农村中老年人健康效用值的测量及其影响因素研究

发布时间：2018-05-13 10:32

本文选题：老年人身心健康评价 + 健康效用值　；参考：《中国全科医学》2017年26期

【摘要】：目的以农村中老年人为调查对象,从SF-12量表提取条目形成SF-6D,进行健康效用值换算并分析其影响因素。方法 2016年4月,采用多阶段分层随机抽样,选取四川省富顺县240户家庭年龄≥45岁且在本地居住超过6个月者为调查对象。采用一般情况调查问卷收集调查对象基本特征资料,采用SF-12量表调查健康状态,从中提取条目3、5、6、8、10、11、12,形成6维度7条目的SF-6D量表,依据英国SF-6D健康效用值积分体系换算调查对象的健康效用值。结果本研究共调查265名中老年人,2名主要数据缺失,263名纳入分析。健康效用值为0.34~1.00,中位数为0.66,平均为(0.67±0.14)。不同性别、婚姻状况者健康效用值比较,差异无统计学意义(P0.05)。不同年龄、文化程度、家庭人均年收入、2周病伤和半年慢病的发生情况,以及基本公共卫生服务获得情况者健康效用值比较,差异有统计学意义(P0.05)。多因素Logistic回归分析显示,家庭人均年收入3 000元、2周病伤、半年慢病是健康效用值降低的危险因素(P0.05)。结论农村中老年人健康效用值较低,低收入及2周病伤、半年慢病的发生是健康效用值降低的危险因素。应当加快建立基于我国人群偏好的SF-6D健康效用值积分体系,提高健康效用值测量结果可信度。
[Abstract]:Objective to select SF-6D from SF-12 scale to convert the health utility value and analyze the influencing factors. Methods in April 2016, 240 families aged more than 45 years and living in the local area for more than 6 months were selected from a multi-stage stratified random sampling in Fushun County, Sichuan Province. General situation questionnaire was used to collect the basic characteristics of the subjects, and the SF-12 scale was used to investigate the health status, from which the items were extracted, and the SF-6D scale of 6 dimension 7 items was formed. The health utility values of the subjects were converted according to the SF-6D health utility integral system in the United Kingdom. Results A total of 265 middle aged and elderly patients with 2 main data missing were included in the study. The health utility value was 0.34 卤1.00, the median was 0.66, and the average was 0.67 卤0.14. There was no significant difference in health utility value between different sex and marital status (P 0.05). There were significant differences in the incidence of disease and injury and chronic disease in two weeks and half a year, as well as in the access to basic public health services. The difference was statistically significant (P 0.05). Multivariate Logistic regression analysis showed that the average annual income of the family was 3 000 yuan per year for 2 weeks, and half a year's slow illness was the risk factor for the decrease of health utility value (P 0.05). Conclusion the health utility value of middle and old people in rural areas is low, low income, 2 weeks sick and injured, and half a year slow illness are the risk factors for the decrease of health utility value. We should accelerate the establishment of SF-6D health utility value integral system based on population preference in China and improve the reliability of the health utility value measurement results.
【作者单位】：四川大学华西公共卫生学院健康与社会行为学系;
【分类号】：R592

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