摘要
目的基于卫生经济学理论,探讨饮水型氟斑牙患病率的影响因素。方法收集2005-2015年我国26省(市、自治区)饮水型地方性氟中毒(简称地氟病)氟斑牙患病率及影响因素面板数据,从经济运行现状(电力消耗量)、城镇化现状(城镇人口比例)、自然环境保护(人均公共绿地面积)、城市供水能力(城市用水人口量)、卫生经费投入、卫生机构固定资产投入6个方面构建饮水型氟斑牙患病率影响因素理论假设模型,运用Eviews7.2软件进行回归分析。结果2005-2015年,我国饮水型氟斑牙患病率呈下降趋势(r=-0.881,P<0.05),电力消耗量、城镇人口比例、人均公共绿地面积、城市用水人口量、卫生经费投入对降低患病率具有显著影响(P均<0.05)。其中,对饮水型氟斑牙患病率影响较大的是人均公共绿地面积、城镇人口比例(标准系数的绝对值>1),其次为城市用水人口量(标准系数的绝对值=0.750),影响较小的是电力消耗量及卫生经费投入(标准系数的绝对值=0.266)。结论良好的自然环境、城镇化建设、提高城市供水能力、合理增加卫生经费投入及地区经济可持续发展,是降低饮水型氟斑牙患病率、促进公共卫生发展的强大推动力。
Objective Based on health economics, the influencing factors on prevalence rate of drinking-water-borne dental fluorosis were studied. Methods Collect panel data on the prevalence and influencing factors of dental fluorosis in drinking water-type endemic fluorosis (referred to as fluorosis) in 26 provinces (municipalities and autonomous regions) from 2005 to 2015. The theoretical hypothesis model of influencing factors on the prevalence of drinking-water-borne dental fluorosis was constructed from six aspects: economic operation status (electricity consumption), urbanization status (urban population ratio), natural environmental protection (per capita public green space area), urban water supply capacity (urban water population), health expenditure, and fixed assets investment of health institutions. And then Eviews 7.2 was used for panel data regression analysis. Results From 2005 to 2015, the prevalence rate of drinking-water-borne dental fluorosis in China showed a downward trend (r =- 0.881, P < 0.05). The electricity consumption, urban population ratio, per capita public green space area, urban water population and health expenditure had significant impacts on the prevalence rate of drinking-water-borne dental fluorosis (P < 0.05). In this model, per capita public green space area and urban population ratio had the greatest impacts on the prevalence of drinking-water-borne dental fluorosis (absolute value of the standard coefficient > 1). Then, the absolute value of standard coefficient on urban water population was 0.750, and that of electricity consumption and health expenditure were the lowest (absolute value of the standard coefficient = 0.266). Conclusion Favorable natural environment, urbanization, construction of urban water supply facilities, reasonable increase of health expenditure and sustainable development of regional economy are powerful impetus to reduce the prevalence rate of drinking-water-borne dental fluorosis and to promote public health development.
作者
吕轶娟
王飞清
陶婉菊
王聪
赵松华
Lyu Yijuan;Wang Feiqing;Tao Wanju;Wang Cong;Zhao Songhua(Department of Finance,The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine,Guiyang 550001,China;Department of Clinical Laboratory,The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine,Guiyang 550001,China;Department of Inorganic and Physical Chemistry,School of Pharmaceutical Sciences,Guizhou Medical University,Guiyang 550025,China;Department of School Health,Institute of Public Health Monitoring and Evaluation,Guizhou Center for Disease Control and Prevention,Guiyang 550004,China)
出处
《中华地方病学杂志》
CAS
CSCD
北大核心
2019年第9期758-763,共6页
Chinese Journal of Endemiology
基金
贵州省科技厅项目(黔科合基础[2018]1015)
贵州省卫生计生委科学技术基金项目(gzwjkj2017-1-055).
关键词
氟中毒
牙
影响因素
环境保护
城镇化
经济发展
Fluorosis, dental
Influencing factors
Environmental protection
Urbanization
Regional economic development
