南疆农村地区居民因病致贫现状及影响因素分析  

Analysis of the Current Situation and Influencing Factors of Poverty Caused by Diseases in Rural Areas of South Xinjiang

作　　者：余彪 闫小龙[1] 陈钦 骆凡卉 李源凤 佘冰洋 朱梅珍 郭苏燕 李珂[1] YU Biao;YAN Xiao-long;CHEN Qin;LUO Fan-hui;LI Yuan-feng;SHE Bing-yang;ZHU Mei-zhen;GUO Su-yan;LI Ke(Department of Preventive Medicine,Shihezi University School of Medicine,Xinjiang Shihezi,832002)

机构地区：[1]石河子大学医学院预防医学系,新疆石河子832002

出　　处：《农垦医学》2023年第2期151-156,共6页Journal of Nongken Medicine

基　　金：新疆生产建设兵团科技计划项目(2018CD005);2021年国家级大学生创新创业训练计划项目(202110759025);石河子大学校级自主资助项目(ZZZ201810A)。

摘　　要：目的:了解南疆农村居民因病致贫的现状,分析因病致贫的影响因素,为继续健康扶贫政策的制定提供科学依据。方法:采用多阶段分层整群随机抽样的方式,抽取新疆维吾尔自治区南疆四地州19个贫困县195位贫困居民为研究对象进行问卷调查,分析南疆农村地区2019年间因病致贫情况及其特征分布,并通过χ^(2)检验、非条件Logistic回归模型分析因病致贫的影响因素。结果:南疆农村居民贫困人口中因病致贫比例为42.6%,劳动力减少导致收入降低是因病致贫主要原因;因病致贫者中主要的致贫疾病依次为高血压(42.2%)、肺结核(37.3%)、糖尿病(19.3%)、恶性肿瘤(18.1%)及类风湿关节炎(13.3%);家庭年均支出类型(OR=114.413,95%CI(16.476~794.492),P<0.05)、家庭劳动力人数(OR=0.051,95%CI(0.008,0.338),P<0.05)以及家庭中65岁及以上老人数(OR=0.070,95%CI(0.008,0.657),P<0.05)是因病致贫的影响因素。结论:南疆农村居民因病致贫比例较高,慢性疾病及重大疾病是居民主要的致贫疾病;医疗扶贫应注意采取针对性措施防范重点疾病,减轻农村居民负担。Objective:To understand the current situation of poverty caused by diseases among rural residents in southern Xinjiang,and to analyze the influencing factors of poverty caused by diseases,so as to provide a scientific basis for the formulation of healthy poverty alleviation policies.Methods:Using the method of multi-stage stratified cluster random sampling,195 poor residents from 19 poor counties in the four prefectures in southern Xinjiang were selected for questionnaire survey to analyze the situation and characteristic distribution of poverty caused by diseases in rural areas of southern Xinjiang in 2019,and the influencing factors of poverty caused by diseases were analyzed byχ^(2)-test and unconditional logistic regression model.Results:The proportion of poverty caused by diseases in the poor population of rural residents in southern Xinjiang is 42.6%.The reduction of income caused by the reduction of labor force is the main cause of poverty caused by diseases.The main poverty-causing diseases caused by disease were hypertension(42.2%),pulmonary tuberculosis(37.3%),diabetes(19.3%),malignant tumor(18.1%)and rheumatoid arthritis(13.3%).Family average annual spending on poverty(OR:114.413,95%CI:16.476~794.492),the number of family labor force(OR:0.051,95%CI:0.008~0.338),the number of people aged 65 and above in the family(OR:0.070,95%CI:0.008~0.657)are the influencing factors of poverty caused by diseases.Conclusions:There is a high proportion of poverty caused by diseases among rural residents in southern Xinjiang,and chronic diseases and major diseases are the main poverty-causing diseases of rural residents.Medical poverty alleviation should pay attention to taking targeted measures to prevent key diseases and lighten the burden of rural residents.

关 键 词：疾病 贫困 因病致贫 影响因素 

分 类 号：F323.89[经济管理—产业经济]