低收入人群健康冲击及影响因素研究

Study on health shock and influencing factors of low⁃income population

为了解低收入人群受到健康冲击及其强度的现状并探讨其影响因素,运用江苏省第六次卫生服务大调查数据,采用Logistic模型和Tobit模型对低收入人群健康冲击的影响因素进行分析。结果显示,低收入人群中健康冲击的发生率为19.39%(392/2022),平均强度为0.096。Logistic回归分析结果显示,有工作、人均年收入水平高、参加大病保险、自评健康状况较好是健康冲击的正向影响因素(P<0.05),来自城镇、患慢性病的种类多、焦虑或抑郁为负向影响因素(P<0.05)。应加大政府资金政策支持,构建慢性病防控体系,完善医疗保障体系,同时重点关注人群心理健康教育。

To understand the current situation of health shock and its intensity among low⁃income population,Logistic model and Tobit model were used to analyze the influencing factors of health shock of low⁃income population based on the data of the 6^(th) National Health Service Survey in Jiangsu Province.The results showed that the incidence of health shock of low⁃income population was 19.39%(392/2022),with an average intensity of 0.096.The results of Logistic regression analysis showed that having a job,high annual per capita income level,participating in serious illness insurance and good self⁃rated health status were the positive factors of health shock(P<0.05),while coming from urban areas,suffering from a variety of chronic diseases,anxiety or depression were the negative factors(P<0.05).It is necessary to increase the support of government funds and policies,construct the chronic disease prevention and control system,perfect the medical security system,and pay special attention to the mental health education of the population.