济南市农村居民预防保健服务利用及其不平等分析  

Status and inequality of preventive healthcare service utilization among rural residents in Ji'nan municipality

作　　者：朱大伟 郭娜[3,4] 王健[5] 马豪[1,2] 

机构地区：[1]中国医学科学院卫生政策与管理研究中心卫生政策研究室,北京100020 [2]中国医学科学院医学信息研究所 [3]北京大学药学院 [4]北京大学医药管理国际研究中心 [5]山东大学公共卫生学院

出　　处：《中国公共卫生》2017年第7期1054-1057,共4页Chinese Journal of Public Health

基　　金：中央级公益性科研院所基本科研业务费(14R0108);国家博士后基金(2015M570908)

摘　　要：目的分析农村地区预防保健服务利用情况及其不平等因素。方法采用分层随机抽样方法,于2012年8月对山东省济南市3个县区6 525名农村居民进行入户问卷调查,采用集中指数及其分解法探讨农村地区预防保健服务利用情况及不平等因素。结果 6 525名农村居民4周预防保健服务利用率为6.93%,集中指数为0.062;主要利用的服务是一般健康检查(46.34%)、高血压筛查(23.50%)、查血(12.64%)和妇科检查(9.98%);性别、年龄、职业、慢性病患病以及收入是农村居民预防保健服务利用的影响因素(均P<0.05);收入、年龄、自评健康状况和慢性病患病对不平等的贡献较大,分别为158%、-73%、-9%和-7%。结论收入差距是导致农村地区预防保健服务利用不平等的主要因素,年龄和健康水平对不平等起到降低作用。Objective To analyze the status and inequality of preventive healthcare service utilization among rural residents and to explore the source of the inequality.Methods With stratified random sampling,6 525 residents were selected from 3 counties in Ji＇nan municipality for a household questionnaire survey in August 2012.Concentration index（CI）and decomposition of CI were used to analyze the status and inequality of preventive healthcare services utilization among the participants.Results Of the participants,6.39% reported utilization of preventive healthcare service during four weeks before the survey,with a CI of 0.062.The main services utilized by the participants were general health examination （46.34%）,hypertension screening （23.50%）,routine blood test （12.64%）,and gynecologic examination（9.98%）.Gender,age,occupation,whether with chronic disease,and income were significant influence factors for the utilization of preventive healthcare services （all P〈0.05）.Main contributors to the inequality of preventive healthcare service utilization were income,age,self-assessed health status,and with chronic disease,with the contribution rates of 158%,-73%,-9%,and -7%,respectively.Conclusion Inequality exists for the utilization of preventive healthcare service and income is a major positive contributor but age and health status are negative contributors to the inequality among the rural residents.

关 键 词：预防保健服务 公平性 集中指数 集中指数分解 

分 类 号：R197.62[医药卫生—卫生事业管理]