2007年富民县参加新型农村合作医疗农民两周患病率及其影响因素分析

Analysis of the Influence Factors of Two-week Sickness Rate of the Rural Residents in Fuming County in 2007

[目的]了解富民县参加新型农村合作医疗（新农合）农民两周患病率及其影响因素。[方法]2007年1月,在富民县抽取583名参加新农合的农民进行调查,并用非条件Logistic回归分析其影响因素。[结果]调查583人,两周内患病的81人,两周患病率为13.89%。两周患病率,男性与女性分别为12.54%、15.20%,0-9岁、10-19岁、20-39岁、40-59岁、≥60岁分别为14.04%、17.14%、11.89%、13.02%、16.67%,汉族与少数民族分别为14.11%、9.09%,文盲、小学、初中、高中以上文化者分别为13.28%、16.75%、15.52%、4.88%,农民、其他人群分别为13.16%、15.95%,人均收入800元以下8、00-1 499元、1 500-2 149元2、150-3 666元、≥3 667元者分别为15.89%、15.24%、14.18%、12.40%、13.46%,未婚的、在婚的与离婚丧偶的分别为12.57%、14.77%、10.71%,家庭人口数为1-3人、4-5人、≥6人者分别为17.47%、14.24%、7.87%,差异均无统计学意义（P〉0.05）;患慢性病的为34.78%,未患慢性病的为13.04%（P〈0.01）。非条件Logistic回归分析结果,影响两周患病率的因素有家庭人口数、是否患慢性病和文化程度。[结论]富民县参合农民两周患病率处于一般水平,家庭人口数少、患慢性病、文化程度低的参合农民两周患病率较高。

[Objective]To understand the influence factors of two-week sickness rate of farmers of participating new rural cooperative medical system（abbr. NRCMS） in Fumin county. [Methods]583 farmers participating NRCMS in Fumin county in January, 2007 were investigated, the influence factors were analyzed with Chi-square test and non-conditional Logistic regression. [Results]Of the 583 persons investigated, there were 81 sick persons within two weeks, and the two-week sickness rate was 13.89%. The two-week sickness rate of man and women were 12.54% and 15.20% ;and the rate was 14.04% ,17. 14%0,11.89% ,13.02% ,16.67% respectively among different aged groups： 0-9,10-19,20-39,40-59,and over 59;the rate was 14. 11% and 9.09% between the Han nationality and the minority; the rate was 13.28%, 16.75% , 15.52 %, 4.88 % respectively among different levels of education： illiteracy, elementary school,junior high school and senior high school; the rate was 13.16% and 15.95% between the farmers and others; the rate was 15.89%, 15.24%, 14.18%, 12.40 %, 13.46 % respectively among different average annum income groups： lower than 800 yuan, 800-, 1 500-, 2 150-and higher than 3 666 yuan; and the rate was 12.57 %, 14.77%, 10.71% respectively among unmarried, married, divorced and the persons who bereft of his or her spouse,the rate was 17.47% ,14.24% ,7.87% respectively among different family size.. 1-3 persons, 4-5 persons, more than 5 persons, there was no difference （ P 〉 0.05）. The rate was 34.78 %, 13.04% respectively between the persons suffering from chronic diseases and not suffering from chronic diseases （ P 〈0.01）. The findings of non-conditional Logistic regression analysis showed that the following factors influence the two-week sickness rate： family size, the situation whether suffering from chronic diseases or not, and educational level. [Conclusion]The two-week sickness rate of farmers participating NRCMS in Fumin county was general. It was higher among the farmers participating NRCMS with small family size,suffering from chronic diseases and with lower educational level.