我国城乡不同收入居民健康相关生命质量研究

Health-related quality of life of urban and rural residents under different income in China

采用欧洲五维度健康量表对不同收入城乡居民的健康状况进行测量,五维度存在中/重问题的比例随着收入的降低而增高,疼痛/不适是不同收入阶层在五维度方面的主要问题。无论在城市还是农村,低收入阶层在五个维度存在问题的比例均高于其他收入阶层。相同收入水平下,女性人群有健康问题的比例较男性高。收入阶层越低健康相关行为越差,农村居民的健康相关行为与城市居民相比较差。经济收入对居民健康有较大的影响,低收入阶层存在较多健康问题。政府应该完善健康保障制度,强化医疗救助政策,提高健康公平性。

This study sought to use EQ-5D to measure the health status of urban and rural residents under different income. Rates of problems in EQ-5D five dimensions increased with the decrease of income, pain/ discomfort was a major problem. No matter urban or rural residents, low-income residents had higher rates of problems in EQ-5D five dimensions. The female met more health problems than the male at the same income- level. The healthy behavior became worse with the decrease of income and rural residents had worse health behaviors than the urban. Family income had a significant impact on people＇s health. Low-income residents met more health problems. More attention should be paid on women. The government should improve health security system and strengthen medical assistance policy to improve health equity.