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针对性护理联合健康教育在小儿手足口病感染防控护理中的应用值分析
期刊论文 | 2018 , (53) , 109 | 临床医药文献电子杂志
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目的 研究针对性护理联合健康教育在小儿手足口病感染防控护理中的应用价值.方法 选取我院小儿手足口病患儿78例,按照入院顺序奇偶数随机分为实验组和常规组各39例,常规组采用日常常规性护理,实验组在常规护理基础上对患儿实施针对性护理联合健康教育,对比两组患儿治愈时间、皮疹消退时间以及治疗效果.结果 实验组患儿治愈时间与皮疹消退时间明显低于常规组,治疗效果高于常规组,P<0.05,具有统计学意义.结论 对小儿手足口患儿实施针对性护理联合健康教育能有效缩短患儿的治愈时间以及皮疹消退时间,显著提升治疗效果,促进患儿病情康复,具有临床推广应用价值.

Keyword :

健康教育 小儿手足口病 感染防控 针对性护理

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GB/T 7714 张西嫔 , 周忠良 , 司亚飞 . 针对性护理联合健康教育在小儿手足口病感染防控护理中的应用值分析 [J]. | 临床医药文献电子杂志 , 2018 , (53) : 109 .
MLA 张西嫔 等. "针对性护理联合健康教育在小儿手足口病感染防控护理中的应用值分析" . | 临床医药文献电子杂志 53 (2018) : 109 .
APA 张西嫔 , 周忠良 , 司亚飞 . 针对性护理联合健康教育在小儿手足口病感染防控护理中的应用值分析 . | 临床医药文献电子杂志 , 2018 , (53) , 109 .
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The distribution of benefits under China's new rural cooperative medical system: evidence from western rural China SSCI PubMed Scopus
期刊论文 | 2018 , 17 | INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH
WoS CC Cited Count: 1 SCOPUS Cited Count: 1
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Background: China's New Cooperative Medical Scheme (NCMS) enables insured citizens to enjoy the same benefit package by paying a flat-rate premium. However, it still remains uncertain whether economically disadvantaged enrollees receive insurance benefits that at least match those of non-disadvantaged enrollees. This article, therefore, estimates the distribution of benefits under the NCMS across economic groups and compares the magnitude of economic-related inequity changes in the NCMS benefits. Methods: Data were drawn from two-wave large-scale representative and comparable cross-sectional household health survey datasets conducted in Shaanxi Province in 2008 and 2013. In total, 9506 (2008) and 38,010 (2013) NCMS enrollees were included. The benefits from the NCMS are measured in two ways: via the probability of receiving reimbursements and via the absolute amount of the obtained reimbursements. Two-part models were used to estimate the benefit distribution and to adjust benefits for health care needs. Concentration curve, dominance test of the concentration curve, and concentration index (CI) were used to estimate the overall degree of economic-related inequality. The degree of horizontal inequity was estimated via indirectly standardized measures based on the "equal treatment for equal needs" concept. Results: Our results indicate that economically affluent groups were more likely to receive reimbursements from the NCMS, and these reimbursements were also higher. Positive need-adjusted CIs for the probability of receiving reimbursements (CIs: 0.2027/0.1056 in 2008/2013) and the absolute amount of reimbursements (CIs: 0.3002/0.1660 in 2008/2013) further suggest the existence of clear pro-rich horizontal inequities in the benefits distribution under the NCMS. Encouragingly, a decreasing trend could be observed from 2008 to 2013, which suggests that horizontal inequities in NCMS benefits that favored the rich decreased over the investigated period, while the level of insurance benefits improved. Conclusions: Our study suggests that the benefits of NCMS are concentrated toward economically affluent groups. Although any trade-off between policy feasibility and equity has become a challenge for the formulation of social health insurance funding and benefit packages in developing countries, inequality can be gradually reduced through continuous adjustment of the medical insurance scheme, thus effectively targeting economically disadvantaged enrollees.

