Journal of Shandong University (Health Sciences) ›› 2019, Vol. 57 ›› Issue (8): 103-109.doi: 10.6040/j.issn.1671-7554.0.2019.476

Previous Articles    

Disease status of illness-induced poverty-stricken population

WU Shuli1, JIN Chuandi2, WANG Hongna1, LI Yunxia2,3, ZHANG Lili4   

  1. 1. Shandong Health Publicity and Education Center, Jinan 250002, Shandong, China;
    2. Healthcare Big Data Institue of Shandong University, Jinan 250002, Shandong, China;
    3. Department of Biostatistics, School of Public Health, Shandong University, Jinan 250012, Shandong, China;
    4. Statistical Information Center of National Health Commission, Beijing 100041, China
  • Published:2022-09-27

PDF (PC)

153

Abstract: Objective To investigate the disease status of illness-induced poverty-stricken population and to offer the basis for the government decision. Methods This cross-sectional study investigated the disease status of the illness-induced poverty-stricken population in Shandong Province using the “five-step screening method”. Data including the demographic characteristics and disease status were collected and analyzed. Statistical analysis was performed using general descriptive statistics, chi-square tests and unconditional multivariate Logistic regression analysis. Results There were 102 731 illness-induced poverty-stricken individuals in Shandong Province by the end of 2017. A total of 42 446 individuals were confirmed to be diseased, and the prevalence rate of illness-induced poverty-stricken population was 41.32%. Males, Han nationality, low levels of education and age increase were risk factors for the disease risk of illness-induced poverty-stricken population(P<0.001). The top 10 diseases(sorted by prevalence rate)were hypertension(10.28%), cerebrovascular disease(7.70%), coronary heart disease(4.51%), severe mental illness(4.14%), diabetes(3.33%), chronic obstructive emphysema(2.05%), joint disease of hip and knee(1.44%), rheumatoid arthritis(1.05%), severe senile chronic bronchitis(0.71%)and senile cataract(0.59%). These 10 diseases were all chronic diseases and the number of patients suffered from which accounted for 86.70% of the total number of patients. Conclusion The elderly population was the main target of illness-induced poverty-stricken population in Shandong Province, and the top 10 diseases were the main poverty-stricken diseases.

Key words: Illness-induced poverty-stricken population, Prevalence rate, Precise poverty alleviation, Chronic disease, Demographic characteristic

CLC Number: 

