Abstract: Background　The sub-health of urban residents has become a major problem facing China nowadays.Although proper management evaluations and personalized prevention can help reduce the incidence of sub-health，there is lack of effective methods for diagnosing sub-health status because sub-health has no obvious clinical symptoms causing difficulty to reach a consensus in actual diagnosis and different evaluation standards. Objective　To make exploratory establishment of the norms of Sub-Health Measurement Scale Version 1.0（SHMS V1.0）for Harbin urban residents. Methods　From April to August of 2018，stratified random sampling method was used to select 1 600 urban residents from four districts in Harbin to accept SHMS V1.0
questionnaire test，including Nangang District，Daoli District，Dao wai District and Xiangfang District. The mean norm，percentile norm and demarcation norm were established according to different gender and age groups. Results　A total of 1 538（96.13%） questionnaires of Harbin urban residents were received effectively. The mean norms of SHMS V1.0 total scores were（65.79±11.74） while the physical，mental and social scores（GS） in Harbin urban residents were（68.55±12.83），（66.16±14.30），（60.99±15.44）；The mean and percentile norms of total，physical，mental and social sub-health of Chinese urban residents were established according to gender and different age groups（14-24，25-39，40-49，50-59 and ≥60 years）；The threshold norms of SHMS V1.0 was divided as 5 health states，namely disease，severe sub-health，moderate sub health，mild sub-health and healthy states according to the（±s） and （±0.5s） of the converted scores.According to the demarcation norm，the detection rate of sub-health of urban residents in Harbin is 65.73%（1 011/1 538）. Conclusion　This study has initially constructed the SHMS V1.0 norm for urban residents in Harbin，which is convenient for health screening and provides scientific theoretical basis for the study of sub-health status and influencing factors of the population.

Key words: Urban residents, Sub-Health Measurement Scale Version 1.0, Sub-health status, Norms, Harbin

摘要： 背景　城镇居民亚健康问题已成为中国面临的重要公共卫生问题，有效的管理评估及个性化预防有助于降低亚健康发生率。但是，由于亚健康无明显临床症状，在实际诊察中难以达成共识，评定标准不一，目前仍缺乏判断亚健康状态的有效工具。目的　探索性建立哈尔滨市城镇居民不同性别、不同年龄的亚健康评定量表（SHMS V1.0）常模，为进一步研究哈尔滨市城镇居民亚健康状态提供科学依据。方法　2018年4—8月，采用多阶段分层随机抽样方法选取哈尔滨市的4个区，包括南岗区、道里区、道外区、香坊区共计1 600例城镇居民进行SHMS V1.0问卷测评，以不同性别、年龄组分别构建哈尔滨市城镇居民SHMS V1.0均数常模、百分位常模、划界常模，并计算亚健康检出率。结果　共1 538例（96.13%）哈尔滨市城镇居民问卷得到有效回收。哈尔滨市城镇居民SHMS V1.0的总分为（65.79±11.74）分，生理、心理、社会亚健康得分分别为（68.55±12.83）、（66.16±14.30）、（60.99±15.44）分；以不同性别、年龄（14~24、25~39、40~49、50~59、≥60岁）为界点，建立了哈尔滨市城镇居民SHMS V1.0的均数常模、百分位常模；以（±s）（±0.5s）为界点，根据个体的SHMS V1.0得分区分为疾病、重度亚健康、中度亚健康、轻度亚健康、健康；根据划界常模计算，哈尔滨市城镇居民亚健康检出率为65.73%（1 011/1 538）。结论　本研究初步构建了哈尔滨市城镇居民的SHMS V1.0常模，便于开展健康筛查工作，可以为研究该人群的亚健康状况及影响因素提供科学的理论依据。

关键词: 城镇居民, 亚健康评定量表, 亚健康状态, 常模, 哈尔滨