目的了解无社会保障(社保)老年居民躯体健康和心理健康状况,并分析其相关性及其影响因素。方法调查北京某社区300位无社保女性老人,内容包含一般人口学资料、老年抑郁量表(GDS)、生活满意度、短孤独量表(UCLA)、中国人情感量表(简版)及健康体检数据。结果 (1)无社保老年人肥胖率、血压、血糖异常率分别为21.81%、65.84%和41.96%,代谢综合征患病率为11.52%,各慢性病患病率高于中国和其他研究报告的患病水平。(2)受教育水平、牙齿脱落情况与孤独、消极情感显著相关;体重指数与舒张压、孤独有显著相关;(3)分层回归分析表明,血糖和孤独能显著预测舒张压,多个变量可以预测孤独感;牙齿状况、满意度和积极情感均能预测消极情感。结论社区无社保女性老人躯体、心理健康状况问题普遍较多,且身心相互作用显著,应重点关注文化水平低、身心健康状况差无社保者。; Objective： To investigate the psychometric properties of the Childhood Anxiety Sensitivity Index in Chinese adolescents. Methods： A total of 2850 students from primary schools and middles schools was assessed with Childhood Anxiety Sensitivity Index （CASI）, the Screen for Child Anxiety Related Emotional Disorders （SCARED）, The University of California at Los Angeles Post-traumatic Stressdisorder Reaction Index（UCLA PTSD Index）, Depressive Self Rated Sched- ule of Children（DSRSC）, and the Trait Anxiety Inventory（TAI）, all in Chinese versions. Results： （1）Exploratory factor anal- ysis and Confirmatory Factor Analysis revealed a three first-order-factor model of CASI, namely the physical concerns with I0 items, the mental concerns with 3 items and the social concerns with 3 items.（2）Furthermore, a middle degree cor- relation ranging from 0.426 to 0.618 between CASI score and the series of anxiety symptoms indicated good convergent validity. （3）There was a significant incremental variance prediction effect of CASI beyond the Trait Anxiety to SCARED, which was more than the range of incremental prediction effect to DSRSC, indicating a good discriminative validity of CASI. Conclusion： The Chinese version of CASI has good factor, convergent and discriminative validities. It can be used as a good tool to assess anxiety sensitivity for Chinese children and adolescents.
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