Study On The Healthy Status And Its Influencing Factors Of Senior Citizen In Jilin Province

Objective:Through the investigation on general condition, health relatedbehavior and health assessment index of the elderly, understand the overall healthstatus of senior citizen in Jilin province. Health assessment index including the overallhealth status, choosing health self assessment to evaluate it;physiologicalhealth,choosing chronic disease and activities of daily living to evaluate it; mentalhealth: choosing anxiety and depression condition to evaluate it. Explore the factorsthat influence the health assessment index to provide the scientific basic statistics forhealth policy and related health service, improving the health status as well as the lifequality of the elderly.Method By stratified cluster random sampling method,2698cases old peopleabove sixty from9cities,8districts,40streets;7counties,35villages and towns,aged60years and above in Jilin province were chosen to finish the questionnairesurvey. Professionally trained investigators use the designed questionnaire toinvestigate every subjects. The questionnaire including: general situation of researchobject,health related behavior and social communication status, health assessmentindex. Using Epidata3.0to establish a database, using SPSS13.0for statistical analysis.Qualitative data was described by rates and proportions and analyzedby the methods of Chi-square test, non-condition logistic were used to anlysisthe relating influencing factors,α=0.05as the test level.Result: There1375old people from city,1323from rural areas. The number ofmen comes up to1338, accounting for49.6%; women1360, accounting for50.4%.Aged from60to701617, aged70~80comes up to833, accounting for59.9%;80and the above248. The nation of Han2377, accounting for11.9%;321were ethnicminorities, accounting for88.1%. The older who Married2059, accounting for76.3%;divorced and widowed580, accounting for21.5%;unmarried and other conditions59;accounting for2.2%.Cultural degree of primary school, junior highschool1578,accounting for58.5%;did not attend school640,accounting for23.7%;high school and the above480, accounting for17.8%. The source of incomedepend on himself or spouse1584, accounting for58.7%; depend on other relatives,social assistance and other1114, accounting for41.3%.The relating health behavior: the elderly who take health examination initiativelyaccount for13.5%. The number of the elderly who exercise3times and more a weekwere694, accounting for25.7%. The number of the elderly who smoke were750,accounted for27.8%. The number of the elderly who do not drink or drink a little were2285, accounting for84.7%; the number of the elderly who drink3times and morewere297, accounting for11%.Among all the elderly people in Jilin province, the rate of health self assessmentscore above60is69.9%, the rate of chronic diseases is68.4%, the rate of damagedactivities of daily living is15.2%, the proportion of anxiety and depression is86.1%.Among all the influencing factors of health self assessment, the OR of anxiety anddepression, activities of daily living and chronic disease is high. Among all theinfluencing factors of chronic disease, the OR of age is highest. Among all theinfluencing factors of activities of daily living, the OR of anxiety and depression ishighest. Among all the influencing factors of anxiety and depression, the OR ofactivities of daily living and chronic disease is much higher than other.Conclusion:The overall health status of the elderly in Jilin province is good,self-rated health is in higher proportion, and damaged activities of daily livingproportion is lower than other areas in china, chronic disease rate is relatively low, theproportion of psychological anxiety and depression is high.The rate of chronic diseases of the elderly living in rural areas is lower than theelderly live in the city, the risk of chronic diseases is increased with increasing age.Age, anxiety and depression, chronic disease is the risk factors for daily activities ofthe elderly; independence of income, enough physical exercise is a protective factorsof ADL for the elderly. Age, chronic disease, injured ADL is dangerous factor ofanxiety and depression; independence of income is a protective factor for anxiety anddepression.Demographic characteristics had a fewer effect on four health indicators, and themutual influence between the four health indicators as well as the mutual influence between physical health and mental health is important.