Key result
Among 5,460 Chinese urban residents, 23 variables across demographic, lifestyle, environmental, and internal domains were significantly associated with suboptimal health status, including bad eating habits (OR 1.717) and mature personality traits (OR 0.469).
Why the study?
Suboptimal health status is common among urban residents in China, but influencing factors, particularly internal factors such as personality and health awareness, have not been thoroughly explored.
Cross-Sectional (n=5,460)
Yes
Multiple demographic, lifestyle, environmental, and internal factors are significantly associated with suboptimal health status among Chinese urban residents.
Multiple factors linked to SHS in urban China; leaves open whether targeting internal or external variables improves outcomes.
Background Suboptimal health status (SHS) among urban residents is commonplace in China. However, factors influencing SHS have not been thoroughly explored, especially with regard to the effects of internal factors (e.g., personality and health awareness) on SHS. Methods A cross-sectional study was conducted with a nationally representative sample of 5460 Chinese urban residents..SHS was measured using the Suboptimal Health Mesurement Scale Version 1.0. Demographic information, and information pertaining to lifestyle behaviors, environmental factors, and internal factors were abtained through a questionnaire. The associations between demographic information, lifestyle behaviors, environmental factors, internal factors and SHS were assessed using logistic regression. Results Of the 5460 participants (with a mean age of 41.56 ± 16.14 years), 2640 (48.4 %) were men. Out of 36 variables, 23 were significantly associated with SHS: age (odds ratio [OR]: 1.014), an education level of high school/junior college (OR: 1.443) , marital status (OR: 1.899), area of registered permanent residence (OR: 0.767), monthly household income (p < 0.001) , exposure to second-hand smoke (p = 0.001), alcohol drinking (OR: 1.284), bad eating habits (OR: 1.717), not sleeping before 11 p.m. every day (p = 0.002), spending time online more than five hours a day (OR: 1.526), having a good relationship with parents during one’s growth period (OR: 0.602), living with good quality air (OR:0.817), living in not crowded conditions (OR:0.636), having a harmonious neighborhood (OR:0.775), having adequate fitness facilities (OR:0.783), one’s health being affected by two-child policy (OR: 1.468) and medical policies (OR: 1.265) , high adverse quotient (OR: 0.488), many (≥3 kinds) interests and hobbies (OR: 0.617), mature and steady personality traits (OR: 0.469) , a high attention to one’s health (OR: 0.833), and effective health promotion induced by leading a leisurely lifestyle (OR: 0.466) were significantly associated with SHS. Conclusions All these variables were included demographic information, lifestyle behaviors, environmental factors and internal factors. Our study supports the benefits of controlling both internal and external factors in preventing suboptimal health.
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Xue et al. (2020) conducted a cross-sectional in Suboptimal health status (SHS) (n=5,460). Demographic, lifestyle, environmental, and internal factors vs. Reference groups for each respective factor was evaluated on Suboptimal health status (SHS). Among 5,460 Chinese urban residents, 23 variables across demographic, lifestyle, environmental, and internal domains were significantly associated with suboptimal health status, including bad eating habits (OR 1.717) and mature personality traits (OR 0.469).
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