吉林省2008至2013年居民两周患病率及其影响因素

Factors Associated with Self-reported Two-week Morbidity Rates in Jilin Province During 2008-2013

目的分析吉林省居民两周患病率及其影响因素,了解"新医改"前后居民的卫生服务需要,为有针对性的卫生规划提供依据。方法利用吉林省2008年和2013年国家卫生服务调查数据,纳入29 495个样本进行分析。描述吉林省居民两周患病的情况,采用Logistic回归分析其影响因素。结果 2008至2013年,吉林省居民的两周患病率从9.2%上升到25.7%(P<0.001)。2008年和2013年两周患病的发病时间构成不同(χ~2=240.86,P<0.001),2013年慢性病持续到两周内占到80.4%。高血压、糖尿病等慢性疾病的疾病顺位大大提升。Logistic回归结果显示,2008年影响两周患病率的主要因素为城乡(OR=0.97,95%CI=0.64~0.93)、年龄(OR=2.29,95%CI=1.46~3.60)、婚姻状况(OR=2.05,95%CI=1.28~3.27)、是否患慢性疾病(OR=15.02,95%CI=12.93~17.43)。2013年影响两周患病率的主要因素为年龄(OR=4.79,95%CI=3.01~7.63)、是否患慢性病(OR=60.14,95%CI=53.03~68.21)以及是否享有医疗保障(OR=1.33,95%CI=1.03~1.74)。结论 "新医改"后吉林省居民的卫生服务需要大幅增加,慢性病已经成为危害居民健康的主要问题。

Objective To examine the two-week morbidity rates and the associated factors among the residents of Jilin province and to learn the health services needs among residents before and after new health care reform and provide basis for the establishment of health planning. Methods We used the data from the National Health Services Survey of Jilin from 2008 to 2013,with a total sample size of 29 495. Descriptive analyses were performed to analyze two-week morbidity rates,and Logistic regression was employed to explore the associated factors. Results From 2008 to 2013, the two-week morbidity rate increased from 9. 2% to 25. 7%（ P〈0. 001）. In 2013 and 2008,the two-week morbidities of onset had significantly different compositions（χ^2=240. 86,P〈0. 001）. Chronic conditions continuing to two weeks accounted for 80. 4% in the onset time of twoweeks in 2013. Hypertension,diabetes,and other chronic diseases had become the leading disorders. The influential factors of the two-week morbidity in 2008 were residency（ OR = 0. 97,95% CI = 0. 64-0. 93）,age（ OR = 2. 29,95% CI = 1. 46-3. 60）,marital status（ OR = 2. 05,95% CI = 1. 28-3. 27）,and chronic diseases（ OR = 15. 02,95% CI = 12. 93-17. 43）. The influential factors of the two-week morbidity in 2013 were age（ OR = 4. 79,95% CI = 3. 01-7. 63）,chronic diseases（ OR = 60. 14,95% CI = 53. 03-68. 21）,and medical insurance coverage（ OR = 1. 33,95% CI = 1. 03-1. 74）. Conclusions The needs for health care services have dramatically increased after new health care reform among residents of Jilin province. Chronic diseases have become the major health concerns.