农村居民健康状况及卫生服务利用调查  

Health status and utilization of health service among rural residents

作　　者：赵晓磊[1] 王健[1] 

机构地区：[1]山东大学卫生管理政策研究中心,卫生部卫生经济与政策研究重点实验室,济南250012

出　　处：《中国公共卫生》2010年第5期622-624,共3页Chinese Journal of Public Health

摘　　要：目的了解并分析不同地区农村居民卫生服务利用情况及主要影响因素,完善我国农村公共卫生服务体系,提高农民健康水平。方法采用分层整群随机抽样方法抽取四川省安岳、安微省临泉、山东省曹县和茌平县4个县的2 499人进行入户调查;采用Excel和SPSS 13.0软件进行统计分析。结果4个县居民2周患病率为186.1‰,性别、年龄、文化、婚姻和收入均对其有影响;2周就诊率为113.4‰,影响因素为年龄、文化、婚姻和收入;年住院率为5.4%,性别为影响因素;多因素分析排除混杂因素后,居民患病以及就诊主要影响因素为年龄、文化程度和收入水平。结论增加农民收入,提高农民文化水平,完善新型农村合作医疗制度,有助于改善农村居民对卫生服务的利用。Objective To understand health status and to analyze the utitlization of health service and its key influencing factors among rural residents for improvement of public health service and residents＇ health in rural area.Methods A total of 2 499 participants were randomly chosen by stratified cluster sampling method from Anyue of Sichuan,Linquan of Anhui,Caoxian and Chiping of Shandong.Excel and SPSS 13.0 software were used to analyze the data.Results Two-weeks disease prevalence rate in the residents was 186.1‰ with the influencing factors of gender,age,education,marriage and income.Two-weeks medical care attendance rate was 113.4‰ with the influencing factors of age,education,marriage and income.The annual hospitalization rate was 5.4% with the only influencing factor of gender.After adjustment of confounding factors,the multivariate analysis showed that the key factors influencing the residents＇ illness and medical care seeking were gender,age,education and income level.Conclusion Increasing income level,enhancing education degree and perfecting the New Cooperative Medical Scheme could improve the utilization of health service in rural residents.

关 键 词：农村居民 卫生服务利用 2周患病率 

分 类 号：R181.37[医药卫生—流行病学]