因病致贫人群的患病状况调查  

Disease status of illness-induced poverty-stricken population

作　　者：吴姝丽 靳传娣 王洪娜 李云霞[2,3] 张黎黎 Shuli WU;Chuandi JIN;Hongna WANG;Yunxia LI;Lili ZHANG(Shandong Health Publicity and Education Center, Jinan 250002, Shandong, China;Healthcare Big Data Institue of Shandong University, Jinan 250002, Shandong, China;Department of Biostatistics, School of Public Health, Shandong University, Jinan 250012, Shandong, China;Statistical Information Center of National Health Commission, Beijing 100041, China)

机构地区：[1]山东省卫生健康宣传教育中心,山东济南250002 [2]山东大学健康医疗大数据研究院,山东济南250002 [3]山东大学公共卫生学院生物统计学系,山东济南250012 [4]国家卫生健康委统计信息中心,北京100041

出　　处：《山东大学学报（医学版）》2019年第8期103-109,共7页Journal of Shandong University:Health Sciences

摘　　要：目的对山东省因病致贫人群的患病状况进行调查,为精准扶贫提供基础数据和决策依据。方法采用现况调查的研究方法,依据“五步筛查法”对山东省因病致贫人口的一般人口学特征、患病情况进行描述。利用卡方检验和非条件多因素Logistic回归进行统计学分析。结果截止到2017年底,山东省因病致贫总人口共计102 731人,核实患病的因病致贫人口为42 446人,因病致贫总人口的患病率为41.32%。男性、汉族、受教育程度低和年龄增长均为因病致贫人口患病的风险因素(P<0.001)。因病致贫人口患病率前10位的疾病分别为高血压(10.28%)、脑血管病(7.70%)、冠心病(4.51%)、重性精神疾病(4.14%)、糖尿病(3.33%)、慢性阻塞性肺气肿(2.05%)、髋膝关节病(1.44%)、类风湿关节炎(1.05%)、重型老年慢性支气管炎(0.71%)及老年性白内障(0.59%),其患病人数占总患病人数的86.70%。结论老年人群为山东省因病致贫的主体对象,患病率前10位的疾病为主要致贫疾病。Objective To investigate the disease status of illness-induced poverty-stricken population and to offer the basis for the government decision. Methods This cross-sectional study investigated the disease status of the illness-induced poverty-stricken population in Shandong Province using the "five-step screening method". Data including the demographic characteristics and disease status were collected and analyzed. Statistical analysis was performed using general descriptive statistics, chi-square tests and unconditional multivariate Logistic regression analysis. Results There were 102 731 illness-induced poverty-stricken individuals in Shandong Province by the end of 2017. A total of 42 446 individuals were confirmed to be diseased, and the prevalence rate of illness-induced poverty-stricken population was 41.32%. Males, Han nationality, low levels of education and age increase were risk factors for the disease risk of illness-induced poverty-stricken population(P<0.001). The top 10 diseases(sorted by prevalence rate) were hypertension(10.28%), cerebrovascular disease(7.70%), coronary heart disease(4.51%), severe mental illness(4.14%), diabetes(3.33%), chronic obstructive emphysema(2.05%), joint disease of hip and knee(1.44%), rheumatoid arthritis(1.05%), severe senile chronic bronchitis(0.71%) and senile cataract(0.59%). These 10 diseases were all chronic diseases and the number of patients suffered from which accounted for 86.70% of the total number of patients. Conclusion The elderly population was the main target of illness-induced poverty-stricken population in Shandong Province, and the top 10 diseases were the main poverty-stricken diseases.

关 键 词：因病致贫人群 患病率 精准扶贫 慢性病 人口学特征 

分 类 号：R195[医药卫生—卫生统计学]