昆明医科大学学报Issue(10)：47-52,6.
孟连县农村居民两周患病及其影响因素的多水平模型分析
Prevalence and Risk Factors of Illness within Two-week among Rural Residents in Menglian:a Multilevel Model Analysis
摘要
Abstract
Objective To assess prevalence and risk factors of illness within the past 2 weeks among rural residents in Menglian,under the background of essential public health service implemented generally. Methods In February 2012, the questionnaire method was employed to investigate the two-week morbidity in 2011 rural residents sampled by multistage stratified random sampling from Menglian population. Results The prevalence, that of illness within two-week among 2011 rural residents in Menglian, was 97.5‰ (95%CI 84.5‰-110.5‰) . It was lower than that of the rural region IV in China (149.6‰, <0.05) .Its age trend was the same as that of the rural region IV in China,the prevalence in 0-14 years old children,however,was higher than the counterpart in the rural region IV in China. The diseases, which two-week morbidity ranked the top five, were acute upper respiratory infection, acute gastroenteritis, hyperostosis, acute tracheobronchitis and rheumatoid arthritis. The results of multilevel logistic regression model fitted by group-level explanatory variable mountainous area, individual-level random slopes variable gender and other individual background variables indicated that there were across-level interactions between mountainous area and gender ( <0.05), the family income lower than RMB 15000 (odds ration 3.2378, 95%CI 1.9014-5.5130) and age (odds ration 1.0163, 95%CI 1.0002-1.0327) had a positive effect to two-week morbidity, and contrasting to unmarried, married had a negative effect to two-week morbidity (odds ratio 0.4727, 95%CI 0.2534-0.8819) . Conclusions Comparing with that of the rural region IV in China before implementing essential public health service, the two-week morbidity in Menglian was lower. For further elevating the health level of population, the strategies, such as intensifying material and child hygiene in the mountain area, improving sanitary conditions of low income family, and updating health consciousness in single population,would be implemented.关键词
边疆/少数民族/农村居民/两周患病率/多水平模型Key words
Borderland/Minority/Rural resident/Two-week morbidity/Multilevel model分类
医药卫生引用本文复制引用
毛勇,陈龙,周佳,韦焘,祁秉先..孟连县农村居民两周患病及其影响因素的多水平模型分析[J].昆明医科大学学报,2013,(10):47-52,6.基金项目
云南省教育厅科学研究基金重点项目 （）
