内蒙古城乡慢性病流行现状对卫生服务利用的影响  

The impact of multiple chronic conditions on health services utilization in urban and rural areas in Inner Mongolia

作　　者：梁丹艳 尹韶华[1] 杜茂林[1] 舒薇[1] 王成亮 郑会秋[1] 王学梅[1] 

机构地区：[1]内蒙古医科大学,内蒙古呼和浩特010000 [2]内蒙古自治区卫生和计划委员会,内蒙古呼和浩特010000

出　　处：《现代预防医学》2017年第2期250-254,共5页Modern Preventive Medicine

基　　金：内蒙古医科大学科技百万工程项目(编号:YKD2013KJBW006)

摘　　要：目的了解内蒙古城乡居民慢性病患病情况对卫生服务利用的影响。方法本研究为横断面调查,采用多阶段分层整群随机抽样,单因素采用t检验、χ2检验,多因素采用Logistic回归分析。结果高血压、胆结石胆囊炎患病率在城乡之间无差异,糖尿病、缺血性心脏病患病率城市高于乡镇。脑血管疾病、COPD等5种慢性病患病率乡镇高于城市。城市和乡镇居民年龄越大、合并慢性病数量越多,两周就诊率、住院率越高。乡镇居民中,民族影响两周就诊率(OR=1.690)、住院率(OR=1.737),BMI影响住院率(OR=1.470)。贫困影响城市居民住院率(OR=4.010)。结论内蒙古自治区慢性病患病率较高,卫生服务利用低于我国经济发达地区,但城乡老年慢性病患者卫生服务利用相对较高。尤其是城市老年及贫困慢性病患者,乡镇中少数民族体重偏瘦的老年慢性病患者有较高的卫生服务利用。Objective The aim of this study was to explore multiple chronic conditions influencing health services utilization in urban and rural areas. Methods Multistage stratified cluster random sampling, t-test, chi-square test and logistic regression analysis were used in this study. Results Between urban and rural areas, the prevalence of hypertension and cholecystitis had no difference （P=0.068, P=0.178）. The prevalence of diabetes and ischemic heart disease in urban was higher than the in rural area （P〈0.01）. The prevalence of cerebrovascular disease and COPD in rural was higher than that in urban area （P〈0.01）. Multiple chronic conditions and age influenced the two-week visiting rate and hospitalization rate of urban and rural residents. In rural area, ethnic influenced two-week visiting rate （OR=1.690） and hospitalization rate （OR= 1.737）. BMI influenced hospitalization rate （OR=1.470）. In urban area, poverty influenced hospitalization rate （OR=4.010）. Conclusion There was high prevalence of chronic diseases in Inner Mongolia autonomous region. Health services utilization was lower than other economically developed areas in China. In urban and rural areas, older patients with multiple chronic conditions had high health services utilization. Especially, older and poor patients with multiple chronic conditions in urban area, BMI minority patients with multiple chronic conditions in rural low BMI, had higher health care utilization.

关 键 词：内蒙古自治区 慢性病 卫生服务利用 

分 类 号：R195.1[医药卫生—卫生统计学]