关键词: 健康状况, 大学, 学生, 健康调查, 影响因素分析

Abstract: Background　To achieve the goals towards building a healthy China，it is necessary to improve the health of all Chinese.College students，a group plays a role in promoting the prosperity of the nation and the country，whose health status deserves high level of focus.Objective　To investigate the self-rated health status and influencing factors in college students of China.Methods　From May to July 2018，3 000 college students from 11 universities in China were sampled by multi-stage stratified cluster sampling，and were surveyed in a face-to-face manner with a self-designed questionnaire，Self-rated Health Assessment for College Students，covering social demographic data（gender，major，household location，parental education level，parental occupational class，family economic status，family social status，financially strapped status），and the health status assessed by The Self-rated Health Measurement Scale（Version 1.0）（SRHMS V1.0） consisting of physiological，psychological and social health subscales.The influencing factors of the scale and subscale scores of the SRHMS V1.0 were explored by multiple linear regression analysis.Results　The survey obtained a response rate of 95.67%
（2 870/3 000）.The mean scale score for the SRHMS V1.0 was（66.56±6.13），and the mean scores for its physiological health，mental health social health subscales were（76.14±7.12）（54.10±6.27）（68.55±14.52），respectively.Multiple linear regression analysis showed that gender（β=0.767） and family social status（β=1.542） were associated with the score of the physiological health subscale（P<0.05）.Gender（β=-0.827），mother's occupational class（β=-0.582），family social status（β=0.864），and family economic status（β=0.758） were associated with the score of the mental health subscale（P<0.05）.Gender（β=1.350），father's education level（β=0.842），family social status（β=5.431），family economic status（β=2.966），and whether financially strapped（β=-1.863） were associated with the score of the social health subscale（P<0.05）.Mother's occupational class（β=-0.454），family social status（β=2.292），and family economic status（β=1.033） were associated with the scale score of the SRHMS V1.0（P<0.05）.Conclusion　On the whole，the self-rated health status in college students is fair.To improve the overall health status in this group effectively，it is essential to deliver diversified health management services and group counseling interventions，with special attention paid to sex，parental education level，parental occupational class，family economic status，family social status and financially strapped status.

Key words: Health status, Universities, Students, Health surveys, Root cause analysis