我国成年居民4周患病率及影响因素分析

Analysis of the 4-week prevalence rate and influencing factors of Chinese adult residents

目的研究2015年全国12个省(自治区)各地市成年居民的4周患病率及其影响因素,为合理配置卫生资源,促进居民健康提供参考依据。方法选择中国健康与营养调查2015年公开数据库年龄≥18岁的成人居民作为研究对象,采用二分类非条件Logistic回归模型分析4周患病率的影响因素。结果我国成年居民4周患病率为15.8%。二分类Logistics回归结果显示影响成年居民4周患病率的因素有性别、年龄、婚姻状态、学历、就业状况、城乡、地区和前一年看民医情况。女性患病率高于男性,随着年龄的增长患病率有所增长,离婚或丧偶等其他婚姻状态患病率高于未婚和已婚人群,失业或无业患病率高于在业人群,随着学历的升高患病率有所下降,城镇患病率高于农村,西部地区患病率较高,前一年看过民医人群患病率高于未看过民医人群。结论应加强女性、老年、离婚或丧偶、低学历以及未在业和西部地区人群的卫生服务与健康宣教。

Objective To study the 4-week prevalence rate and its influencing factors of adult residents in 12 provinces(autonomous regions)in 2015 in order to provide reference for rational allocation of health resources and promotion of residents health.Methods In this study,the adult population of the China Health and Nutrition Survey 2015 open database age≥18 years old was selected as the study object,and the two-category unconditional logistic regression model was used to analyze the influencing factors of the 4-week prevalence rate.Results The 4-week prevalence rate of adult residents in China was 15.8%.The results of the two-category logistic regression showed that the factors affecting the 4-week prevalence of adult residents were gender,age,marital status,employment status,education,urban and rural areas,and the situation of medical doctors last year.The prevalence rate of females was higher than that of males.The prevalence rate increased with age,and the prevalence rate decreased with the increase of education.The prevalence rate of urban areas was higher than that of rural areas,and the prevalence rate in western areas was higher.The prevalence of other marital status such as divorce or widowhood was higher than that of unmarried and married people.The unemployment rate or unemployment rate was higher than that of the working population.The prevalence rate of people who have seen medical doctors in the previous year was higher than that of people who have not seen medical doctors.Conclusion We should strengthen health services and health education for women,old age,divorced or widowed,low-educated,and unemployed and people in the western region.