内蒙古城乡慢性病流行现状对卫生服务利用的影响

发布时间：2018-03-14 07:46

本文选题：内蒙古自治区　切入点：慢性病　出处：《现代预防医学》2017年02期 　论文类型：期刊论文

【摘要】：目的了解内蒙古城乡居民慢性病患病情况对卫生服务利用的影响。方法本研究为横断面调查,采用多阶段分层整群随机抽样,单因素采用t检验、χ2检验,多因素采用Logistic回归分析。结果高血压、胆结石胆囊炎患病率在城乡之间无差异,糖尿病、缺血性心脏病患病率城市高于乡镇。脑血管疾病、COPD等5种慢性病患病率乡镇高于城市。城市和乡镇居民年龄越大、合并慢性病数量越多,两周就诊率、住院率越高。乡镇居民中,民族影响两周就诊率(OR=1.690)、住院率(OR=1.737),BMI影响住院率(OR=1.470)。贫困影响城市居民住院率(OR=4.010)。结论内蒙古自治区慢性病患病率较高,卫生服务利用低于我国经济发达地区,但城乡老年慢性病患者卫生服务利用相对较高。尤其是城市老年及贫困慢性病患者,乡镇中少数民族体重偏瘦的老年慢性病患者有较高的卫生服务利用。
[Abstract]:Objective to understand the influence of chronic diseases on the utilization of health services in urban and rural residents of Inner Mongolia. Methods the study was conducted in a cross-sectional survey with multi-stage stratified cluster random sampling, single factor t test and 蠂 2 test. Results the prevalence of hypertension, cholecystitis and gallstone cholecystitis had no difference between urban and rural areas. The prevalence of ischemic heart disease was higher in cities than in townships. The prevalence of five chronic diseases such as cerebrovascular diseases and COPD was higher in towns than in cities. The older the urban and township residents, the more the number of chronic diseases, and the two-week visit rate. The higher the hospitalization rate was, the higher the hospitalization rate was among the townships and townships. In the township residents, the two-week visit rate was 1.690, the hospitalization rate was 1.737 and BMI was 1.470. The poverty affected the hospitalization rate of the urban residents. Conclusion the incidence of chronic diseases in Inner Mongolia Autonomous region is higher than that in the Inner Mongolia Autonomous region. The utilization of health services is lower than that in economically developed areas of China, but the utilization of health services for the elderly with chronic diseases in urban and rural areas is relatively high. The elderly and chronic patients with lean weight of minority nationalities in villages and towns have higher utilization of health services.
【作者单位】：内蒙古医科大学;内蒙古自治区卫生和计划委员会;
【基金】：内蒙古医科大学科技百万工程项目(编号:YKD2013KJBW006)
【分类号】：R181.3

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