城市社区低保人员健康状况及其影响因素分析

Health Status and Its Influencing Factors among the Urban Residents Living on Minimum Subsistence Allowances

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 health status and its influencing factors among the urban residents living on minimum subsistence allowances and search for a suitable health intervention strategy.Methods 445 people living on minimum subsistence allowances in Xuzhou were selected by the method of systematic and cluster sampling and were matched with 445 controls.Results People living on minimum subsistence allowances made lower self-evaluation of health than others.The prevalence of Two weeks sickness rate and chronic disease were higher among minimum subsistence allowances than them among others（20.4%＆15.3% χ2=4.05,P=0.044;56.0%＆42.4% χ2=16.18,P=0.0001）.Data from multivariate logistic regression analyses showed that risk factors for health included female（OR=1.54）,no married（OR=3.90）,not often having sports（OR=1.81）,chronic disease（OR=4.76）,more bad health status than last year（OR=4.10） and without social insurance（OR=2.04）.Conclusion The health status of the urban residents living on minimum subsistence allowances was bad and general intervention should be enforced in order to improve their health.