云南省新型农村合作医疗试点县农民慢性病患病情况及影响因素分析

目的了解新型农村合作医疗试点县农民慢性病患病情况。方法用分层整群抽样的方法,对3个试点县3 373个农户进行入户调查。结果农民过去一年慢性病患病率为81.2‰,低于第三次全国卫生服务调查的120.5‰的农村平均水平。农民主要患的慢性病包括风湿和类风湿、慢性阻塞性肺病、高血压、骨质增生、慢性胃炎、心脑血管疾病、肾结石和慢性传染病等。不同年龄组所患疾病有所不同。慢性病患病率随年龄的增大而增加。非条件Logistic回归分析结果,影响慢性病患病的因素有家庭人口数、性别、民族、婚姻状况、家庭经济收入水平和年龄。结论慢性病防治工作的重点是40岁以上的中老年人群和少数民族人群。慢性病应该纳入新型农村合作医疗的补偿范围。

Prevalence of Chronic Diseases and Its Influencing Factors among Peasants in Pilot Counties with the New Rural Cooperative Medical Care in Yunnan Province

Objective To investigate the prevalence of chronic diseases and its influencing factors among peasants in three pilot counties with newly rural cooperative medical care in Yunnan province.Methods Stratified sampling technique was used to investigate 13 468 peasants in 3 373 families in three counties.Results The morbidity rate of chronic diseases among peasants investigated was 81.2 per thousand,which was lower than the rural average rate of 120.5 per thousand which was the results of the third National Health Service Survey.The leading diseases were rheumatism and rheumatoid arthritis,chronic obstructed pulmonary diseases(COPD),hypertension,hyperosteogeny,chronic gastritis,cardiovascular and cerebrovascular diseases,lithiasis of kidney,and chronic infectious diseases.The kinds of diseases suffered varied with different age groups,and the morbidity rate of chronic diseases increased with the age increasing(Spearman's correlation coefficient equaled 1,P<0.001).Non-conditional Logistic regression analysis showed that the factors influencing attack of chronic diseases included family size,sex,nationality,marital status,family income,and age.Conclusion Prevention and control of chronic diseases should focus on the people over 40 years old and of ethnic minority.Chronic diseases should be included into the compensate fields of rural newly medical care.