Keyword :

New cooperative medical scheme Health insurance China Benefit Equity

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GB/T 7714 Lai, Sha , Shen, Chi , Xu, Yongjian et al. The distribution of benefits under China's new rural cooperative medical system: evidence from western rural China [J]. | INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH , 2018 , 17 .
MLA Lai, Sha et al. "The distribution of benefits under China's new rural cooperative medical system: evidence from western rural China" . | INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH 17 (2018) .
APA Lai, Sha , Shen, Chi , Xu, Yongjian , Yang, Xiaowei , Si, Yafei , Gao, Jianmin et al. The distribution of benefits under China's new rural cooperative medical system: evidence from western rural China . | INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH , 2018 , 17 .
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Comparing the income-related inequity of tested prevalence and self-reported prevalence of hypertension in China SSCI PubMed Scopus
期刊论文 | 2018 , 17 | INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH
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Background: Hypertension has become a global health challenge given its high prevalence and but low awareness and detection. Whether the actual prevalence of hypertension has been estimated is important, especially for the poor. This study aimed to measure tested prevalence and self-reported prevalence of hypertension and compare the inequity between them in China. Methods: Data were derived from China Health and Nutrition Survey (CHNS) conducted in 2011. By using the multistage, stratified, random sampling method, 12,168 respondents aged 18 or older were identified for analysis. Both tested prevalence (systolic blood pressure >= 140 mmHg or/and diastolic blood pressure >= 90 mmHg or /and current use any of antihypertensive medication) and self-reported prevalence (ever diagnosed with hypertension by a doctor) were used to measure the prevalence of hypertension. The concentration index was employed to measure the extent of inequality in tested prevalence and self-reported prevalence. A decomposition method, based on a Probit model, was used to analyze income-related horizontal inequity of tested prevalence and self-reported prevalence. Results: The tested prevalence and self-reported prevalence of total respondents were 28.8% [95% CI (28.0%, 29.6%)] and 15.7% [95% CI (15.0%, 16.3%)], and 26.4% [95% CI (25.1%, 27.6%)] and 19.0% [95% CI (17.9%, 20.1%)] in urban areas, and 30.3% [95% CI (29.3%, 31.4%)] and 13.5% [95% CI (12.7%, 14.3%)] in rural areas. The horizontal inequity indexes of mean tested prevalence and self-reported prevalence were - 0.0494 and 0.1203 of total respondents, - 0.0736 and 0. 0748 in urban area, and - 0.0177 and 0.0466 in rural area respectively, indicating pro-poor inequity in tested prevalence and pro-rich inequity in self-reported prevalence of hypertension. Economic status, education attainment and age were key factors of the pro-poor inequity in tested prevalence. Economic status, area and age were key factors to explain the poor-rich inequity in self-reported prevalence. Conclusions: This study revealed self-reported prevalence of hypertension was much lower than tested prevalence in China, while a larger gap between self-reported and tested prevalence was found in rural areas. Our study suggested social strategies aiming at narrowing economic gap and regional disparities, reducing educational inequity, and facilitating health conditions of the elderly should be implemented. Finally, awareness raising campaigns to test hypertension in rural area need be strengthened by health education programs and improving the access to public health service, especially for those who do not engage with regular health checkups.

Keyword :

Tested prevalence Self-reported prevalence Income-related health inequality Horizontal inequity China Hypertension Decomposition

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GB/T 7714 Su, Min , Si, Yafei , Zhou, Zhongliang et al. Comparing the income-related inequity of tested prevalence and self-reported prevalence of hypertension in China [J]. | INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH , 2018 , 17 .
MLA Su, Min et al. "Comparing the income-related inequity of tested prevalence and self-reported prevalence of hypertension in China" . | INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH 17 (2018) .
APA Su, Min , Si, Yafei , Zhou, Zhongliang , Shen, Chi , Dong, Wanyue , Fan, Xiaojing et al. Comparing the income-related inequity of tested prevalence and self-reported prevalence of hypertension in China . | INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH , 2018 , 17 .
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Unequal distribution of health human resource in mainland China: what are the determinants from a comprehensive perspective? SSCI PubMed Scopus
期刊论文 | 2018 , 17 | INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH
WoS CC Cited Count: 3 SCOPUS Cited Count: 4
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Background: The inequality of health human resource is a worldwide problem, and solving it also is one of the major goals of China's recent health system reform. Yet there is a huge disparity among cities in mainland China. The aim of this study is to analyze the distribution inequality of the health human resource in 322 prefecture-level cities of mainland China in 2014, and to reveal the facets and causes of the inequalities. Methods: The data for this study were acquired from the provincial and municipal Health Statistics Yearbook (2014) and Statistical Yearbook (2014), the municipal National Economic Bulletin (2014), and the official websites of municipal governments, involving 322 prefecture-level cities. Meanwhile, Concentration Index was used to measure the magnitude of the unequal distribution of health human resource. A decomposition analysis was employed to quantify the contribution of each determinant to the total inequality. Results: The overall concentration index of doctors and nurses in mainland China in 2014 was 0.1038 (95% CI = 0.0208, 0.1865) and 0.0785 (95% CI = 0.0018, 0.1561). Decomposition of the concentration index revealed that economic status was the primary contributor (58.5% and 57%) to the inequality of doctors and nurses, followed by the Southwest China (19.1% and 18.6%), urbanization level (-13.1% and -12.8%), and revenue (8.0% and 7.8%). Party secretaries with Master degree (7.0%, 6.8%), mayors who were 60 years old or above (6.3%, 6.1%) also were proved to be a major contributor to the inequality of health human resource. Conclusions: There was inequality of health human resource distribution which was pro-rich in mainland China in 2014. Economic status of the cities accounted for most of the existing inequality, followed by the Southwest China, urbanization level, revenue, party secretaries with Master degree, and mayors who were 60 years old or above in respective importance. Besides, the party secretaries and mayors also had certain influence on the allocation of health human resource. The tough issue of HHR inequality should be addressed by comprehensive measures from a multidisciplinary perspective.

