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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。
OBJECTIVE: To understand the family health risk status of patients with chronic diseases in impoverished rural areas and provide the basis for the government to take corresponding intervention strategies. Methods: The prevalence of chronic diseases, family composition ratio of chronic diseases and disastrous health expenditures were used as the analysis indexes. Statistical methods included descriptive statistics, t-test and chi-square test. Results: (1) 38.8% of the family members in the survey sample had chronic diseases, the proportion of poor families (43.1%) was significantly higher than that of non-poor families; (2) The annual per capita health expenditure of those with chronic diseases was significantly higher than those of those with chronic diseases There was no statistically significant difference between families without chronic diseases; (3) Families with chronic diseases accounted for as much as 24.4% of disastrous health expenditure within one year, which was significantly higher than those without chronic diseases; however, poverty as a Stratified by statistical tests, found that this phenomenon exists only in poor families. Conclusion: Chronic diseases have become the most important health risk in rural poverty-stricken areas and have a greater impact on poor families.