洪灾地区卫生服务供给效果及其影响因素分析  

Effect of health service and its influence factors in flood disaster areas

作　　者：陈梦施[1] 谭红专[1] 杨土保[1] 周价[1] 李硕颀[1] 刘爱忠[1] 

机构地区：[1]中南大学公共卫生学院流行病学与卫生统计学系,长沙410078

出　　处：《中南大学学报（医学版）》2008年第1期21-25,共5页Journal of Central South University ：Medical Science

基　　金：美国中华医学基金会资助项目(CMB98-689)~~

摘　　要：目的:研究洪灾地区卫生服务供给效果及其影响因素。方法:随机抽取洞庭湖区1998年发生过洪灾的55个乡镇作为研究单位,对该区的卫生服务供给效果以及影响因素进行分析。结果:调查地区法定传染病年报告总发病率为11.7‰,慢性病的患病率51.2‰,新生儿死亡率为10.2‰,婴儿死亡率为43.1‰,总死亡率为554.3/10万。人均卫生事业费投入与法定传染病报告发病率,婴儿死亡率以及总死亡率相关,受灾时间以及灾前人均收入对卫生服务效果有一定的影响。结论:加大灾区卫生事业费的投入,增加灾区居民收入,缩短被淹时间对灾区居民的健康将产生积极影响。Objective To explore the effect of health service and its influential factors in flood disaster areas. Methods Fifty-five towns were sampled randomly from Dongting Lake area suffering from flood in 1998. The health service level, effect, and its influence factors were investigated retrospectively. Results The incidence rate of notifiable infectious diseases was 11.7 ‰, prevalence rate of chronic disease was 51. 2‰, infant mortality rate was 43. 1‰, neonatal mortality rate was 10.2‰, and the total mortality rate was 554.3/100 000 in Dongting Lake area. The health investment level was significantly associated with the incidence rate of notifiable infectious diseases, the infant mortality rate, and total mortality rate. Duration of flood and income per capita were important factors for the effect of health investment. Conclusion Increasing health investment and residents＇ income in the flood disaster area, shortening the duration of flood would play positive role in residents＇ health in the flood disaster area.

关 键 词：洪灾 卫生服务 横断面研究 多元线性回归分析 

分 类 号：R197.1[医药卫生—卫生事业管理]