Keyword :

Decomposition analysis Inequality Concentration index Health human resource

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GB/T 7714 Li, Dan , Zhou, Zhongliang , Si, Yafei et al. Unequal distribution of health human resource in mainland China: what are the determinants from a comprehensive perspective? [J]. | INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH , 2018 , 17 .
MLA Li, Dan et al. "Unequal distribution of health human resource in mainland China: what are the determinants from a comprehensive perspective?" . | INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH 17 (2018) .
APA Li, Dan , Zhou, Zhongliang , Si, Yafei , Xu, Yongjian , Shen, Chi , Wang, Yiyang et al. Unequal distribution of health human resource in mainland China: what are the determinants from a comprehensive perspective? . | INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH , 2018 , 17 .
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Financial transfers from adult children and depressive symptoms among mid-aged and elderly residents in China - evidence from the China health and retirement longitudinal study SSCI SCIE PubMed Scopus
期刊论文 | 2018 , 18 | BMC PUBLIC HEALTH
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Background: Although the awareness of mental health problems in late life is rising, the association between financial transfers to the older generations from children and mental health at older ages in China has received little attention. This study examines the association between financial transfers from children and depressive symptoms among the mid-aged and elderly residents (from 45 years of age and older) in China. Methods: We used the data from the China Health and Retirement Longitudinal Study (CHARLS, 2013) (n= 10,935) This included data on financial transfers from all non-co-resident children to their parents, and the individual scores on depressive symptoms as measured by the 10-item Center for Epidemiologic Studies-Depression Scale (CESD-10). A two-level - individual and community levels - mixed linear model was deployed to explore their association. Results: Financial transfers from children to parents was the major component of inter-generational financial transfers in Chinese families. A higher financial support from non-co-resident children was signivicantly and positively related to fewer depressive symptoms (coef. = - 0.195,P-value< 0.001) among both the mid-aged and elderly parents. Conclusions: Financial transfers from non-co-resident children are associated with depressive symptoms among mid-aged and elderly residents in the China situation. Taxation and other policy measures should encourage and facilitate these type of financial transfers and prevent a decrease of support from children to parents.

Keyword :

CHARLS Mid-aged and elderly residents Multilevel model China Depressive symptoms Inter-generational transfer

