我国主要心血管病死亡公平性分析  

Analysis of The Death Equity of Major Cardiovascular Diseases in China

作　　者：吴晓燕 杨莉[1] Wu Xiaoyan(School of Public Health,Peking University,Beijing,P.R.China)

机构地区：[1]北京大学公共卫生学院,北京100191

出　　处：《中国卫生事业管理》2020年第12期953-957,共5页Chinese Health Service Management

基　　金：国家自然科学基金面上项目(71273016,71673004)。

摘　　要：目的:分析评价我国主要心血管病死亡公平性。方法:描述我国2005-2017年全国、东中西部地区及31省市自治区脑卒中和缺血性心脏病的死亡情况,应用集中指数和泰尔指数测量死亡的公平性及变化趋势。结果:我国主要心血管病尤其脑卒中的死亡仍处于较高水平且地区及省际间存在较大差异;贫困省份人群死亡水平更高且与富裕省份间的差距逐年增大;地区内尤其东部地区内部不公平性是总体不公平性的主要来源。结论:我国主要心血管病死亡存在地区性差异,存在不公平现象。政府应当基于人群健康状况,优先将资源投向重点省份重点病种,注重促进地区经济发展,缩小贫富差距,改善健康不公平现象。Objective To evaluate the death equity of major cardiovascular diseases in China. Methods The mortality of cardiovascular diseases in China from 2005 to 2017 was descriptively analyzed. And the death equity and changing trend was studied with concentration index and Theil index. Results The mortality of major cardiovascular diseases, especially stroke, was still at a high level in China, which had significant differences among different regions and provinces. The difference of mortality from cardiovascular diseases between poor and rich provinces kept increasing. The unfairness in different regions, especially in the internal eastern region, was the main source of the overall unfairness. Conclusion There had regional differences of death from major cardiovascular diseases in China. It is suggested for the government to give priority to allocating resources to key provinces and key diseases, focus on promoting regional economic development to narrow the gap between the rich and the poor, and improve health equities.

关 键 词：脑卒中 缺血性心脏病 死亡 公平性 集中指数 泰尔指数 

分 类 号：C446[社会学]