  • R195
[1] Win AZ. Disease and poverty go hand in hand in America[J]. Am J Med, 2015, 128(12): 1380-1381.
[2] Lan X, Zhou Z, Si Y, et al. Assessing the effects of the percentage of chronic disease in households on health payment-induced poverty in Shaanxi Province, China[J]. BMC Health Serv Res, 2018, 18(1): 871. doi: 10.1186/s12913-018-3698-1.
[3] Keane M, Thakur R. Health care spending and hidden poverty in India[J]. Research in Economics, 2018, 72(4): 435-451.
[4] 李克强. 政府工作报告—2019年3月5日在第十三届全国人民代表大会第二次会议上[R]. 北京:中华人民共和国中央人民政府, 2019.
[5] 李怡霏. 农村地区因病致贫现状及影响因素分析[J]. 中国管理信息化, 2018, 21(3): 188-190.
[6] 陈曼茜, 刘玉玫. 解决农村因病致贫问题的精准扶贫建议[J]. 中国统计, 2017(8): 21-23. doi: CNKI:SUN:ZGTJ.0.2017-08-009.
[7] 方鹏骞, 苏敏. 论我国健康扶贫的关键问题与体系构建[J]. 中国卫生政策研究, 2017, 10(6): 60-63. FANG Pengqian, SU Min. A discussion on the key problems and system construction of health poverty alleviation in China[J]. Chinese Journal of Health Policy, 2017, 10(6): 60-63.
[8] 卫生健康委,发展改革委,财政部,医保局,国务院扶贫办.关于印发健康扶贫三年攻坚行动实施方案的通知[R]. 北京:中华人民共和国中央人民政府, 2018.
[9] 林闽钢. 在精准扶贫中构建“因病致贫返贫”治理体系[J]. 中国医疗保险, 2016(2): 20-22. doi: 10.369/j.issn.1674-3830.2016.2.5. LIN Mingang. Constructing a governance system for “poverty and re-poverty caused by disease” in targeted poverty alleviation project[J]. China Health Insurance, 2016(2): 20-22. doi: 10.369/j.issn.1674-3830.2016.2.5.
[10] 陈敬义, 秦艺, 肖旺生, 等. 鄂州市精准扶贫对象因病致贫病因分析[J]. 实用预防医学, 2018, 25(8): 958-960. CHEN Jingyi, QIN Yi, XIAO Wangsheng, et al. Disease distribution of residents impoverished by diseases among targeted-measured poverty alleviation subjects in Ezhou city[J]. Pract Prev Med, 2018, 25(8): 958-960.
[11] Manjrekar SS, Sherkhane MS, Chowti JV. Behavioral risk factors for noncommunicable diseases in working and nonworking women of urban slums[J]. J Midlife Health, 2014, 5(3): 143-149.
[12] Mikton CR, Butchart A, Dahlberg LL, et al. Global Status Report on Violence Prevention 2014[J]. Am J Prev Med, 2016, 50(5): 652-659.
[13] 国家卫生计生委统计信息中心. 2013第五次国家卫生服务调查分析报告[M]. 北京:中国协和医科大学出版社, 2015: 1-161.
[14] 李配瑶, 王黎君. 中国人群重点慢性病疾病负担现状[J]. 包头医学院学报, 2017, 33(7): 138-140.
[15] 孙熠, 薛阳阳, 应丹丹, 等. 失能老人的健康需要对其卫生服务利用的影响[J]. 中华医院管理杂志, 2014, 30(2): 141-144.
[16] 王金营, 杨茜. 中国贫困地区农村老年人家庭贫困-富裕度研究[J]. 人口学刊, 2014, 36(2): 45-54.
[17] 殷大奎. 齐心协力脚踏实地全面推进新世纪精神卫生工作——全国第三次精神卫生工作会议报告[J]. 中国心理卫生杂志, 2002, 16(1): 4-8.
[18] 李卫东, 司文霞, 孙永合, 等. 浅谈重性精神疾病患者的社区康复现状及对策[J]. 中国民康医学, 2015, 27(10): 73-75.
[19] 赵文莉, 格鹏飞, 蒋霞, 等. 甘肃省重性精神疾病现况调查[J]. 中国公共卫生, 2016, 32(6): 765-769. ZHAO Wenli, GE Pengfei, JIANG Xia, et al. Prevalence of severe mental diseases in Gansu Province: a cross-sectional study[J]. Chin J Public Health, 2016, 32(6): 765-769.
[20] 杨继宝, 曾晓华. 2013年黎平县重性精神疾病的流行病学调查分析[J]. 现代预防医学, 2015, 42(1): 8-10. YANG Jibao, ZENG Xiaohua. An epidemiological survey on mental disorders in Liping County in 2013[J]. Modern Preventive Medicine, 2015, 42(1): 8-10.
[21] 王洋, 赵大磊. 大连市中山区重性精神疾病患者现况分析[J]. 中国民康医学, 2016, 28(3): 88-89.
[22] 杨淑恩, 刘波, 田梅, 等. 河北省建档重性精神疾病患者城乡对比研究[J]. 中国全科医学, 2015, 18(8): 915-918. YANG Shuen, LIU Bo, TIAN Mei, et al. Comparison between urban and rural patients with severe mental illness having health files in Hebei[J]. Chinese General Practice, 2015, 18(8): 915-918.
[23] 邓社能, 刘彩琴, 刘一亚. 2010—2014年平凉市6061例重性精神疾病患者现况调查[J]. 疾病预防控制通报, 2016, 31(1): 22-23.
