|
|
- 2015
健康生态学视角下中老年人群慢性病影响因素实证
|
Abstract:
结合慢性病发病特点以及社会学、政策学相关理论，构建了慢性病影响因素的健康生态学模型，将个人特点和健康生态学四大系统细化为个人特质、行为特点、人际网络、工作类型和物质条件、政策环境五类变量，并利用“中国健康与养老追踪调查”的数据进行了实证分析。结果显示：个人特质和行为特点是影响慢性病患病率的首要因素，家庭微系统、工作微系统和物质条件也会对慢性病患病率和患病年龄有重要影响。相关部门应通过转变卫生发展模式、开展综合性社区干预措施和保障低收入人群对卫生服务的可负担性等措施改进中国的慢性病防治工作。
This research combined the characteristics of chronic diseases, as well as sociology, policy science and related theory to build a healthy ecological model of the influencing factors of chronic diseases, the personal characteristics and four healthy ecology system are elaborated to five variables which are personal traits, behavior characteristics, interpersonal network, type of work, material conditions and policy environment. Cross-section data of CHARLS(China Health and Retirement Longitudinal Study) 2013 is adopted to conduct the empirical study. The results show that personal traits and behavioral characteristics are the primary factors which influence the prevalence of chronic diseases, while family microsystem, work microsystem and material conditions can also have important effects on chronic disease prevalence and sickness age. Therefore the paper proposes that relevant departments should take measures to improve the chronic disease prevention by changing health development mode, comprehensive community intervention measures and guarantee for low-income people to affordable health services
| [1] | ［3］吕筠,李立明. 慢性病防治策略与研究领域的新视角［J］. 中国慢性病预防与控制,2009（1）:1-3. |
| [2] | ［14］范涛，曹乾，蒋露露，等.老年人慢性病影响因素的健康生态学模型解释［J］.中国全科医学,2012(1A):33-40. |
| [3] | ［15］CRAGG J G. Some statistical models for limited dependent variables with application to the demand for durable goods［J］. Econometrica:Journal of the Econometric Society, 1971,39(5):829-844. |
| [4] | ［16］TSANG A, VON KORFF M, LEE S, et al. Common chronic pain conditions in developed and developing countries:gender and age differences and comorbidity with depression-anxiety disorders［J］. The Journal of Pain，2008,9(10):883-891. |
| [5] | ［19］张俊辉, 叶运莉, 杨超，等.泸州市成年居民饮酒与慢性病患病关系［J］. 中国公共卫生,2012(5):603-605. |
| [6] | ［20］SHADYAB A H. Ethnic-specific associations of sleep duration and daytime napping with prevalent type 2 diabetes in postmenopausal women［J］. Sleep Medicine，2015,16(2):243-249. |
| [7] | ［21］CHEN G, TANG K, CHEN F. Afternoon nap and nighttime sleep with risk of micro- and macrovascular disease in middle-aged and elderly population［J］. International Journal of Cardiology，2015,187:553-555. |
| [8] | ［23］ARTERO A, TARIN J J. The impact of moderate wine consumption on health［J］. Maturitas，2015,80(1):3-13. |
| [9] | ［24］OHAYON M M. Chronic Obstructive Pulmonary Disease and its association with sleep and mental disorders in the general population［J］. Journal of Psychiatric Research，2014,54:79-84. |
| [10] | ［26］MARIET H R S, ADELITA V. Chronic disease in elderly couples Are women more responsive to their spouse？？health condition than men ［J］. Journal of Psychosomatic Research，2001,51:693-696. |
| [11] | ［5］FRENCH M T, POPOVICI I, ROBINS P K, et al. Personal traits, cohabitation, and marriage［J］. Social science research，2014,45:184-199. |
| [12] | ［8］BUHNERKEMPE M G, ROBERTS M G. Eight challenges in modelling disease ecology in multi-host, multi-agent systems［J］. Epidemics，2015,10:26-30. |
| [13] | ［10］BRONFENBRENNER U. Toward an expeimental ecology of human development［J］. American Psychologist，1977,32:513-531. |
| [14] | ［12］GREGSON J, FOERSTER S B. System, Environmental, and Policy Changes:Using the Social-Ecological Model as a Framework for Evaluating Nutrition Education and Social Marketing Programs with Low-Income Audiences［J］. Journal of Nutrition Education，2001,33:S4-S15. |
| [15] | ［13］REIFSNIDER E, GALLAGHER M, FORGIONE B. Using ecological models in research on health disparities［J］. Journal of Professional Nursing，2005,21(4):216-222. |
| [16] | ［22］BOLIN K, JACOBSON L, LINDGREN B. The family as the health producer-when spouses act strategically［J］. Journal of Health Economics，2002,21:475-495. |
| [17] | ［25］LIMA M G. Sleep duration pattern and chronic diseases in Brazilian adults［J］. Sleep Medicine，2012,13(2):139-144. |
| [18] | ［27］孟庆跃．卫生经济学［M］．北京：人民卫生出版社，2013：2. |
| [19] | ［7］RAYNER G. Conventional and ecological public health［J］. Public health，2009,123(9):587-591. |
| [20] | ［17］SILBIGER S, NEUGARTEN J. Gender and human chronic renal disease［J］. Gender medicine，2008,5 Suppl A:S3-S10. |
| [21] | ［18］WAKABAYASHI I. Relationships among alcohol drinking, blood pressure and serum cholesterol in healthy young women［J］. International Journal of Clinical Chemistry，2008,388(1/2):192-195. |
| [22] | ［1］WHO. The world health report 2006:Working together for health.Geneva［R］. WHO，2006. |
| [23] | ［2］国家卫生和计划生育委员会.中国居民营养与慢性病状况报告［R］.国家卫生和计划生育委员会，2015. |
| [24] | ［4］IWASHYNA T J, CHRISTAKIS N A. Marriage, widowhood, and health-care use［J］. Social science & medicine，2003,57(11):2137-2147. |
| [25] | ［6］JIANG Y, DUMONT D M, COOPER T, et al. A latent class model to identify city/town chronic disease patterns［J］. Preventive medicine,2015,73:139-144. |
| [26] | ［9］RAPPORT D J, HOWARD J, LANNIGAN R. Linking health and ecology in the medical curriculum［J］. Environment International，2003,29(2/3):353-358. |
| [27] | ［11］胡国鹏，王振. 高校师生健康的生态学模型分析与“大健康”促进［J］. 体育科学研究,2012（3）:17-22. |
