title: Self-rated health and health-related quality of life among Chinese residents, China, 2010.
abstract: BACKGROUND
  Self-rated health (SRH) and health-related quality of life (HRQOL) are two outcome measures used to assess health status. However, little is known about population-based SRH and HRQOL in China.
  
  
  METHODS
  Data from the 2010 China Chronic Disease and Risk Factor Surveillance, a nationally representative sample of 98,658 adults (≥18-year-old) residing in China, were analyzed. SRH was assessed by asking "Would you say that, in general, your health is very good, good, general, poor, or very poor?" HRQOL was assessed by asking "For about how many days during the past 30 days was your health not good due to physical illnesses, injuries, or mental unhealthy?".
  
  
  RESULTS
  Overall, 6.3 % of participants rated their health as poor or very poor. The prevalence of poor/very poor health increased with advancing age ranging from 2.0 % in the 18-24 year-olds to 14.9 % in those ≥75 years-old, while it decreased with education levels from 13.0 % in illiterates/those with some primary school education to 2.2 % in college graduates or above. Additionally, women were more likely than men to rate their health as poor or very poor (7.2 % vs. 5.4 %). The reported rate of poor/very poor health was higher in western region residents compared to those in the east (7.4 % vs. 5.3 %). The mean numbers of self-reported physically unhealthy days, injury-caused unhealthy days, or mentally unhealthy days during the past 30 days were 1.48, 0.20, and 0.54, respectively. Older adults had more physically unhealthy days than the younger ones ranging from 2.92 days in those ≥ 75 year-old to 0.95 days in 18-24 year-olds. Women had more physically unhealthy days and mentally unhealthy days than men (1.72 vs. 1.23; 0.62 vs. 0.46, respectively). The highest mean number of physically unhealthy days (2.32) was reported by illiterates or those with some primary school education. The highest mean number of mentally unhealthy days (0.86) reported by college graduates or above.
  
  
  CONCLUSIONS
  Substantial variations existed in SRH and HRQOL among age groups, gender groups, education groups, and across regions in China. Considering these disparities will be important when developing health policies and allocating resources.
authors.affiliation: National Center for Chronic and Noncommunicable Disease Control and Prevention, Beijing, 100050, People's Republic of China. dongwenlan99@126.com.|Chinese Field Epidemiology Training Program, Beijing, 100050, People's Republic of China. dongwenlan99@126.com.
authors.forename: Wen-Lan
authors.initials: WL
authors.lastname: Dong
authors.affiliation: National Center for Chronic and Noncommunicable Disease Control and Prevention, Beijing, 100050, People's Republic of China. yichongli.cdc@139.com.
authors.forename: Yi-Chong
authors.initials: YC
authors.lastname: Li
authors.affiliation: National Center for Chronic and Noncommunicable Disease Control and Prevention, Beijing, 100050, People's Republic of China. wangzhuoqun1016@163.com.
authors.forename: Zhuo-Qun
authors.initials: ZQ
authors.lastname: Wang
authors.affiliation: National Center for Chronic and Noncommunicable Disease Control and Prevention, Beijing, 100050, People's Republic of China. agathajiang@hotmail.com.
authors.forename: Ying-Ying
authors.initials: YY
authors.lastname: Jiang
authors.affiliation: National Center for Chronic and Noncommunicable Disease Control and Prevention, Beijing, 100050, People's Republic of China. mf136@126.com.
authors.forename: Fan
authors.initials: F
authors.lastname: Mao
authors.affiliation: National Center for Chronic and Noncommunicable Disease Control and Prevention, Beijing, 100050, People's Republic of China. qilide2006@126.com.
authors.forename: Li
authors.initials: L
authors.lastname: Qi
authors.affiliation: National Center for Chronic and Noncommunicable Disease Control and Prevention, Beijing, 100050, People's Republic of China. workdong@163.com.
authors.forename: Jian-Qun
authors.initials: JQ
authors.lastname: Dong
authors.affiliation: National Center for Chronic and Noncommunicable Disease Control and Prevention, Beijing, 100050, People's Republic of China. wlm65@126.com.
authors.forename: Li-Min
authors.initials: LM
authors.lastname: Wang
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D044466:Asian People / Q000523:psychology* / Q000706:statistics & numerical data*; D001294:Attitude to Health; D002681:China; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D063868:Patient Outcome Assessment; D011788:Quality of Life / Q000523:psychology*; D012307:Risk Factors; D057566:Self Report; D012959:Socioeconomic Factors; D055815:Young Adult