摘要
目的建立珠江三角洲新生代农民工亚健康评定量表(SHMS V1.0)常模,测量珠江三角洲新生代农民工亚健康状况,并作为筛查、诊断和改善亚健康计划的辅助工具。方法于2014年9—12月,采用分层随机抽样法,选取佛山市、广州市、深圳市、珠海市、东莞市、中山市、惠州市共1 500名新生代农民工,采用SHMS V1.0对其进行问卷调查,在分析珠江三角洲新生代农民工SHMS V1.0评分特点的基础上建立均数常模、百分位常模和划界常模。结果共发放问卷1 500份,回收有效问卷1 238份,有效回收率为82.53%。珠江三角洲新生代农民工SHMS V1.0量表总体评价指标(GS)得分为(63.94±12.73)分,生理亚健康(PS)得分为(67.77±13.65)分,心理亚健康(MS)得分为(63.89±15.77)分,社会亚健康(SS)得分为(58.06±15.75)分。男性新生代农民工SHMS V1.0量表GS、PS得分高于女性,SS得分低于女性(P〈0.05);不同性别MS得分比较,差异无统计学意义(P〉0.05)。不同年龄组新生代农民工SHMS V1.0量表GS、PS、SS得分比较,差异均有统计学意义(P〈0.05);其中20~岁、25~岁、30~35岁GS、PS、SS得分高于16~岁,30~35岁GS、PS、SS得分低于20~岁、25~岁(P〈0.05)。不同年龄组新生代农民工SHMS V1.0量表MS得分比较,差异无统计学意义(P〉0.05)。SHMS V1.0量表GS均数常模:男性:16~岁为(62.47±14.43)分,20~岁为(63.82±12.98)分,30~35岁为(63.51±12.94)分;女性:16~岁为(58.97±12.88)分,20~岁为(64.85±12.76)分,30~35岁为(65.25±13.02)分。百分位常模,按量表GS的从低到高。临界常模:以4个界点(x-s、x-0.5s、x+0.5s、x+s)将新生代农民工划分为5种健康状况:疾病、重度亚健康、中度亚健康、轻度亚健康和健康,其中4个划界值接近百分位常模的第15、30、70、85百分位。结论初步构建了珠江三角洲新生代农民工亚健康评定量表均数常模、百分位常模和临界常模,可为诊断和评估新生代农民工健康状况提供客观依据。
Objective To establish the norm of sub- health measurement scale( SHMS V1. 0) of new generation of migrant workers in Pearl River Delta,and to investigate their sub- health status. To take the norm as the auxiliary means of screening,diagnosing and improving the sub- health planning. Methods From September to December in 2014,1 500 new generation of migrant workers were selected from Foshan, Guangzhou, Shenzhen, Zhuhai, Dongguan, Zhongshan, and Huizhou by applying stratified random sampling method. Questionnaire survey was carried out by adopting SHMS V1. 0 among the subjects. Based on analysis of characteristics of SHMS V1. 0 scores of new generation of migrant workers in Pearl River Delta,mean norm,percentile norm and threshold norm were constructed in this study. Results A total of 1 500 questionnaires were sent out,1 238 questionnaires were acquired with a response rate of 82. 53%. Of the sub- health status investigation of new generation of migrant workers in Pearl River Delta by SHMS V1. 0,the GS score was( 63. 94 ± 12. 73),PS score was( 67. 77± 13. 65),MS score was( 63. 89 ± 15. 77), and SS score was( 58. 06 ± 15. 75). The GS and PS score of male new generation of migrant workers in SHMS V1. 0 were higher than those of female,while their SS score was lower than that of female( P〈0. 05); there was no significant difference in MS score among subjects of different genders( P〈0. 05). There was significant difference in GS,PS and SS scores in SHMS V1. 0 of subjects in different age groups( P〈0. 05); the GS,PS and SS scores of subjects aged between 20 to 24,25 to 29,and 30 to 35 were higher than those of subjects aged between 16 to 19,the GS,PS and SS scores of subjects aged between 30 to 35 were lower than those of subjects aged between 20 to 24 and between25 to 29( P〈0. 05). There was no significant difference in MS score in SHMS V1. 0 of subjects in different age groups( P〈0. 05). The mean norm of GS in SHMS V1. 0 was shown as follows: male: the score of subjects aged between 16 to 19 was( 62. 47 ± 14. 43),the subjects aged between 20 to 29 was( 63. 82 ± 12. 98),and the score of subjects aged between 30 to 35was( 63. 51 ± 12. 94); while the score of female in different age groups of 16 to 19,20 to 29 and 30 to 35 was( 58. 97± 12. 88),( 64. 85 ± 12. 76) and( 65. 25 ± 13. 02) respectively. The percentile norm was arranged from the lowest to the highest according to the total scale score. Threshold norm: based on the four critical points( x- s,x- 0. 5s,x + 0. 5s,x + s),the subjects were divided into five states of health status: diseased,severe sub- health,moderate sub- health,mild sub-health and healthy,and the four demarcation standards were in closed with the 15 th,30th,70 th and 85 th of the percentiles norm. Conclusion The mean norm,percentile norm and threshold norm of SHMS V1. 0 of new generation of migrant workers in Pearl River Delta were preliminarily constructed,which can provide objective basis for diagnosing and evaluating the health status of new generation of migrant workers.
出处
《中国全科医学》
CAS
CSCD
北大核心
2016年第23期2817-2823,共7页
Chinese General Practice
基金
广东省科技计划资助项目(2012B031800145)--珠江三角洲新生代农民工亚健康状况的评价方法及干预方案研究
关键词
亚健康评定量表
亚健康
常模
新生代农民工
珠江三角洲
Sub-health measurement scale
Sub-health
Norm
New generation of migrant workers
Pearl River Delta