ArticleBMC public health2019
The development and evaluation of a sub-health self-rating scale for university students in China.
Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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14 citing papers in PubMed, 21 citations in OpenAlex.
- The mediating and moderating roles of physical sub-health in the relationship between family functioning and mental health problems among Chinese adolescents.BMC public health · 2026Article
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- Multi-omics driven paradigm for construction of traditional Chinese Medicine Zheng (syndrome) diagnosis and treatment model, taking Shi Zheng (syndrome of dampness) as an example.Chinese medicine · 2025Article
- Assessing suboptimal health status in the Saudi population: Translation and validation of the SHSQ-25 questionnaire.Journal of global health · 2024Article
- Relationship chains of subhealth physical examination indicators: a cross-sectional study using the PLS-SEM approach.Scientific reports · 2023Article
- Measurement properties of the EQ-5D-5L in sub-health: evidence based on primary health care workers in China.Health and quality of life outcomes · 2023Article
- Psychometric Properties of Suboptimal Health Status Instruments: A Systematic Review.Journal of personalized medicine · 2023Review
- Multi-Dimensional Comparison of the Impact Mechanism of the Self-Rated Health Status of Urban and Rural Residents in Chinese Social Environments.International journal of environmental research and public health · 2022Article
- Effects of sex, age, choice of surgical orthodontic treatment, and skeletal pattern on the psychological assessments of orthodontic patients.Scientific reports · 2022Article
- Childhood Trauma and Non-suicidal Self-Injury Among Chinese Adolescents: The Mediating Role of Psychological Sub-health.Frontiers in psychiatry · 2022Article
- Subhealth Risk Perception Scale: Development and Validation of a New Measure.Computational and mathematical methods in medicine · 2022Article
- [Individuals with sub-health status have obviously unbalanced structure of the intestinal flora: analysis of 150 nursing staff members].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2021Article
- All around suboptimal health - a joint position paper of the Suboptimal Health Study Consortium and European Association for Predictive, Preventive and Personalised Medicine.The EPMA journal · 2021Article
- Schisantherin A improves learning and memory abilities partly through regulating the Nrf2/Keap1/ARE signaling pathway in chronic fatigue mice.Experimental and therapeutic medicine · 2021Article
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundSub-health status is defined as declines in vitality, physiological function and capacity for adaptation, but without the presence of clinical or sub-clinical disease. We have developed and evaluated a comprehensive questionnaire, the Sub-Health Self-Rating Scale (SSS), to assess sub-health status in university students.
methodThe items for the draft questionnaire were discussed in focus groups. The WHOQOL-BREF was selected as the validity reference. From a professional perspective and large sample evaluation, the scale ultimately consisted of 58 items. The reliability and validity of the SSS was examined in undergraduate students and 1000 questionnaires were randomly selected from the samples for expert evaluation.
resultsCronbach's α of the total scale was 0.942. The dimensions of physiological, psychological and social had high reliability: 0.915, 0.856 and 0.850, respectively. Based on scree plot and related theories, there were 10 factors to be extracted. The correlation coefficient between the total scale and sub-scale was high. The dimensions of physiological, psychological and social had high correlations with the total scale: 0.929, 0.803 and 0.774, respectively. The sub-health cut-off point of the total scale was 72; for the physiological field, it was 72; for the psychological field, it was 60; and the social field, it was 56. The fit between the expert evaluation method and the scale method was 0.758. The lower the score, the worse the health condition.
conclusionWe established and evaluated a valid instrument (SSS) that encompasses physiological, psychological and social factors to investigate sub-health status. It is short and easy to complete, and therefore suitable for use with undergraduate students.
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