宁夏中老年慢性病家庭灾难性卫生支出发生风险及影响因素分析  

Risk and influencing factors of catastrophic health expenditure in middle-aged and elderly population with chronic diseases in Ningxia

作　　者：李月 党媛媛 杨晓花 马春芳 汤榕 LI Yue;DANG Yuanyuan;YANG Xiaohua;MA Chunfang;TANG Rong(School of Public Health and Management,Ningxia Medical University,Yinchuan,Ningxia 750004,China)

机构地区：[1]宁夏医科大学公共卫生与管理学院,宁夏银川750004

出　　处：《中国农村卫生事业管理》2023年第6期419-423,435,共6页Chinese Rural Health Service Administration

基　　金：宁夏自然科学基金项目(2022AAC03212)。

摘　　要：目的 分析2022年宁夏中老年慢性病家庭发生灾难性卫生支出的风险并探究其影响因素,为提高慢性病家庭抵御疾病经济风险的能力提供依据。方法 利用多阶段分层随机抽样方法开展现场问卷调查,以宁夏774个中老年慢性病家庭作为研究对象,以家庭灾难性卫生支出发生率、相对差距、平均差距作为评价指标衡量中老年慢性病家庭发生灾难性卫生支出的风险,在Logit回归模型的基础上利用边际效应分析其影响因素。结果 在10%、15%、25%、40%的界定标准下,宁夏中老年慢性病家庭灾难性卫生支出的发生率分别为58.26%、55.17%、50.64%、45.10%;农村慢性病家庭发生CHE的概率相较于城市提高10.94%,当家中慢性病患者人数为2人、3人及以上时其家庭发生CHE的概率分别增加20.58%、24.93%,家中有60岁及以上老人可使家庭发生CHE的概率提升13.10%。结论 宁夏中老年慢性病家庭发生灾难性卫生支出的风险较高,居住在农村地区、家中慢性病患者人数越多、家中有60岁及以上老人的家庭较易发生灾难性卫生支出。Objective To analyze the risk and influencing factors of catastrophic health expenditure in mid-dle-aged and elderly population with chronic diseases in Ningxia in 2022,and to provide basis for improving the a-bility of families to handleeconomic risk of diseases.Methods Multi-stage stratified random sampling method was used to conduct a questionnaire survey among 774 families of middle-aged and elderly population with chronic dis-easesin the NingxiaHui Autonomous Region.The incidence rate,relative gap and average gap of catastrophic health expenditure were used as evaluation indicators to measure the risk of catastrophic health expenditure.And marginal effect was used to analyze its influencing factors based on Logit model.Results Under the definition standards of 10%,15%,25%and 40%,the incidence rates of catastrophic health expenditure of families of middle-aged and elderly population with chronic diseases were 58.26%,55.17%,50.64%and 45.10%,re-spectively.The probability of catastrophic health expenditure in rural families with chronic disease population was increased by 10.94%compared with urban families.The probability of catastrophic health expenditure would in-crease by 20.58%and 24.93%when there are two,three or more chronic disease patients in the family.Having elderly people aged 60 or above in the family could increase the probability of catastrophic health expenditure in the family by 13.10%.Conclusions The risk of catastrophic health expenditure in families of middle-aged and elderly population with chronic diseases in Ningxia is high.Families living in rural areas,having more patients with chronic diseases,and having elderly people aged 60 and above are more likely to have catastrophic health expenditure.

关 键 词：中老年 慢性病 灾难性卫生支出 疾病经济风险 边际效应 影响因素 

分 类 号：R19[医药卫生—卫生事业管理]