我国西部农村贫困家庭健康风险描述与特征研究

摘要

Objective to describe health risks and provide the evidences for understanding health risks in impoverished ruxal families,based on an analysis of the health demands and utilization of families of this kind in western China.Metheds Two national-level poverty counties(districts)were selected in a typical sampling from western China.1109 rural families from 11 townships were pinpointed as investigation samples,including 559 impoverished rural families(IRFs)and 550 Non-impoverished-ruralfamilies(Non-IRFs),totaling 4024 family members.Statistieal Analysis methods include Mean and Sn for interval scaled data;nominal scales' frequency and ratio counting;Mann-Whitney U-test forinterval scaled data:Chbsquare for nominal sealed data.Results The two-week morbidity rate and chronic disease prevalence of IREs are significantly higher than those of Non-IRFs.whereas the doctorseeking behavior of the former is significantly lower in proportion than that of the latter.Conclusions As described in the dimensions of frequency.intensity and correlation,health risks of IRFS in western China feature the following:Prevalence rate and incidence rate of IRFs＞Non-IRFs,with chronic disease taken the lion's share;IRFs feature a higher expenditure/income ratio,I.e.,higher comparative intensity;correlations amonig health risks are moderate and even weak.risks;Rural areas%目的 在分析中国西部农村贫困家庭健康需求与利用情况的基础上,进行健康风险描述,为理解贫困家庭的健康风险问题提供事实上的依据.方法 采取典型抽样的方法在中国西部选取两个国家级贫困县(区)作为样本点.在11个乡共抽取1 109户农村家庭作为调查样本,其中贫困户559户,非贫困户550户,含4 024名家庭成员.结果 贫困家庭成员2周患病率和慢性病患病率均显著性地高于非贫困家庭成员,但患病者治疗的比例显著性地低于非贫困家庭成员.结论 用频率、强度和相关性三个维度来描述我国西部农村贫困家庭的健康风险,其特征为贫困家庭中负性健康事件的现患率和发生率均高于非贫困家庭,其中所占比重较大的是慢性病;贫困家庭在负性健康事件发生上的相对强度高;健康风险的相关性较弱.