2007年富民县参加新型农村合作医疗农民两周患病率及其影响因素分析  

Analysis of the Influence Factors of Two-week Sickness Rate of the Rural Residents in Fuming County in 2007

作　　者：何利平[1] 罗家洪[1] 李晓梅[1] 喻箴[1] 毛勇[1] 

机构地区：[1]昆明医学院卫生统计教研室,云南昆明650031

出　　处：《预防医学论坛》2009年第4期289-290,295,共3页Preventive Medicine Tribune

基　　金：云南省自然科学基金项目(2004C0045M);昆明市卫生局科研基金资助(200605)

摘　　要：[目的]了解富民县参加新型农村合作医疗（新农合）农民两周患病率及其影响因素。[方法]2007年1月,在富民县抽取583名参加新农合的农民进行调查,并用非条件Logistic回归分析其影响因素。[结果]调查583人,两周内患病的81人,两周患病率为13.89%。两周患病率,男性与女性分别为12.54%、15.20%,0-9岁、10-19岁、20-39岁、40-59岁、≥60岁分别为14.04%、17.14%、11.89%、13.02%、16.67%,汉族与少数民族分别为14.11%、9.09%,文盲、小学、初中、高中以上文化者分别为13.28%、16.75%、15.52%、4.88%,农民、其他人群分别为13.16%、15.95%,人均收入800元以下8、00-1 499元、1 500-2 149元2、150-3 666元、≥3 667元者分别为15.89%、15.24%、14.18%、12.40%、13.46%,未婚的、在婚的与离婚丧偶的分别为12.57%、14.77%、10.71%,家庭人口数为1-3人、4-5人、≥6人者分别为17.47%、14.24%、7.87%,差异均无统计学意义（P〉0.05）;患慢性病的为34.78%,未患慢性病的为13.04%（P〈0.01）。非条件Logistic回归分析结果,影响两周患病率的因素有家庭人口数、是否患慢性病和文化程度。[结论]富民县参合农民两周患病率处于一般水平,家庭人口数少、患慢性病、文化程度低的参合农民两周患病率较高。[Objective]To understand the influence factors of two-week sickness rate of farmers of participating new rural cooperative medical system（abbr. NRCMS） in Fumin county. [Methods]583 farmers participating NRCMS in Fumin county in January, 2007 were investigated, the influence factors were analyzed with Chi-square test and non-conditional Logistic regression. [Results]Of the 583 persons investigated, there were 81 sick persons within two weeks, and the two-week sickness rate was 13.89%. The two-week sickness rate of man and women were 12.54% and 15.20% ;and the rate was 14.04% ,17. 14%0,11.89% ,13.02% ,16.67% respectively among different aged groups： 0-9,10-19,20-39,40-59,and over 59;the rate was 14. 11% and 9.09% between the Han nationality and the minority; the rate was 13.28%, 16.75% , 15.52 %, 4.88 % respectively among different levels of education： illiteracy, elementary school,junior high school and senior high school; the rate was 13.16% and 15.95% between the farmers and others; the rate was 15.89%, 15.24%, 14.18%, 12.40 %, 13.46 % respectively among different average annum income groups： lower than 800 yuan, 800-, 1 500-, 2 150-and higher than 3 666 yuan; and the rate was 12.57 %, 14.77%, 10.71% respectively among unmarried, married, divorced and the persons who bereft of his or her spouse,the rate was 17.47% ,14.24% ,7.87% respectively among different family size.. 1-3 persons, 4-5 persons, more than 5 persons, there was no difference （ P 〉 0.05）. The rate was 34.78 %, 13.04% respectively between the persons suffering from chronic diseases and not suffering from chronic diseases （ P 〈0.01）. The findings of non-conditional Logistic regression analysis showed that the following factors influence the two-week sickness rate： family size, the situation whether suffering from chronic diseases or not, and educational level. [Conclusion]The two-week sickness rate of farmers participating NRCMS in Fumin county was general. It was higher among the farmers participating NRCMS with small f

关 键 词：新型农村合作医疗 两周患病率 影响因素 非条件LOGISTIC回归 

分 类 号：R195.4[医药卫生—卫生统计学]