边疆少数民族地区老年人健康公平性研究  

The study of health equity among the elderly in border minority areas

作　　者：何利平 喻箴 孟琼 吴騻 母凤婷 李晓梅 HE Li-ping;YU Zhen;MENG Qiong;WU Shuang;MU Feng-ting;LI Xiao-mei(School of public health,Kunming Medical University,Kunming Yunnan 650500,China)

机构地区：[1]昆明医科大学公共卫生学院

出　　处：《卫生软科学》2019年第8期31-35,共5页Soft Science of Health

基　　金：国家自然科学基金:卫生服务公平性及其在云南省的应用研究(81160364)

摘　　要：[目的]了解边疆少数民族地区老年人的健康状况及影响因素,评价老年人健康公平性。[方法]采用分层随机整群抽样调查了云南省4284名60岁及以上老年人。用χ2检验和Logistic回归分析影响因素,用集中指数评价公平性。[结果]调查对象的两周患病率为9.9%,慢性病患病率为36.6%,需住院率19.2%;家庭人口多是两周患病和慢性病患病的保护因素;患慢性病是两周患病和需住院的危险因素;女性慢性病患病率和需住院率高于男性。不同收入老年人的两周患病和慢性病患病的集中指数均为负值,需住院的集中指数为正值。不同文化程度的相关健康指标的集中指数均为负值。[结论]边疆少数民族地区老年人健康状况一般。经济因素和文化程度均影响着健康的公平性。应加强对女性、低收入和低文化程度老年人群的关注。Objective To understand health status and influencing factors of the elderly in border minority areas,and evaluate health equity. Methods Stratified random sampling method was used to investigate 4284 residents aged 60 and above in Yunnan province.χ 2 test and logistic regression were used to analyze the influence factors of health. Concentration index(CI) was used to assess the equity of health. Results The two-week prevalence rate of the respondents was 9.9%,the prevalence rate of chronic diseases was 36.6%,the required hospitalization rate was 19.2%. Large number of family members was protective factor of two-week prevalence and chronic disease. Chronic disease was risk factor of two-week prevalence and hospitalization. The prevalence rate of chronic diseases and needed hospitalization rate of female were higher than male s. The CIs of the two-week prevalence rate and the prevalence rate of chronic diseases among the elderly with different incomes were negative,while the CI of the needed hospitalization rate was positive. The CIs reflecting health status among the elderly with different education levels were negative. Conclusions The health status of the elderly in border minority areas is at a general level. Both household economic and educational level are influencing health equity. More attention should pay to female,low income and low educational level elderly in Yunnan province.

关 键 词：老年人 健康公平性 少数民族 边疆地区 

分 类 号：R195[医药卫生—卫生统计学]