农村孕产妇死亡家庭因病致贫风险的特征分析  

Analysis on Characteristics of Households that Impoverished by Maternal Death

作　　者：叶芳[1] 奥登[1] 冯瑶[1] 徐艺翀[1] 王燕[1] 

机构地区：[1]北京大学公共卫生学院妇女与儿童青少年卫生学系,北京100191

出　　处：《中国卫生经济》2013年第12期24-26,共3页Chinese Health Economics

基　　金：世界卫生组织项目(2008/7929-0)

摘　　要：目的:对遭受孕产妇死亡的家庭所面临的因病致贫风险进行识别及特征分析,对我国农村地区发生孕产妇死亡的家庭有针对性的扶贫和保障工作的进行提供基础数据资料。方法:从2009年6月至2010年10月,对河北、河南和云南省农村地区共195户孕产妇死亡家庭(在知情同意后)进行了入户调查。采用灾难性费用的发生作为衡量因病致贫的风险,对比了不同特征的家庭发生灾难性费用的风险。结果:有56.2%的孕产妇死亡家庭发生了灾难性费用。其中支付能力越低,面临发生灾难性费用的比例越高;家庭规模偏大或偏小、非劳动力比例高、家中无60岁以上老人及家中有14岁以下儿童的家庭,发生灾难性费用的比例较高;家庭成员受教育程度低、成年男性成员比例低、农民成员比例高的家庭,其发生灾难性费用的比例较高。结论:支付能力低、家庭人口负担高和人力资本存量低的孕产妇死亡家庭,其面临灾难性费用的风险较高,政府扶贫工作应重点关注这部分家庭。Objective： To recognize on households that impoverished by maternal mortality and analyze the characteristics. It can provide basic data for target poverty alleviation and security work of households experienced maternal death in rural China. Methods： Data were collected form June 2009 to October 2010, with a sample of 195 households （after informed） experienced maternal deaths in rural areas of Hebei, Henan and Yunnan. It utilized catastrophic spending as measure of impoverished by illness, and compared risks of catastrophic spending among househohts with different characteristics. Results： There were 56.2% of households with maternal death experienced catastrophic spending. Among the samples, higher household capacity to pay was associated with lower risk of catastrophic spending. The higher or lower household size is, the lower non-labor force, without people aged beyond 60 in the family, hut with children under 14 years old as family member were associated with higher risk of catastrophic spending. The higher education level, the more male adult and fewer peasants as family members are associated with lower risk of catastrophic： spending. Conclusion： Households with poor capacity to pay, heavy population burden and low human capital reserve are the characteristics of households fall into poverty owing to maternal death. It is necessary to attract attention of government and society to the issue of poverty due to illness caused by maternal death in rural areas.

关 键 词：孕产妇死亡 灾难性费用 因病致贫 农村 

分 类 号：R172[医药卫生—妇幼卫生保健]