups.The influencing factors were analyzed by univariate and multivariate unconditional Logistic regression analysis.P<0.05 was considered statistically significant.Results:1.The actual effective sample size included in this study was 26790 cases.Among the adults in China,18482 cases(71.7%)had healthy self-rated results.There were 8308 cases with unhealthy self-rated results,accounting for 28.3%.2.In this study,male,urban residents and aged 18-44 had more positive self-rated health result.The proportion of male self-rated health(75.3%)was higher than that of female(67.8%)(x~2=187.020,P<0.001);The self-rated health result of urban residents(73.9%)was better than that of rural residents(63.9%)(x~2=110.768,P<0.001);There was statistical significance in the difference of self-rated health among different age groups(x~2=2027.935,P<0.001),the 18-44 years old was the most positive in self-rated health(84.7%),the group of 60 and above was the most negative in self-rated health(54.9%).3.The results of univariate analysis of self-rated health of the subjects:Different gender,urban and rural areas,age,marital status,educational level,occupation,body mass index(BMI),nearly two weeks prevalence,whether to see a doctor after illness,chronic disease prevalence in half year,year internal cause disease of hospitalization,mental health,treatment options,go to a doctor as the dot medical level,the medical service satisfaction,enjoy medical insurance situation,exercise,smoking,drinking,exercise frequency conditions,the use of mobile phones,the use of computer,self-reported income,social status,trust awareness,help measure conditions,and family dining frequency.The differences were statistically significant(P<0.05).4.Multivariate analysis results of self-rated health of subjects.The risk factors for unhealthy self-rated health outcomes:45-59 years old(OR=1.572,95%CI1.306～1.894),more than 60 years old(OR=1.570,95%CI 1.233～1.998);retired(OR=1.246,95%CI 1.048～1.480);Low weight(OR=1.514,95%CI 1.157～1.980),obesity(OR=1.406,95%CI 1.086～1.819);See a doctor after getting sick(OR=1.704,95%CI 1.383～2.099);Depression(OR=1.854,95%CI 1.519～2.263);With Chronic diseases(OR=1.854,95%CI 1.519～2.263);In hospital(OR=1.888,95%CI1.531～2.329);General level of medical treatment(OR=1.600,95%CI 1.299～1.971),Low level of medical treatment(OR=1.327,95%CI 1.014～1.736);General level of medical services(OR=1.461,95%CI 1.187～1.797),Low satisfaction with medical services(OR=1.325,95%CI 1.021～1.720);Low self-rated income(OR=1.564,95%CI1.329～1.840).The protective factors for unhealthy self-rated health outcomes:Junior high school(OR=0.771,95%CI 0.641～0.928),Senior high school(OR=0.726,95%CI0.543～0.969);College degree or above(OR=0.608,95%CI 0.430～0.859);Go to community health center(OR=0.595,95%CI 0.469～0.755),community health service station(OR=0.695,95%CI 0.544～0.889),clinic(OR=0.720,95%CI0.575～0.902);With mobile or Internet access(OR=0.719,95%CI 0.582～0.888);Using computer to surf the Internet(OR=0.716,95%CI 0.544～0.942);High social status(OR=0.800,95%CI 0.653～0.981);Meals with family one or two nights a week(OR=0.704,95%CI 0.515～0.963).Conclusion:1.The healthy result of self-rated among adults in China is accounting for71.7%,which is positive relatively.2.The analysis shows that groups are more likely to produce unhealthy self-rated results,which are 45-59 years old,more than 60 years old,being retired,low weight,obesity,see a doctor after getting sick,depression,with Chronic diseases,in hospital,general or low level of medical treatment,general or low satisfaction with medical services,low self-rated income.We should strengthen health intervention,and improve the group’s attention to their own health.3.The analysis shows that groups are more likely to produce healthy self-rated results,which are in junior high school,senior high school,college degree or above,go to community health center,community health service station,clinic,with mobile or Internet access,using computer to surf the Internet,high social status,meals with family one or two nights a week.