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目的了解我国不同地区老年人自评健康状况的现状及差异,并探究其自评健康状况的影响因素。方法数据来源为2013年中国健康与养老全国追踪调查(China Health and Retirement Longitudinal Study,CHARLS)数据,利用有序logistic模型进行影响因素的分析。结果东部地区老年人自评健康状况优于中、西部地区〔(偏回归系数分别为0.252(P<0.01)、0.338(P<0.001)〕。性别、户口类型、教育年限、人均消费性支出、吸烟、饮酒状况、社会活动参与度、慢性病患病情况、生活满意度对老年人自评健康影响显著。结论老年人自评健康存在地区差异。卫生政策应适当的向中、西部倾斜,合理布局中、西部卫生资源;大力发展中、西部经济,不断缩小地区间经济和教育水平差异;同时倡导健康的生活方式。
Objective To understand the current status and differences of self-rated health status of the elderly in different regions of China and to explore the influencing factors of their self-rated health status. Methods The data source was the 2013 China Health and Retirement Longitudinal Study (CHARLS) data, and the use of an orderly logistic model was used to analyze the influencing factors. Results The self-rated health status of the elderly in the eastern region was better than that in the middle and western regions [(partial regression coefficients were 0.252 (P <0.01), 0.338 (P <0.001) Smoking, drinking status, participation in social activities, prevalence of chronic diseases and life satisfaction have significant effects on self-rated health of the elderly.Conclusion There are regional differences in self-rated health among the elderly.Health policy should be appropriately inclined to the middle and west regions, Central and Western health resources; vigorously develop the economy in the central and western regions, continue to narrow the differences in regional economic and educational levels; at the same time promote a healthy lifestyle.