同心县农村居民两周患病及住院影响因素分析

目的了解同心县农村居民两周患病及住院卫生服务利用情况,为相关决策部门制定相应的政策提出意见和建议。方法采用多阶段分层随机抽样方法入户调查宁夏同心县10个乡镇共52个村庄1040户共5001人,分析农村居民两周患病及住院卫生服务利用情况。结果宁夏同心县农村居民两周患病率为13.3%,慢性病患病率为13.5%,两周患病率女性(15.2%)高于男性(11.6%);回族为14.4%,高于其他民族;60岁以上年龄组两周患病率最高(21.4%);在婚、离婚和丧偶人群两周患病率均高于未婚人群的两周患病率(9.8%)。文化程度以文盲人群两周患病率最高,为18.9%,高中及以上人群的两周患病率最低(5.0%);家庭年均收入小于8000元的人群两周患病率最高16.7%。不同性别、年龄、婚姻状况、文化程度,家庭年均收入居民两周患病率差异均有统计学意义(P<0.05)。同心县居民住院率为7.5%,年龄、婚姻状况、文化程度、家庭年均收入水平均影响农村居民住院卫生服务利用率。结论同心县农村居民健康状况好于全国平均水平,住院卫生服务利用率处于较低水平,经济困难是制约住院卫生服务利用的主要因素。女性、老年人、经济困难人群是住院卫生服务利用重点提高人群。

Two- week Prevalence and Hospitalization Health Service Utilization Status in Rural Residents of Tongxin in Ningxia

Objective To analyze the two- week prevalence and the hospitalization health service Utilization status of the rural residents in Tongxin County. Methods A cluster stratified random sampling was used to collect 1026 rural families from 52 villages of 10 township in Tongxin County,and a total of 5001 peoples were investigated. Results The two- week prevalence and chronic prevalence of rural residents were 13. 3% and 13. 5%,respectively. The two- week prevalence rate for females( 15. 2%) was higher than that for boys( 11. 6%),and Hui ethnicities had higher two- week prevalence than that of others. The prevalence rate in residents aged 60- years and over was the highest( 21. 4%). The married and divorced or widowed residents showed higher prevalence than that in unmarried group. The illiterate residents had the highest prevalence( 18. 9%),and the lowest prevalence was in higher education people( 5. 0%). The residents whose family pre year incomes under 8000 yuan had the highest two- week rate,which rate was 16. 7%. The prevalence rate among different group of sex,age,marital status,education and family income level had significantly statistical difference( P < 0. 05). The rate of hospitalization health service utilization was 7. 5%,which were influenced by age,marital status,education and family income level. Conclusion The rural residents in Tongxin county has low two- week prevalence and high rate of hospitalization health service utilization. The poor economic situation was the main influencing factor. The residents who were female,old people,poor economic setuation need increase the rate of health service utilization.