后扶贫时代宁夏农村抑郁人群健康贫困脆弱性及其影响因素分析  

Vulnerability of health poverty and influencing factors among depressed population in rural Ningxia in the post-poverty alleviation era

作　　者：李飞 孟浩东 杨娟 刘姗 乔慧[1,2] LI Fei;MENG Hao-dong;YANG Juan;LIU Shan;QIAO Hui(School of Public Health,Ningxia Medical University,Yinchuan,Ningxia 750004,China;不详)

机构地区：[1]宁夏医科大学公共卫生学院,宁夏回族自治区银川市750004 [2]宁夏环境因素与慢性病控制重点实验室

出　　处：《现代预防医学》2025年第4期660-666,741,共8页Modern Preventive Medicine

基　　金：国家自然科学基金资助项目(72164033);国家自然科学基金资助项目(72364031)。

摘　　要：目的研究宁夏农村抑郁人群健康贫困脆弱性及其影响因素,为推动健康防贫治理与实施提供理论依据。方法基于宁夏农村抑郁人群2022年健康数据调查,从抑郁人群的个人特征、健康水平、卫生服务、生活环境四个维度出发,选取与之相关的13个评价指标对宁夏农村抑郁人群的健康贫困脆弱性进行综合评价,通过二元logit回归分析找出其主要的影响因素,并通过Shapley分解法对结果进行量化估计。结果有8.49%的抑郁人群面临健康贫困脆弱的风险,年龄、家庭常住人口数、人均住房面积是健康贫困脆弱性的主要影响因素。Shapley分解结果显示,年龄(28.63%)对其贡献度最大。结论宁夏农村抑郁人群健康贫困脆弱性的影响因素多维复杂,为防止更多抑郁人群陷入健康贫困脆弱,当地政府应改善抑郁人群的生活环境,注重老年人群和家庭规模较大人群的健康状况,完善其医疗卫生服务和医疗保障制度,以降低宁夏抑郁人群的健康贫困脆弱性。Objective To study the vulnerability and influencing factors of health poverty among depressed people in rural Ningxia and to provide a theoretical basis for promoting the governance and implementation of health poverty prevention.Methods Based on the 2022 health data survey of depressed people in rural Ningxia,13 evaluation indicators related to the depressed population were selected from the four dimensions of personal characteristics,health level,health services and living environment of depressed populations,and the main influencing factors were identified through binary logit regression analysis,and the results were quantitatively estimated by Shapley decomposition method.Results 8.49%of the depressed population was at risk of health poverty vulnerability,and age,number of permanent family residents,and per capita housing area were the main influencing factors of health poverty vulnerability.The results of Shapley's decomposition showed that age(28.63%)contributed the most to it.Conclusion The influencing factors of health poverty vulnerability of depressed people in rural Ningxia are multidimensional and complex.In order to prevent more depressed people from falling into health poverty,the local government should improve the living environment of depressed people,pay attention to the health status of the elderly and those with large families,and improve their medical and health services and medical security system,so as to reduce the health poverty vulnerability of depressed people in Ningxia.

关 键 词：健康贫困脆弱性 抑郁症 后扶贫时代 影响因素 农村 

分 类 号：R749.4[医药卫生—神经病学与精神病学]