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目的测量老年人健康公平性及各影响因素对不公平性的贡献。方法提取福建省2013年8—9月开展的第五次国家卫生服务调查中3 050名老年人的健康及卫生服务利用数据,计算集中指数并进行集中指数分解。结果老年人的两周患病率(χ~2=20.19,P<0.05)、慢性病患病率(χ~2=18.03,P<0.05)、住院率(χ~2=18.32,P<0.05)随着经济水平的提高均有增加;两周就诊率、两周应就诊率没有差异;两周患病概率、慢性病患病概率、住院概率的集中指数分别为0.061、0.053、0.128;家庭经济状况对三者不公平性贡献率分别为107.86%(0.065 8/0.061)、98.11%(0.052 0/0.053)、90.31%(0.115 6/0.128);而慢性病患病对住院概率的不公平性贡献率为14.84%(0.019 0/0.128)。结论老年人健康公平性一般,经济因素是引起住院概率不公平性的最主要原因。
Objective To measure the health fairness of the elderly and their contribution to unfairness. Methods The health and health service utilization data of 3 050 elderly in the fifth national health service survey conducted by Fujian Province from August to September in 2013 were collected, and the concentration index and the concentration index decomposition were calculated. Results The prevalence of two weeks in the elderly (χ ~ 2 = 20.19, P <0.05), the prevalence of chronic diseases (χ ~ 2 = 18.03, With the improvement of economic level, there was an increase. The two-week visiting rate and the two-week visiting rate did not differ. The two-week prevalence index, the prevalence rate of chronic disease and the hospitalization probability were respectively 0.061,0.053 and 0.128. The family economic status The contribution rate to the three was 107.86% (0.0658 / 0.061), 98.11% (0.052 0 / 0.053) and 90.31% (0.115 6 / 0.128), respectively. The contribution rate of the unfairness to the hospitalization probability of chronic diseases Was 14.84% (0.019 0 / 0.128). Conclusion The health fairness of the elderly in general, economic factors are the main reason for the inequity of hospitalization probability.