农村贫困家庭户主健康风险认知与行为分析  

Analysis on Knowledge and Behavior Toward Health Related Risks Among Poor Rural Family Heads

作　　者：马敬东[1] 张亮[1] 张翔[1] 胡洋[1] 

机构地区：[1]华中科技大学同济医学院医药卫生管理学院,武汉430030

出　　处：《中国卫生经济》2007年第5期40-43,共4页Chinese Health Economics

基　　金：国家自然科学基金资助项目--中国西部农村贫困家庭健康风险模型与风险管理研究(项目编号:70473010)。

摘　　要：目的:了解农村贫困家庭户主对健康风险的认知及其行为模式,并讨论其背后的政策含义。方法:选取重庆市黔江区9个乡的431户贫困户作为样本,进行问卷调查。调查分析采用描述性统计学方法计算率比。结果:农村贫困家庭户主对健康风险产生的原因的认知存在一定的局限,其应对行为包含了变卖、借债、借贷和寻求救济等。在其风险分担机制方面同时存在非正式的社会网络和正式的风险分担机制。前者以族人、邻居和亲戚为核心;后者包括了新型农村合作医疗和特困医疗救助。结论:农村贫困家庭户主对健康风险的认识存在着某种程度的不足,其风险应对行为模式中的非正式机制与正式机制并存的局面将长期存在,农村贫困家庭的健康风险管理需要一个综合性的制度框架。Object： To explore the knowledge and behavior toward health related risks among heads in poor rural families, and discuss the potential policy implication. Method： 431 poor families were selected as sample in Qianjiang, Chongqing city. The respondents were interviewed by a questionnaire. Descriptive statistical technologies were employed to analysis. Result： The knowledge toward health related risks hooded by poor rural family head limited in one or more aspects. And the behavior model comprised selling property, borrowing, loaning, and seeking for public assistance. In the risk-sharing model, informal social network and formal risk sharing mechanisms co-existed. The former mainly based on extended family members, neighbors and relatives; the latter included new medical cooperative system and medical assistance scheme. Conclusion： Health related risk management for poor rural families need a integrated framework.

关 键 词：认知与行为 健康风险 贫困家庭 农村 

分 类 号：R195[医药卫生—卫生统计学]