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GB/T 7714 Wu, Yue , Dong, Wanyue , Xu, Yongjian et al. Financial transfers from adult children and depressive symptoms among mid-aged and elderly residents in China - evidence from the China health and retirement longitudinal study [J]. | BMC PUBLIC HEALTH , 2018 , 18 .
MLA Wu, Yue et al. "Financial transfers from adult children and depressive symptoms among mid-aged and elderly residents in China - evidence from the China health and retirement longitudinal study" . | BMC PUBLIC HEALTH 18 (2018) .
APA Wu, Yue , Dong, Wanyue , Xu, Yongjian , Fan, Xiaojing , Su, Min , Gao, Jianmin et al. Financial transfers from adult children and depressive symptoms among mid-aged and elderly residents in China - evidence from the China health and retirement longitudinal study . | BMC PUBLIC HEALTH , 2018 , 18 .
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Comparing the effects of China's three basic health insurance schemes on the equity of health-related quality of life: using the method of coarsened exact matching SSCI SCIE PubMed Scopus
期刊论文 | 2018 , 16 | HEALTH AND QUALITY OF LIFE OUTCOMES
WoS CC Cited Count: 6 SCOPUS Cited Count: 6
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Background: China has three basic health insurance schemes: Urban Employee Basic Medical Insurance (UEBMI), Urban Resident Basic Medical Insurance (URBMI) and New Rural Cooperative Medical Scheme (NRCMS). This study aimed to compare the equity of health-related quality of life (HRQoL) of residents under any two of the schemes. Methods: Using data from the 5th National Health Services Survey of Shaanxi Province, China, coarsened exact matching method was employed to control confounding factors. We included a matched sample of 6802 respondents between UEBMI and URBMI, 34,169 respondents between UEBMI and NRCMS, and 36,928 respondents between URBMI and NRCMS. HRQoL was measured by EQ-5D-3L based on the Chinese-specific value set. Concentration index was adopted to assess health inequality and was decomposed into its contributing factors to explain health inequality. Results: After matching, the horizontal inequity indexes were 0.0036 and 0.0045 in UEBMI and URBMI, 0.0035 and 0. 0058 in UEBMI and NRCMS, and 0.0053 and 0.0052 in URBMI and NRCMS respectively, which were mainly explained by age, educational and economic statuses. The findings demonstrated the pro-rich health inequity was much higher for the rural scheme than that for the urban ones. Conclusion: This study highlights the need to consolidate all three schemes by administrating uniformly, merging funds pooling and benefit packages. Based on the contributing factors, strategies aim to facilitate health conditions of the elderly, narrow economic gap, and reduce educational inequity, are essential. This study will provide evidence-based strategies on consolidating the fragmented health schemes towards reducing health inequity in both China and other developing countries.

Keyword :

Basic health insurance schemes Decomposition Coarsened exact matching China Health-related quality of life Income-related health equity

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GB/T 7714 Su, Min , Zhou, Zhongliang , Si, Yafei et al. Comparing the effects of China's three basic health insurance schemes on the equity of health-related quality of life: using the method of coarsened exact matching [J]. | HEALTH AND QUALITY OF LIFE OUTCOMES , 2018 , 16 .
MLA Su, Min et al. "Comparing the effects of China's three basic health insurance schemes on the equity of health-related quality of life: using the method of coarsened exact matching" . | HEALTH AND QUALITY OF LIFE OUTCOMES 16 (2018) .
APA Su, Min , Zhou, Zhongliang , Si, Yafei , Wei, Xiaolin , Xu, Yongjian , Fan, Xiaojing et al. Comparing the effects of China's three basic health insurance schemes on the equity of health-related quality of life: using the method of coarsened exact matching . | HEALTH AND QUALITY OF LIFE OUTCOMES , 2018 , 16 .
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Effect of China's maternal health policy on improving rural hospital delivery: Evidence from two cross-sectional surveys SSCI SCIE PubMed Scopus
期刊论文 | 2018 , 8 | SCIENTIFIC REPORTS
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This population-based cross-sectional study aims to explore the effect of China's Rural Hospital Delivery Subsidy (RHDS) policy on the utilization of women's hospital delivery between rural and urban areas. A total of 2398 women were drawn from the Fourth and Fifth National Health Service Surveys, from the Shaanxi province. A generalized linear mixed model was used to analyze the influence of the RHDS policy on the hospital delivery rate. Concentration index and decomposition methods were used to explore the equity of hospital delivery utilization. Prior to introduction of the RHDS policy, the difference in hospital delivery rates was -0.09 (95% CL: -0.16, -0.01) between rural and urban women when adjusting the influence of socioeconomic factors on hospital delivery; after implementation of the policy, the difference was reduced to 0.02 (95% CL: -0.01, 0.06). The horizontal inequity index was reduced from 0.084 to 0.009 for rural women and from 0.070 to 0.011 for urban women. China's Rural Hospital Delivery Subsidy policy had some positive effect on reducing the gap between rural and urban women's hospital delivery rate and inequity. However, there is still a pro-rich inequity of hospital delivery utilization for both rural and urban women.

