基于安德森模型的农村妇女住院服务利用现状及影响因素研究  

Status quo and influencing factors of rural women’s inpatient service utilization based on Anderson Model

作　　者：肖文文 彭宁得 谢永鑫 乔慧 XIAO Wenwen;PENG Ninde;XIE Yongxin;QIAO Hui(School of Nursing,Ningxia Medical University,Yinchuan,Ningxia 750004,China;不详)

机构地区：[1]宁夏医科大学护理学院,宁夏银川750004 [2]吴忠市疾病预防控制中心 [3]宁夏医科大学公共卫生学院 [4]宁夏环境因素与慢性病控制重点实验室

出　　处：《中国农村卫生事业管理》2025年第2期91-95,102,共6页Chinese Rural Health Service Administration

基　　金：国家自然科学基金项目(72364031,72164033,72264032);宁夏医科大学校级科研项目(XM2022207)。

摘　　要：目的了解宁夏农村妇女住院服务利用现状及影响因素,为当地农村妇女住院服务利用卫生政策的制定提供数据支持和科学依据。方法采取多阶段分层整群随机抽样方法,调查2022年宁夏农村4县共17456名农村妇女的人口学特征及住院服务利用情况,结合安德森模型分析农村妇女住院服务利用现状及影响因素。结果宁夏农村妇女住院率为12.0%;年龄为36~59岁(OR=1.688,95%CI=1.357-2.099)和≥60岁(OR=3.006,95%CI=2.404-3.760)、在婚(OR=1.279,95%CI=1.099-1.488)、人均年收入在8000~15000元(OR=1.197,95%CI=1.060-1.352)和>15000元(OR=1.520,95%CI=1.345-1.719)、自感健康状况中等(OR=1.903,95%CI=1.670-2.169)和差(OR=3.603,95%CI=3.151-4.119)以及患有慢性病(OR=1.953,95%CI=1.745-2.185)是农村妇女住院服务利于的危险因素;文化程度为初中(OR=0.787,95%CI=0.683-0.908)和高中及以上(OR=0.474,95%CI=0.374-0.601)是农村妇女住院服务利于的保护因素。结论需求因素和能力资源的影响较大。更应关注当地患有慢性病、自感健康状况较差、收入较低、年龄较大的妇女。Objective To know about the current status and influencing factors of inpatient service utilization of rural women in Ningxia,and to provide data support and scientific basis for the formulation of health policies on inpatient service utilization of rural women.Methods A multi-stage stratified cluster random sampling method was used to investigate the demographic characteristics and inpatient service utilization of 17456 rural women in four rural counties of Ningxia in 2022,and Anderson model was constructed to analyze the current status of inpatient service utilization of rural women and its influencing factors.Results The hospitalization rate of rural women in Ningxia was 12.0%.The risk factors for rural women is utilization of hospital services included ages of 36-59 years old(OR=1.688,95%CI=1.357-2.099)and≥60 years old(OR=3.006,95%CI=2.404-3.760),married(OR=1.279,95%CI=1.099-1.488),per capital annual income of 8000-15000 yuan(OR=1.197,95%CI=1.060-1.352)and>15000 yuan(OR=1.520,95%CI=1.345-1.719),self-perceived health status as moderate(OR=1.903,95%CI=1.670-2.169)and poor(OR=3.603,95%CI=3.151-4.119),and having chronic diseases(OR=1.953,95%CI=1.745-2.185);while protective factors included educational attainment of junior high school(OR=0.787,95%CI=0.683-0.908)and high school or above(OR=0.474,95%CI=0.374-0.601).Conclusions Demand factors and capacity resources have great influence.More attention should be paid to local women with chronic diseases,perceived poor health,lower income and older age.

关 键 词：农村妇女 住院服务利用 健康需要 安德森模型 

分 类 号：R17[医药卫生—妇幼卫生保健]