健康自我管理作为一种新型保健模式引起高度重视，其强调以个人为主导的健康行为的改变，体现在健康自我管理认知、环境和行为三方面，以河北省石家庄、唐山和张家口三个代表性城市的6173位城乡老年人为研究对象，研究社会经济地位与健康自我管理的相关性，为合理分配健康促进资源及制定健康管理政策提供科学依据。统计结果显示，老年人健康自我管理已陷入“高认知、低行为”的瓶颈期。城乡、文化程度、月收入等社会经济指标与健康自我管理呈明显阶梯关系，应重点关注农村、低文化水平、低收入等弱势群体。%As a new model of care ,health self‐management is getting closer attention ,and the changes in individual‐oriented health behaviors are reflected in three areas ,including cognition ,environment and behavior of the health self‐management . Totally 6 173 elderly people were selected as research subjects who were recruited from three cities of Hebei province:Shijiazhuang ,Tangshan and Zhangjiakou .The research aims were to explore the correlation between the elderly health self‐management with their socioeconomic status ,so as to provide scientific basis for rational allocation of health resources and development of health promotion policies .The statistic results showed that the elderly health self‐management has fallen into a bottleneck of “high cognition with low behavior” . Their socioeconomic indicators concerning urban and rural areas ,education degrees and income showed an obvious ladder relationship with their health self‐management levels .Therefore , those vulnerable groups from rural areas with poor education degree and low income should be given much more concerned .
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