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GB/T 7714 Fan, Xiaojing , Xu, Yongjian , Stewart, Martyn et al. Effect of China's maternal health policy on improving rural hospital delivery: Evidence from two cross-sectional surveys [J]. | SCIENTIFIC REPORTS , 2018 , 8 .
MLA Fan, Xiaojing et al. "Effect of China's maternal health policy on improving rural hospital delivery: Evidence from two cross-sectional surveys" . | SCIENTIFIC REPORTS 8 (2018) .
APA Fan, Xiaojing , Xu, Yongjian , Stewart, Martyn , Zhou, Zhongliang , Dang, Shaonong , Wang, Duolao et al. Effect of China's maternal health policy on improving rural hospital delivery: Evidence from two cross-sectional surveys . | SCIENTIFIC REPORTS , 2018 , 8 .
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Catastrophic health expenditure in households with chronic disease patients: A pre-post comparison of the New Health Care Reform in Shaanxi Province, China SSCI SCIE PubMed Scopus
期刊论文 | 2018 , 13 (3) | PLOS ONE
SCOPUS Cited Count: 2
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Introduction In 2009, China officially launched the New Health Care Reform (NHCR). One important purpose of the reform was to reduce financial burden of health care through health insurance expansion and health care provider regulations. This study aimed to provide evidence on the effect of the NHCR reform on catastrophic health expenditure (CHE) by comparing the occurrence and inequality of CHE among households with chronic diseases patients before and after the reform. Methods This study used the subset of data from the 2008 and 2013 National Health Services Survey conducted in Shaanxi Province. Our sample included households with chronic diseases patients and excluded observations with key variables missing. The final sample size was 1942 households in 2008 and 7704 households in 2013. We defined CHE occurrence following the definition of the World Health Organization (WHO). The income-related inequality in CHE was measured by the concentration index. A multi-level logistic regression model was used in the study to explore the influence of the NHCR on CHE occurrence, controlling for important covariates. Results From 2008 to 2013, the occurrence rate of CHE in rural areas declined from 29.15% to 23.62%. However, the CHE rate in urban areas increased from 19.18% to 24.95%. The interaction term between year and rural/urban location was statistically significant, confirming that the influence of the NHCR on the CHE occurrence rates were heterogeneous between rural and urban areas. As for the CHE inequality, the concentration index in rural areas decreased from -0.4572 to -0.5499 with a p-value less than 0.05. This implied that the CHE occurrence inequality was increased after the implementation of the NHCR. Conclusion Our study suggested that the implementation of the NHCR might not have been effective in reducing the CHE occurrence for households with chronic disease patients. Although the occurrence of CHE of rural households had decreased, the occurrence of CHE in urban areas was higher than before. In addition, the income inequality of CHE occurrence was greater in 2013 compared to that in 2008 in rural areas. Although the reform resulted in higher insurance coverage and higher government expenditure in health care, the financial burden of health care on households did not necessarily improve. Further efforts on developing the current health insurance system and optimizing the hierarchical health care system are required to improve the protection against CHE.

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GB/T 7714 Xu, Yongjian , Ma, Jie , Wu, Na et al. Catastrophic health expenditure in households with chronic disease patients: A pre-post comparison of the New Health Care Reform in Shaanxi Province, China [J]. | PLOS ONE , 2018 , 13 (3) .
MLA Xu, Yongjian et al. "Catastrophic health expenditure in households with chronic disease patients: A pre-post comparison of the New Health Care Reform in Shaanxi Province, China" . | PLOS ONE 13 . 3 (2018) .
APA Xu, Yongjian , Ma, Jie , Wu, Na , Fan, Xiaojing , Zhang, Tao , Zhou, Zhongliang et al. Catastrophic health expenditure in households with chronic disease patients: A pre-post comparison of the New Health Care Reform in Shaanxi Province, China . | PLOS ONE , 2018 , 13 (3) .
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Socio-Economic Inequalities in Tobacco Consumption of the Older Adults in China: A Decomposition Method SSCI SCIE PubMed Scopus
期刊论文 | 2018 , 15 (7) | INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
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Background: In China, tobacco consumption is a leading risk factor for non-communicable diseases, and understanding the pattern of socio-economic inequalities of tobacco consumption will, thus, help to develop targeted policies of public health control. Methods: Data came from the China Health and Retirement Longitudinal Study in 2013, involving 17,663 respondents aged 45 and above. Tobacco use prevalence and tobacco use quantities were defined for further analysis. Using the concentration index (CI) and its decomposition, socio-economic inequalities of tobacco consumption grouped by gender were estimated. Results: The concentration index of tobacco use prevalence was 0.044 (men 0.041; women -0.039). The concentration index of tobacco use quantities among smokers was 0.039 (men 0.033; women 0.038). The majority of the inequality could be explained by educational attainment, age, area, and economic quantiles. Conclusions: Tobacco consumption was more common among richer compared to poorer people in China. Gender, educational attainments, age, areas, and economic quantiles were strong predictors of tobacco consumption in China. Public health policies need to be targeted towards men in higher economic quantiles with lower educational attainment, and divorced or widowed women, especially in urban areas of China.

