文章摘要
孙双圆,郭雁飞,阮晔,黄哲宙,郑杨,施燕,吴凡.上海市50岁及以上人群主观幸福感及其影响因素研究[J].中华流行病学杂志,2018,39(9):1193-1199
上海市50岁及以上人群主观幸福感及其影响因素研究
Subjective well-being feelings and related factors in people aged 50 years or older in Shanghai: Based on Day Reconstruction Method
投稿时间:2017-11-06  
DOI:10.3760/cma.j.issn.0254-6450.2018.09.010
中文关键词: 主观幸福感;日重现法;老年人;自评健康
英文关键词: Subjective well-being;Day Reconstruction Method;Elderly;Self-rated health
基金项目:美国国立老化研究所资助项目(R01-AG034479);上海市第四轮公共卫生体系建设三年行动计划(GWⅣ-22);上海市第四轮公共卫生三年行动计划慢病重点学科项目(15GWZK0801);上海市卫生和计划生育委员会科研项目(青年项目20154Y0179)
作者单位E-mail
孙双圆 200336 上海市疾病预防控制中心  
郭雁飞 200336 上海市疾病预防控制中心  
阮晔 200336 上海市疾病预防控制中心  
黄哲宙 200336 上海市疾病预防控制中心  
郑杨 200336 上海市疾病预防控制中心  
施燕 200336 上海市疾病预防控制中心  
吴凡 200336 上海市疾病预防控制中心 wufan@smhb.gov.cn 
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中文摘要:
      目的 应用日重现法评估上海市≥50岁中老年人群的主观幸福感水平,并探讨影响幸福感水平的相关因素。方法 在2009年10月至2010年6月间,使用多阶段整群随机抽样方法抽取上海市5个区≥50岁的中老年人8 872人,采用WHO全球老龄化与成年人健康研究项目制定的调查工具,获取调查对象的社会人口学及健康相关信息、并用日重现法进行幸福感测量,通过净效应值和U指数评估幸福感水平,通过单因素和多元线性回归模型分析幸福感的相关影响因素。结果 共纳入研究对象8 075人,其中男性3 759人(46.55%)、女性4 316人(53.45%),年龄(63.1±9.9)岁。上海市≥50岁人群加权后净效应值为1.24(95% CI:1.15~1.33),加权后U指数为1.55%(95% CI:1.10%~1.99%)。单因素线性回归模型显示年龄、文化程度、婚姻状态、财富水平、居住地、自报健康状况、WHODAS得分、患有慢性病与幸福感水平相关;多元线性回归结果显示,WHODAS得分越高,净效应值越低(P<0.05)。结论 上海市≥50岁中老年人群的主观幸福感水平较好,可能与年龄、文化程度、婚姻状态、家庭财富水平、居住地、自报健康状况、WHODAS得分等因素有关,加强老年人的社会支持、完善针对老年人的各项保障制度和服务设施,或有助于提升老年人的幸福感。
英文摘要:
      Objective To evaluate the subjective well-being feelings of people aged ≥ 50 years in Shanghai by using the Day Reconstruction Method (DRM) and explore the related factors. Methods A cross-sectional survey was conducted from October 2009 to June 2010 among people aged ≥ 50 years selected through multistage random cluster sampling in Shanghai. DRM was used to assess participants' subjective well-being by net effect and U-index. Univariate and multivariate linear regression models were used to explore the related factors. Results A total of 8 075 participants were included, with average age of 63.1 years. The mean net effect value was 1.24 (95% CI:1.15-1.33), and the mean U-index was 1.55% (95% CI:1.10%-1.99%). After adjusted for demographic factors, univariate liner regression model indicated that age, education level, marital status, family wealth, residence, self-rated health status, WHODAS score and prevalence of chronic disease were associated with subjective well-being, and multivariate liner regression model indicated that higher WHODAS score was associated with lower net effect value (P<0.05). Conclusion The subjective well-being feelings of people aged ≥ 50 years in Shanghai might be associated with age, education level, marital status, family wealth, residence, self-rated health status and WHODAS score. Enhanced social support and appropriate social security system might facilitate the improvement of the subjective well-being of the elderly.
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