贫困农村留守儿童卫生服务利用及影响因素分析  

Analysis of Health Services Utilization and Relative Influencing Factors of Left-behind Children in Poor Rural Areas

作　　者：赵苗苗[1] 孟庆跃[1] 李慧[1] 李军[2] 李林贵[3] 王翠丽[1] Stephen Nicholas 

机构地区：[1]山东大学卫生管理与政策研究中心,济南250012 [2]山东大学公共卫生学院,济南250012 [3]宁夏医科大学管理学院,银川750004 [4]澳大利亚纽卡斯尔大学商业与法律学院

出　　处：《中国卫生经济》2012年第3期45-47,共3页Chinese Health Economics

基　　金：美国中华医学基金会项目(CMB09-947)

摘　　要：目的:了解我国贫困农村地区留守儿童与非留守儿童卫生服务利用差异,探索制约卫生服务利用的原因,为提高贫困农村地区儿童健康公平性提供实证依据和政策建议。方法:采用分层整群抽样的方法对宁夏固原市2 017名儿童和其中1 474名儿童的家长进行问卷调查,并对部分家长进行访谈,获取儿童、家庭基本情况和儿童卫生服务利用等信息。结果:留守儿童与非留守儿童四周患病率分别为34.9%和30.6%,四周内患病儿童的就诊率分别为65.4%和80.3%。结论:与非留守儿童相比,贫困农村地区留守儿童卫生服务利用表现出"高患病率、低就诊率"的特点,家庭经济条件差是限制其卫生服务利用的关键因素。Objective： To realize health services utilization disparity between left＇behind children and non-left-behind children in poor rural areas in China, explore relative influencing factors and provide empirical evidence and policy suggestions to improve children＇s health equity in poor rural areas. Methods： Doing the stratified cluster sampling survey on 2 017 children in Guyuan, Ningxia Province, 1 474 corresponding household and children＇s health services utilization information and some qualitative interview information. Results： Prevalence rates of left-behind children and non-left-behind children in 4 weeks were 34.9% and 30.6% respectively, and visiting rates of people who were sick in last 4 weeks were 65.4% and 80.3% respectively. Conclusion： Left-behind children were much easier to get sick, but had less probability to get outpatient services than non,left-behind children in poor rural areas. Family financial difficulty was the vital factor, which limited health services utilization of left-behind Children.

关 键 词：留守儿童 卫生服务利用 家庭经济状况 

分 类 号：R197.1[医药卫生—卫生事业管理]