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目的了解城市低保人员健康状况并分析其影响因素,为制定提高该人群健康状况的措施提供参考。方法采用系统和整群抽样的方法抽取徐州市低保人员445人作为调查对象,并抽取445名非低保人员进行1:1配对,以面对面询问方式进行入户调查。结果低保人员健康自评比非低保人员差,两周患病率和慢性病患病率比非低保人员高(20.4%&15.3%,2χ=4.05,P=0.044;56.0%&42.4%,2χ=16.18,P=0.0001)。logistic回归分析表明女性(OR=1.54)、非在婚(OR=3.90)、不经常运动(OR=1.81)、患慢性病(OR=4.76)、健康状况比去年变差(OR=4.10)、没有参加社会保险(OR=2.04)是影响低保人员健康的危险因素。结论低保人员健康状况较差,应采取综合性措施提高其健康水平。
Objective To understand the health status of urban minimum living security personnel and analyze its influencing factors so as to provide reference for making measures to improve their health status. Methods A systematic and cluster sampling method was used to collect 445 individuals who were employed as the respondents in Xuzhou and 445 non-dibao workers were selected for 1: 1 pairing. The interview was conducted with face-to-face interviews. Results The health self-assessment of the minimum living allowances was worse than that of the non-subsistence living allowances. The prevalence of two-week prevalence and chronic diseases was higher than that of non-subsistence workers (20.4% & 15.3%, 2χ = 4.05, P = 0.044; 56.0% & 42.4 %, 2χ = 16.18, P = 0.0001). Logistic regression analysis showed that the health condition was worse than that of last year (OR = 4.10), no marriage (OR = 3.90), infrequent movement (OR = 1.81) Participation in social insurance (OR = 2.04) is a risk factor that affects the health of minimum living allowances. Conclusion The people with low living allowances have a poorer health status and should take comprehensive measures to improve their health level.