【摘要】 目的 了解农村老年残疾人自评健康状况的影响因素，为促进农村老年残疾人健康老龄化提供参考。方法 采用2018年中国健康与养老追踪调查(CHARLS)数据，对农村>60岁残疾人的基本情况、患病及就医状况、心理状况与日常行为习惯进行χ~2检验，并采用多分类logistic回归分析农村老年残疾人自评健康状况的影响因素。结果 本研究1 085名农村老年残疾人，认为自身健康状况较好、一般、较差的比例分别占49.8%、40.0%、10.2%。单因素分析结果显示，年龄(χ~2=12.145,P=0.016)、受教育程度(χ~2=25.985,P<0.001)、是否患有慢性病(χ~2=35.256,P<0.001)、是否因为疼痛而难受(χ~2=84.860,P<0.001)、过去一个月是否就医(χ~2=30.333,P<0.001)、过去一年是否住院(χ~2=46.351,P<0.001)、情绪低落情况(χ~2=82.218,P<0.001)、心情愉悦情况(χ~2=43.920,P<0.001)、孤独情况(χ~2=64.341,P<0.001)、睡眠时间(χ~2=36.756,P<0.001)、饮酒情况(χ~2=21.031,P<0.001)、锻炼情况(χ~2=15.916,P<0.001)和是否参加社交活动(χ~2=10.387,P=0.006)对农村老年残疾人自评健康状况有影响。多因素logistic回归分析结果显示，年龄、受教育程度、患有慢性病、疼痛、过去一个月有就医行为、过去一年有住院行为、情绪低落、感到孤独、睡眠时间短、缺乏锻炼和未参加社交活动对农村老年残疾人自评健康状况的影响，差异有统计学意义，P<0.05。结论 应加强农村老年残疾人卫生服务体系建设；重视农村老年残疾人的精神需求；促进农村老年残疾人养成健康行为。更多还原

【Abstract】 Objective To understand the factors influencing the self-rated health status of elderly disabled people in rural areas,so as to provide reference for promoting healthy aging of rural elderly disabled people.Methods The data were collected from The China Health and Retirement Longitudinal Study.χ~2 test was conducted on the basic situation,illness and medical treatment,psychological status,daily behavior habits and social support of rural elderly disabled people over60 years and the multifactor logistic regression was used to analyze the influencing factors of self-rated health status of rural elderly disabled people.Results In this study,1 085 elderly disabled people in rural areas were identified as having good,average,and poor health conditions, accounting for 49,8%, 40.0%,and 10.2%,respectively.The univariate analysis results showed that,age(χ~2=12.145,P=0.016),education(χ~2=25.985,P<0.001),chronic disease(χ~2=35.256,P<0.001),pain(χ~2=84.860,P<0.001),medical treatment in the past month(χ~2=30.333,P<0.001),hospitalization in the past year(χ~2=46.351,P<0.001)) depression(χ~2=82.218,P<0.001),cheerfulness(χ~2=43.920,P<0.001),feeling lonely(χ~2=64.341,P<0,001),sleeping time(χ~2=36.756,P<0.001),drinking situation(χ~2=21.031,P<0.001),exercise situation(χ~2=15.916,P<0.001) and participation in social activities(χ~2=10.387,P=0.006) were statistically differences in the self-rated health status of rural elderly disabled people.The results of multivariate Logistic regression analysis showed that age,education,chronic disease,pain,medical treatment in the past month,hospitalization in the past year,depression,feeling lonely,short sleep time,lack of exercise and failure to participate in social activities have statistical significance on the self-rated health status of rural elderly disabled people(P<0.05).Conclusion It is important to strengthen the construction of health service system for the elderly disabled in rural areas,pay attention to their spiritual needs,and promote the elderly disabled in rural areas to develop healthy behaviors.更多还原