[24] 安妮, 孙淑范, 刘冠楠, 等. 黑龙江省登记在册的重性精神疾病的流行病学特征分析[J]. 现代预防医学, 2016, 43(23): 4229-4232. AN Ni, SUN Shufan, LIU Guannan, et al. Epidemic situation of registered patients with severe mental illness,Heilongjiang[J]. Modern Preventive Medicine, 2016, 43(23): 4229-4232.
[25] Amitay EL, Keinan-Boker L. Breastfeeding and childhood leukemia incidence: a Meta-analysis and systematic review[J]. JAMA Pediatr, 2015, 169(6): e151025. doi: 10.1001/jamapediatrics.2015.1025.
[1] Kefang WANG,Chen WU. Dilemmas and thoughts on solutions of adherence to chronic disease management [J]. Journal of Shandong University (Health Sciences), 2021, 59(9): 124-129.
[2] HAO Wenting, LI Jie, JING Zhengyue, ZHAO Dan, YUAN Yemin, YU Caiting, ZHOU Chengchao. Physical frailty as a mediator between sleep quality and quality of life in rural elderly with chronic diseases in Shandong Province, China [J]. Journal of Shandong University (Health Sciences), 2021, 59(2): 102-107.
[3] Xin MA. Lifestyle medicine [J]. Journal of Shandong University (Health Sciences), 2020, 58(10): 1-6, 12.
[4] MA Wei, ZHANG Anran. Impacts of tropical cyclone on human health: latest research progress [J]. Journal of Shandong University (Health Sciences), 2018, 56(8): 29-36.
[5] LIU Yafei, XING Ping, XU Xiuqin, YANG Shufang, LIU Yanxun, YUAN Zhongshang, XUE Fuzhong. Shandong multi-center longitudinal cohort for health management: a brief introduction [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(6): 30-36.
[6] JIANG Mengya, LOU Hongxiang, SUN Qiang, WANG Haipeng. Price and the accessibility of essential medicines for the elderly with chronic diseases in the Asia Pacific Region [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(11): 80-84.
[7] LIN Xian-yan, YANG Sheng-wen, WEI Ya-li, WEI Xue-tuan, MO Xiao-gang, YANG Xiang-xiu. Investigation on elderly empty-nesters with chronic disease in rural areas of Qiannan Guizhou province [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(S1): 116-118.
[8] GUO Kai1, YIN Zhi-juan1, ZHOU Cheng-chao1, LIU Hai-jie1, CHEN Zhi-jun2, DUAN Hui3, WU Bo4, SHEN Chun-se5, GAO Xi-bao1. null [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(1): 109-112.
[9] WU Ji-wei1, DONG Mao-jiang1， ZHANG Ming-xia2. Prevalence of hypotension and its relativity with chronic diseases
in insured staffs in the town of Dezhou city [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2012, 50(10): 127-129.
[10] SUN Rui-xia, CAO cai-xia, Li li, XIAN yu-xin, L wen-shan, WANG jing, GAO Yan-yan . Epidemiological characteristics of overweight and obesity among adults of the Shandong  coastal area in 2004  [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2010, 48(9): 9-13.
[11] LI Shun-ping1, LIU Ting-ting2, CHEN Chun-hui1, LI Yong-mei2. Prevalence rate of nonalcoholic fatty liver disease and its influential factors in Jinan railway workers [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2010, 48(10): 125-.
[12] WU Shou-cai,WANG Shu-hui,WANG Shao-yan,LIU Yu,SUN Yu-mei. Prevalence rate of nosocomial infection in Qilu Hospital of Shandong University in 2007 [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2008, 46(9): 915-918.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Copyright 2018 © Editorial office of Journal of Shandong University (Health Sciences)
Supported by Beijing Magtech Co.Ltd