2023年广东省成年人自评健康状况及影响因素分析

doi:10.12183/j.scjpm.2026.0281

华南预防医学 ›› 2026, Vol. 52 ›› Issue (3): 281-286.doi: 10.12183/j.scjpm.2026.0281

2023年广东省成年人自评健康状况及影响因素分析

魏家琪^1,2, 效拟², 宋秀玲², 普利明², 郑雪燕², 梁宁², 周脉耕³, 赵德坚², 万力玮², 高玥², 廖羽², 孟瑞琳²

1.中山大学公共卫生学院,广东广州 510080;
2.广东省疾病预防控制中心;
3.中国疾病预防控制中心慢性非传染性疾病预防控制中心

收稿日期:2025-06-10 出版日期:2026-03-20 发布日期:2026-04-07
通讯作者: 孟瑞琳,E-mail：rlmeng@126.com
作者简介:魏家琪（2002—）,女,在读硕士研究生,主要研究方向为慢性病预防与控制;效拟（1989—）,女,硕士研究生,副主任医师,主要研究方向为慢性病预防与控制;魏家琪和效拟同为第一作者
基金资助:
广东省疾病预防控制中心人才支持项目（2023D001）

Self-rated health status and its influencing factors among adults in Guangdong Province, 2023

Wei Jiaqi^1,2, Xiao Ni², Song Xiuling², Pu Liming², Zheng Xueyan², Liang Ning², Zhou Maigeng³, Zhao Dejian², Wan Liwei², Gao Yue², Liao Yu², Meng Ruilin²

1. School of Public Health, Sun Yat-sen University, Guangzhou, Guangdong 510080, China;
2. Guangdong Provincial Center for Disease Control and Prevention;
3. National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention

Received:2025-06-10 Online:2026-03-20 Published:2026-04-07

摘要/Abstract

摘要： 目的探讨2023年广东省成年人社会人口学特征、生活方式及客观健康状况对自评健康的影响,为优化公共卫生政策提供依据。方法基于广东省居民慢性病及危险因素监测数据,采用多因素logistic回归分析自评健康的影响因素。结果共纳入有效研究对象8 841人,其中男性3 725人（52.8%）,女性5 116人（47.2%）,平均年龄为（43.1±15.9）岁。广东省18岁及以上居民自评健康率达49.0%（4 110人）。单因素分析表明,年龄、文化程度、工作属性、高血压及糖尿病与自评健康显著相关（均P<0.05）。多因素logistic回归分析显示,高血压（OR=1.752）和糖尿病（OR=1.613）是自评健康的危险因素（均P<0.05）。结论广东省成年人自评健康尚有待提升,慢性病（高血压、糖尿病为主要负向影响因素,建议通过强化慢性病管理、完善社区健康服务及教育以优化居民健康,为慢性病防控提供科学依据。

关键词: 广东省, 自评健康, 社会人口学特征, 生活方式, 慢性病

Abstract: Objective To investigate the influence of sociodemographic characteristics, lifestyle factors, and objective health conditions on the self-rated health of adults in Guangdong Province in 2023, thereby providing an evidence base for the optimization of public health policies. Methods Utilizing data from the Guangdong Provincial Chronic Disease and Risk Factor Surveillance, a multivariate logistic regression analysis was conducted to identify the determinants of self-rated health. Results A total of 8 841 valid participants were included in the analysis, comprising 3 725 males (52.8%) and 5 116 females (47.2%), with a mean age of (43.1±15.9) years. The prevalence of positive self-rated health among residents aged 18 and above in Guangdong Province was 49.0% (n=4 110). Univariate analysis indicated a significant association between self-rated health and age, educational attainment, employment status, hypertension, and diabetes (all P<0.05). The multivariate logistic regression analysis revealed that hypertension (OR=1.752) and diabetes (OR=1.613) were significant risk factors for poorer self-rated health (both P<0.05). Conclusion The self-rated health status of adults in Guangdong Province requires improvement. Chronic diseases, specifically hypertension and diabetes, were identified as the primary negative influencing factors. It is recommended that resident health be enhanced through the reinforcement of chronic disease management, the improvement of community health services, and the promotion of health education, thus providing a scientific basis for chronic disease prevention and control.

Key words: Guangdong Province, Self-rated health, Sociodemographic characteristics, Lifestyle, Chronic diseases

中图分类号:

R195.4

魏家琪, 效拟, 宋秀玲, 普利明, 郑雪燕, 梁宁, 周脉耕, 赵德坚, 万力玮, 高玥, 廖羽, 孟瑞琳. 2023年广东省成年人自评健康状况及影响因素分析[J]. 华南预防医学, 2026, 52(3): 281-286.

Wei Jiaqi, Xiao Ni, Song Xiuling, Pu Liming, Zheng Xueyan, Liang Ning, Zhou Maigeng, Zhao Dejian, Wan Liwei, Gao Yue, Liao Yu, Meng Ruilin. Self-rated health status and its influencing factors among adults in Guangdong Province, 2023[J]. South China Journal of Preventive Medicine, 2026, 52(3): 281-286.

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2023年广东省成年人自评健康状况及影响因素分析

Self-rated health status and its influencing factors among adults in Guangdong Province, 2023

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