Keyword :

concentration index tobacco consumption inequality decomposition China

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GB/T 7714 Si, Yafei , Zhou, Zhongliang , Su, Min et al. Socio-Economic Inequalities in Tobacco Consumption of the Older Adults in China: A Decomposition Method [J]. | INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH , 2018 , 15 (7) .
MLA Si, Yafei et al. "Socio-Economic Inequalities in Tobacco Consumption of the Older Adults in China: A Decomposition Method" . | INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 15 . 7 (2018) .
APA Si, Yafei , Zhou, Zhongliang , Su, Min , Wang, Xiao , Li, Dan , Wang, Dan et al. Socio-Economic Inequalities in Tobacco Consumption of the Older Adults in China: A Decomposition Method . | INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH , 2018 , 15 (7) .
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Assessing the effects of the percentage of chronic disease in households on health payment-induced poverty in Shaanxi Province, China SSCI SCIE PubMed
期刊论文 | 2018 , 18 | BMC HEALTH SERVICES RESEARCH
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BackgroundChronic disease has become one of the leading causes of poverty in China, which posed heavy economic burden on individuals, households and society, and accounts for an estimated 80% of deaths and 70% of disability-adjusted life-years lost now in China. This study aims to assess the effect of chronic diseases on health payment-induced poverty in Shaanxi Province, China.MethodsThe data was from the 5th National Health Survey of Shaanxi Province, which was part of China's National Health Service Survey (NHSS) conducted in 2013. Totally, 20,700 households were selected for analysis. We used poverty headcount, poverty gap and mean positive poverty gap to assess the incidence, depth and intensity of poverty before and after health payment, respectively. Logistic regression models were further undertaken to evaluate the influence of percentage of chronic patients in households on the health payment-induced poverty with the control of other covariates.ResultsIn rural areas, the incidence of poverty increased 31.90% before and after health payment in the household group when the percentage of chronic patients in the households was 0, and the poverty gap rose from 932.77 CNY to 1253.85 CNY (50.56% increased). In the group when the percentage of chronic patients in the households was 1-40% and 41-50%, the poverty gap increased 76.78 and 89.29%, respectively. In the group when the percentage of chronic patients in the households was 51 similar to 100%, the increase of poverty headcount and poverty gap was 49.89 and 46.24%. In the logistic model, we found that the proportion of chronic patients in the households was closely related with the health payment-induced poverty. The percentage of chronic disease in the households increased by 1 %, the incidence of poverty increased by 1.01 times. On the other hand, the male household head and the household's head with higher educational lever were seen as protective factors for impoverishment.ConclusionsWith the percentage of chronic patients in the households growing, the health payment-induced poverty increases sharply. Furthermore, the households members with more chronic diseases in rural areas were more likely to suffer poverty than those in urban areas. Our analysis emphasizes the need to protect households from the impoverishment of chronic diseases, and our findings will provide suggestions for further healthcare reforms in China and guidance for vulnerable groups.

Keyword :

NHSS Chronic diseases China Health payment-induced poverty Logistic model

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GB/T 7714 Lan, Xin , Zhou, Zhongliang , Si, Yafei 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 SERVICES RESEARCH , 2018 , 18 .
MLA Lan, Xin et al. "Assessing the effects of the percentage of chronic disease in households on health payment-induced poverty in Shaanxi Province, China" . | BMC HEALTH SERVICES RESEARCH 18 (2018) .
APA Lan, Xin , Zhou, Zhongliang , Si, Yafei , Shen, Chi , Fan, Xiaojing , Chen, Gang et al. Assessing the effects of the percentage of chronic disease in households on health payment-induced poverty in Shaanxi Province, China . | BMC HEALTH SERVICES RESEARCH , 2018 , 18 .
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