ArticleGlobalization and health2021
Associations of environment and lifestyle factors with suboptimal health status: a population-based cross-sectional study in urban China.
Article in Globalization and health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 20 citations in OpenAlex.
- The relationship between body pain, physical fatigue, and mental fatigue in Chinese adolescents.Frontiers in public health · 2026Article
- The relationship between mobile phone dependence, self-control, and Tai Chi exercise among sub-health older adults in urban areas: a latent profile analysis.Frontiers in public health · 2026Article
- Joint effect of exposure to fine particulate matter and lifestyle risk factors on depression and anxiety among Chinese adolescents: a national school-based study in China.Epidemiology and psychiatric sciences · 2025Article
- The association between physical exercise and health care seeking behavior in older adults: the mediating role of self-perceived health.Frontiers in public health · 2025Article
- Article
- The influencing factors of nurses' job engagement in tertiary, A grade hospitals in East China: A cross-sectional study.Nursing open · 2024Article
- Association Between Suboptimal Health Status and Health-Related Productivity Loss in Primary Healthcare Workers in China: a Cross-Sectional Survey.Risk management and healthcare policy · 2024Article
- The Association of Socioeconomic and Lifestyle Factors with the Oral Health Status in School-Age Children from Pakistan: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2023Article
- Proposing an avenue for suboptimal health research through the lens of tourism.Journal of global health · 2022Article
- The Interactions of Media Use, Obesity, and Suboptimal Health Status: A Nationwide Time-Trend Study in China.International journal of environmental research and public health · 2021Article
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionSuboptimal health status (SHS), an intermediate state between chronic disease and health, is characterized by chronic fatigue, non-specific pain, headaches, dizziness, anxiety, depression, and functional system disorders with a high prevalence worldwide. Although some lifestyle factors (e.g. smoking, alcohol consumption, physical exercise) and environmental factors (e.g. air quality, noise, living conditions) have already been studied, few studies can comprehensively illustrate the associations of lifestyle and environment factors with general, physical, mental, and social SHS.
methodsA cross-sectional study was conducted among 6750 urban residents aged 14 years or over in five random cities from September 2017 to September 2018 through face-to-face questionnaires. There were 5881 valid questionnaires with a response rate of 87%. A general linear model and structural equation model were developed to quantify the effects of lifestyle behaviors and environment factors on SHS.
resultsThe detection rates of general, physical, mental, and social SHS were 66.7, 67.0, 65.5, and 70.0%, respectively. Good lifestyle behaviors and favorable environment factors positively affected SHS (P < 0.001). Lifestyle behaviors had the largest effect on physical SHS (β = - 0.418), but the least on social SHS (β = - 0.274). Environment factors had the largest effect on mental SHS (β = 0.286), but the least on physical SHS (β = 0.225).
conclusionsLifestyle behaviors and environment factors were important influencing factors of SHS. Physical SHS was more associated with lifestyle. Lifestyle and environment were similarly associated with mental and social SHS.
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