摘要
目的:了解贫困农村地区慢性病患者家庭健康风险状况,为政府采取相应的干预策略提供依据。方法:应用慢性病患病率、罹患慢性病家庭构成比和灾害性卫生支出作为分析指标,统计方法包括描述性统计、t检验和卡方检验。结果:(1)调查样本38.8%的家庭有成员患有慢性病,贫困家庭中这一比例(43.1%)显著性地高于非贫困家庭;(2)有慢性病患者的家庭人均年度卫生支出与那些没有慢性病患者的家庭之间的差别没有统计学意义;(3)有慢性病患者的家庭1年内发生灾害性卫生支出的比例高达24.4%,显著高于那些没有慢性病患者的家庭;但将贫困作为一个分层因素后进行统计学检验,发现这一现象仅仅存在于贫困家庭。结论:慢性病已经成为农村贫困地区最为主要的健康风险,它对贫困家庭的影响更大。
Objectives： To investigate health related risk status of families victimized by chronic illness in poor rural areas, and add knowledge base for governmental intervention. Methods： The indicators including prevalence rate of chronic illness, proportional ratio of families victimized by chronic illness and catastrophic health care payment （CHP） were analyzed via descriptive statistical methods, t test and Chi-square test. Results： （1） There were 38.8% of sampling families which were victimized by chronic illness. The proportional ratio （43.1%） in impoverished families was significantly higher than that in non-impoverished families; （2） The difference between annual health expenditure in families victimized by chronic illness and that in control families did not show statistical significance; （3） The incidence rate of CHP in 1 year in families victimized by chronic illness was 24.4%, which was significantly higher than that in control group. However, statistical tests after controlling impoverished Or not as a stratifying factor indicate the phenomenon only existed in impoverished group. Conclusions： The chronic illness had been one of the most important health related risks in poor rural areas, and had imposed more adverse effects on impoverished families.
出处
《中国卫生经济》
北大核心
2009年第2期29-31,共3页
Chinese Health Economics
基金
国家自然科学基金资助项目--中国西部农村贫困家庭(70473010)
华中科技大学医学科研基金资助项目--贫困地区农村家庭慢性病风险应对模式及社会风险管理策略研究(2008048)
关键词
慢性病
健康风险
评估
贫困
农村
chronic illness
health related risk
assessment
poverty
rural
