山东大学学报 (医学版) ›› 2022, Vol. 60 ›› Issue (4): 113-118.doi: 10.6040/j.issn.1671-7554.0.2021.0062
• • 上一篇
赵思博,彭立,凌鸿翔
ZHAO Sibo, PENG Li, LING Hongxiang
摘要: 目的 探讨农村老年人医疗保险参与行为与自杀风险的关系。 方法 采用“2010年中国城乡老年人口状况追踪调查数据”。该调查以年满60周岁及以上老年人为调查对象,采用与规模呈正比的分层随机抽样方法,对20个省、自治区、直辖市展开调查。研究采用的农村地区老年人有效样本为7 873人。问卷中包含了基本人口统计学信息、医疗保险和自杀风险等相关问题。采用二分类Logistic回归模型进行分析。 结果 农村老年人自杀风险报告率为6.03%,并在不同参保行为的群体中具有显著差异(χ2=9.42, P=0.002)。二分类Logistic回归模型分析显示,与自杀风险相关的因素有医疗保险(OR=0.513,95%CI=0.285~0.922)、文化程度(小学:OR=0.718,95%CI=0.573~0.898;初中及以上:OR=0.670,95%CI=0.453~0.989)、是否负债(OR=1.557,95%CI=1.236~1.962)、经济保障(OR=0.719,95%CI=0.574~0.900)、身体状况(较差:OR=0.768,95%CI=0.572~1.031;一般:OR=0.307,95%CI=0.224~0.420;较好:OR=0.316,95%CI=0.206~0.486;很好:OR=0.175,95%CI=0.061~0.494)、有无慢性病(OR=1.970,95%CI=1.448~2.681)、心理负担(OR=1.027,95%CI=1.015~1.039)、家庭关系(OR=0.350,95%CI=0.253~0.484)等。 结论 医疗保险参与行为与自杀风险显著相关。提高医疗保险在农村地区的覆盖率和保障水平,探索和完善农村大病救助体系,有助于改善农村老年人精神健康状况,降低自杀行为的发生风险。
中图分类号:
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