摘要
背景我国人口老龄化形势日益严峻,中老年人健康问题不容忽视,农村中老年人的健康公平性问题备受关注。宁夏回族自治区南部山区地理位置偏远,中老年人健康状况更加不容乐观,但针对该地区中老年人健康公平性的研究相对较少。目的调查宁夏回族自治区医改试点县(海原县、盐池县)中老年人的健康公平性,并分析各影响因素对健康不公平的贡献程度,为改善中老年人健康和完善相关卫生政策提供依据。方法于2022年1—3月,从“农村居民家庭健康询问调查”2019年随访数据中,筛选出常住家庭(在相应县居住≥1年)的中老年人(年龄≥45岁)为研究对象(n=5908)。以两周患病率、慢性病患病率、两周卧床率、两周休工率为因变量,以性别、年龄、婚姻状况、文化程度、职业、饮用水类型、家庭人均年收入为自变量。采用集中指数分析中老年人健康公平性,采用集中指数分解法分析各影响因素对健康不公平的贡献程度。结果海原县中老年人两周患病率、慢性病患病率、两周卧床率、两周休工率的集中指数分别为0.0300、0.0029、0.0114、0.0327,盐池县中老年人两周患病率、慢性病患病率、两周卧床率、两周休工率的集中指数分别为0.0004、-0.0001、0.0374、0.0374。集中指数分解显示:性别、年龄、文化程度、职业、饮用水类型、家庭人均年收入水平是中老年人健康不公平的主要原因,其中年龄、家庭人均年收入对健康不公平的贡献较大。年龄对海原县中老年人两周患病率、慢性病患病率、两周卧床率、两周休工率的贡献率分别为-11.92%、-152.57%、-27.76%、7.80%,对盐池县中老年人两周患病率、慢性病患病率、两周卧床率、两周休工率的贡献率分别为-334.79%、1117.94%、-45.45%、-25.44%;家庭人均年收入水平对海原县中老年人两周患病率、慢性病患病率、两周卧床率、两周休工�
Background With the severe situation of the increasingly population aging in China,the health problems of the middle-aged and older adults can not be ignored,attracting much attention on the health equity among the rural-dewlling middle-aged and older adults. The geographic remoteness of southern mountainous area in the Ningxia Hui Autonomous Region causes the health conditions of the middle-aged and older adults more unoptimistic. However,there are relatively few studies on the health equity among the middle-aged and older adults in this area. Objective To investigate the health equity of the middle-aged and older adults in the pilot counties of medical reform in the Ningxia Hui Autonomous Region(Haiyuan County and Yanchi County) and analyze the contribution degree of various influencing factors to health inequality,so as to provide a basis for improving the health of the middle-aged and older adults and relevant health policies. Methods From January to March in 2022,from the follow-up data of 2019 from the Family Health Inquiry Survey of Rural Residents,the middle-aged and older adults(age ≥ 45years old) from resident families(living in the corresponding counties for more than one year) were selected as subjects(n=5 908). The analysis was conducted with the two-week prevalence rate,chronic disease prevalence rate,two-week bedridden rate and two-week leaving rate as dependent variables,with sex,age,marital status,level of education,occupation,type of drinking water and per capita family income as independent variables. The concentration index was used to analyze the health equity of the middle-aged and older adults,and the centralized index decomposition method was used to analyze the contribution of various influencing factors to health inequality. Results The concentration indexes of two-week prevalence rate,chronic disease prevalence rate,two-week bedridden rate and two-week leaving rate among the middle-aged and older adults in Haiyuan County were 0.030 0,0.002 9,0.011 4 and 0.032 7,respectively,while thos
作者
马喜民
李培雯
贺嘉慧
杨甲飞
乔慧
MA Ximin;LI Peiwen;HE Jiahui;YANG Jiafei;QIAO Hui(Department of Epidemiology and Health Statistics,School of Public Health and Management,Ningxia Medical University,Yinchuan 750004,China;Ningxia Key Laboratory of Environmental Factors and Chronic Disease Control,Yinchuan 750004,China)
出处
《中国全科医学》
CAS
北大核心
2023年第7期830-835,共6页
Chinese General Practice
基金
国家自然科学基金资助项目(71864030)——宁夏医改试点县农村居民卫生服务利用、费用负担及公平性的动态变化与医保补偿政策的关系研究
国家自然科学基金资助项目(72164033)——宁夏南部山区农村家庭健康贫困及其脆弱性的动态变化、影响因素与多维治理研究
宁夏高等学校一流学科建设(公共卫生与预防医学)资助项目(NXYLXK2017B08)。
关键词
健康公平
中老年人
农村卫生
集中指数
集中指数分解
宁夏回族自治区
Health equity
Middle-aged and elderly people
Rural health
Concentration index
Concentration index decomposition
Ningxia
