Factors Associated with Self-reported Two-week Morbidity Rates in Jilin Province During 2008-2013 / 中国医学科学院学报

ABSTRACT

Objective To examine the two-week morbidity rates and the associated factors among the residents of Jilin province and to learn the health services needs among residents before and after new health care reform and provide basis for the establishment of health planning. Methods We used the data from the National Health Services Survey of Jilin from 2008 to 2013,with a total sample size of 29 495. Descriptive analyses were performed to analyze two-week morbidity rates,and Logistic regression was employed to explore the associated factors. Results From 2008 to 2013,the two-week morbidity rate increased from 9.2% to 25.7% (P<0.001). In 2013 and 2008,the two-week morbidities of onset had significantly different compositions (<inline-formula><mmlmath xmlnsmml="http//www.w3.org/1998/Math/MathML" id="Mml2-1000-503X-39-2-247"><mmlmtable frame="none" columnlines="none" rowlines="none"><mmlmtr><mmlmtd><mmlmaligngroup/><mmlmrow><mmlmsup><mmlmrow><mmlmi>χ</mmlmi></mmlmrow><mmlmrow><mmlmn>2</mmlmn></mmlmrow></mmlmsup></mmlmrow></mmlmtd></mmlmtr></mmlmtable></mmlmath></inline-formula>=240.86,P<0.001). Chronic conditions continuing to two weeks accounted for 80.4% in the onset time of two weeks in 2013. Hypertension,diabetes,and other chronic diseases had become the leading disorders. The influential factors of the two-week morbidity in 2008 were residency (OR=0.97,95% CI=0.64-0.93),age (OR=2.29,95% CI=1.46-3.60),marital status (OR=2.05,95% CI=1.28-3.27),and chronic diseases (OR=15.02,95% CI=12.93-17.43).The influential factors of the two-week morbidity in 2013 were age (OR=4.79,95% CI=3.01-7.63),chronic diseases (OR=60.14,95% CI=53.03-68.21),and medical insurance coverage (OR=1.33,95% CI=1.03-1.74). Conclusion The needs for health care services have dramatically increased after new health care reform among residents of Jilin province. Chronic diseases have become the major health concerns.