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目的 分析山东省贫困人群生命质量及其影响因素。方法 使用 2013 年第五次国家卫生服务调查中山东省调查数据,基于我国 EQ-5D 效应值积分体系计算 EQ-5D 健康效用值,利用秩和检验、Tobit 回归模型等方法对健康生命质量的影响因素进行分析。 结果 山东省贫困人群健康效用值中位数为 1(0.783,1), 纳入20 个变量进行生命质量影响因素分析,结果显示贫困人群的基本医疗保险、年龄、人均年收入、人均年消费、BMI、两周患病情况、慢性病患病情况、上一年住院情况、体育锻炼、日均刷牙次数、是否有健康档案及是否进行健康体检会对健康效用值产生一定影响。 结论 山东省贫困人群生命质量的影响因素是多方面的?应根据贫困人群自身特点,制定相应的卫生政策,以保证贫困人群的生命质量。
Objective To analyze the quality of life and its influencing factors of poor population in Shandong Province. Methods Based on the survey data of Shandong Province in the fifth national health service survey in 2013, the health effects of EQ-5D were calculated based on the EQ-5D effect value integral system in China. The effects of rank-test and Tobit regression model on the quality of life were analyzed Factors for analysis. Results The median of health utility value of poor population in Shandong Province was 1 (0.783, 1), and 20 variables were included in the analysis of factors affecting the quality of life. The results showed that the basic medical insurance, age, per capita income, per capita annual consumption , BMI, two-week prevalence, prevalence of chronic diseases, hospitalization in the previous year, physical activity, daily brushing times, health records and whether or not a health check-up will have an effect on the value of health. Conclusion There are many influencing factors on the quality of life of poor people in Shandong Province. Corresponding health policies should be formulated according to the characteristics of the poor themselves to ensure the quality of life of the poor.