中国三省市城镇居民亚健康评定量表常模的建立

摘要

Objective To establish the norms of Sub -health Measurement Scale Version 1.0 ( SHMS V1.0 ) for urban residents of three regions ( Guangdong Province , Anhui Province and Tianjin ) in China.Methods From June 2012 to June 2013, we enrolled 10 000 residents from Guangdong Province (4 000), Anhui Province (2 000) and Tianjin (4 000) using regional stratified random sampling method.By the analysis of the features of SHMS V 1.0 scores of the enrolled residents from the three regions , we established the norms of mean , percentile and cutting off scores.Results GS, PS, MS and SS of the residents varied significantly with different regions ( P<0.05 ) .The residents of different genders were significantly different in GS, PS and MS (P<0.05) and were not significantly different in SS (P>0.05) .The residents of different age groups were significantly different in GS, PS, MS and SS (P<0.05) .The multiple comparison in the univariate variance analysis showed that there was no significant difference between ≥30 age group and ≥40 age group ( P=0.834 ) , thus the two age groups can be merged as one group.There was significant difference between 50~group and other three groups (P<0.05).So the ages of 30 and 50 were determined as boundaries.Based on the gender and age grouping , the norms of mean for the total score of SHMS V1.0 scale and the scores of subscales for physiology , psychology , and social sub-health were established; the norms of percentile were established with 5% percentiles as intervals; the norms of cutting off scores were established as five states , namely disease, severe sub -health, moderate sub -health, moderate sub -health and health, with ( x ±s) and ( x ±0.5s) as cutting off scores.Conclusion Then norms of SHMS V1.0 for the residents in the three regions ( Guangdong Province, Anhui Province and Tianjin ) in China were preliminarily established , which could be used as a reference for the research of influencing factors for sub -health and the screening of population with sub -health state.%目的：建立中国三省市（广东省、安徽省、天津市）城镇居民亚健康评定量表（ SHMS V1.0）的常模。方法于2012年6月—2013年6月，采用区域分层随机抽样法，在广东省、安徽省、天津市抽取城镇居民10000名（广东省4000名、安徽省2000名、天津市4000名）。采用城镇居民亚健康状况调查问卷对居民进行调查，共回收有效问卷8326份（广东省3758份、安徽省1096份、天津市3472份）。在分析三省市城镇居民SHMS V1.0得分特点的基础上，建立均数常模、百分位常模及划界常模。结果不同省市城镇居民的总量表得分（ GS）、生理亚健康子量表得分（ PS）、心理亚健康子量表得分（ MS）及社会亚健康子量表得分（ SS）比较，差异有统计学意义（ P＜0.05）。三省市不同性别城镇居民的GS、 PS、 MS比较，差异有统计学意义（P＜0.05）；而SS比较，差异无统计学意义（ P＞0.05）。三省市不同年龄城镇居民的GS、 PS、 MS、 SS比较，差异均有统计学意义（ P＜0.05）。单因素方差分析的多重比较结果显示，30岁～组和40岁～组间得分差异无统计学意义（P＝0.834），可合并为一组；50岁～组与其他3组间得分差异均有统计学意义（ P ＜0.05），故以30岁、50岁为年龄界点。根据性别和年龄分组，建立SHMS V1.0量表总分及生理、心理、社会亚健康子量表得分的均数常模；以5％的百分位数间隔建立百分位常模；分别以（ x ±s）、（ x ±0.5s）为界将健康状态划分为疾病、重度亚健康、中度亚健康、轻度亚健康及健康5种状态，建立划界常模。结论本研究初步构建了中国三省市（广东省、安徽省、天津市）城镇居民SHMS V1.0的常模，可以为亚健康状态影响因素研究及人群亚健康筛查提供依据。