乌鲁木齐市居民健康知识与健康投资行为现状及影响因素分析

Analysis on the status of health knowledge,medical insurance and their influencing factors among residents in Urumqi City

目的研究乌鲁木齐市居民健康知识水平、健康体检行为和医疗保险参保行为情况及影响因素。方法在乌鲁木齐市选取4个区700人进行问卷调查,对调查结果进行描述性统计和Logistic回归分析。结果居民健康知识知晓合格率仅为53.9%,不同性别、文化程度、就职情况、户籍和的家庭收入调查对象健康知识知晓情况不同,差异均有统计学意义(P均<0.05);Logistic回归分析结果显示女性(OR=2.002)、专科及以上(OR=1.691)、6万及以上收入(OR=1.865)是其影响因素(P<0.001)。不同文化程度、就职情况、户籍和家庭收入(P<0.001)的居民健康体检行为差异均有统计学意义(P均<0.05),多项分类Logistic回归分析结果显示在职(OR=2.964)、年收入是其影响因素。各类医疗保险中商业医疗险参保率最低,不同群体参保率相差较大,二分类Logistic回归分析结果显示离退休、无业(OR=2.352),暂住、农村(OR=3.460)是其影响因素。结论乌鲁木齐居民健康知识水平有待提升,必须制定有差异性的健康宣传方案,提高整体人群的健康水平。

Objective To study the status of health knowledge awareness, health physical examination, medical insurance and their influencing factors among residentsin Urumqi City. Methods A questionnaire survey was conducted among 700 residents from 4 districts in Urumqi City. Data were analyzed by descriptive statistics and logistic regression analysis. Results The pass rate of residentsz health knowledge was only 53. 9%. The difference of health knowledge among gender (all P < 0. 05 ), education level (P < 0. 001), employment status (P =0.009), household registration ( P < 0. 001 ) and household income ( P < 0. 001 ) were statistically significant under the condition of the test level of 0.05. The results of logistic regression analysis showed that women ( OR = 2.002), junior college degree and avovw (OR=1.691), annual income of 60 000 and above (OR = 1. 865 ) were the influencing factors ( P < 0. 001 ). There were statistically significant differences in health physical check behaviors among residents with different education levels, employment status, household registration, and household income ( all P < 0. 05 ). The results of logistic regression analysis showed that employ (OR= 2.964) were the influencing factors of physical check. The participation rate of commercial medical insurance was the lowest among the various types of medical insurance, and the participation rates of different groups were quite different. The results of the two-category logistic regression analysis showed that the retirement, unemployment (OR = 2. 352), temporary residence and rural residents ( OR = 3. 460) were the influencing factors. Conclusion The health knowledge level of residents in Urumqi needs to be improved, and tailored health promotion programs must be developed to improve overall health status and cover all population.