【摘要】 目的分析居民自报健康、真实健康和健康态度之间的潜在关系,解决自报健康跨人群不可比性问题,实现人群健康的综合评价。方法利用2007年中国居民自报健康抽样调查数据,将健康情景评价作为对健康态度的测量,应用结构方程模型的方法,构建自报健康、真实健康和健康态度之间相互关系的理论模型。结果居民自报健康结果除了受真实健康因子的支配外,还受个人健康态度的影响。调整健康态度的影响后,年龄、性别、文化程度、城乡、中部和西部、经济状况等因素的标准化回归系数分别为-0.0765(t=-6.3349),0.0211(t=2.8827),-0.0014(t=-0.7853),0.0275(t=2.5759),0.0491(t=5.4676),-0.0092(t=-0.7778),0.0701(t=7.7376);而真实健康因子与年龄、性别、城乡、经济状况的标准化回归系数则分别为-0.2360(t=-12.3360),0.0016(t=0.0551),0.1269(t=8.3125),0.0421(t=4.0852),-0.0508(t=-4.3965),-0.1653(t=-10.1801),0.0760(t=7.2493)。结论结构方程模型可以应用于人群自报健康状况资料的分析,消除健康态度的影响后获得真实健康因子,后者比自报健康本身更具有可比性,从而客观评价不同人群真实健康状况。更多还原

【Abstract】 Objective To discuss and analyze the relationship among self-reported health,true health status and health attitudes,and to explore the method of assessing the self-reported health status of Chinese residents comparably.MethodsThe data of the self-reported health survey in Chinese residents in 2007 was used to make the evaluation of health vignettes as measures of respondents’ health attitudes.A theoretical structural equation model(SEM)was built to describe the relationship among self-reported health,true health status,and health attitudes.ResultsThe data was fitted well,and the results were reasonable.Beside true health status,the self-reported health was exactly influenced by personal health attitudes.After adjusting the effect of attitudes,the standard estimates of β were-0.0765(t=-6.3349),0.0211(t=2.8827),-0.0014(t=-0.7853),0.0275(t=2.5759),0.0491(t=5.4676),-0.0092(t=-0.7778),and 0.0701(t=7.7376)for effects of age,sex,education,rural vs city,central vs eastern provinces,western vs eastern provinces,income,respectively.However,correspondingly,for the true health which was subtracted the impacts of personal attitudes from the self-reported health,the standard estimates of β were-0.2360(t=-12.3360),0.0016(t=0.0551),0.1269(t=8.3125),0.0421(t=4.0852),-0.0508(t=-4.3965),-0.1653(t=-10.1801),and 0.0760(t=7.2493),respectively.ConclusionSEM can be applied in analyses and measurement of population self-reported health.It can adjust kinds of influencing factors,Abstract the true health factor,and then evaluate self-reported health status among different population objectively.更多还原