| 王蓝,张梅,赵振平,李纯,黄正京,张笑,王丽敏.2010-2018年中国成年居民健康体检率变化趋势及影响因素分析[J].Chinese journal of Epidemiology,2023,44(7):1037-1045 |
| 2010-2018年中国成年居民健康体检率变化趋势及影响因素分析 |
| Analysis on trend of health examination rate and influencing factors in adults in China, 2010-2018 |
| Received:February 07, 2023 |
| DOI：10.3760/cma.j.cn112338-20230207-00061 |
| KeyWord: 健康体检 Anderson模型 趋势分析 影响因素 |
| English Key Word: Health examination Anderson model Trend analysis Influencing factors |
| FundProject:国家重点研发计划（2021YFC2500201，2018YFC1311706） |
| Author Name | Affiliation | E-mail | | Wang Lan | Division of Chronic Disease and Risk Factor Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Zhang Mei | Division of Chronic Disease and Risk Factor Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Zhao Zhenping | Division of Chronic Disease and Risk Factor Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Li Chun | Division of Chronic Disease and Risk Factor Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Huang Zhengjing | Division of Chronic Disease and Risk Factor Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Zhang Xiao | Division of Chronic Disease and Risk Factor Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Wang Limin | Division of Chronic Disease and Risk Factor Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China | wanglimin@ncncd.chinacdc.cn |
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| Abstract: |
| 目的 了解2010-2018年中国成年居民健康体检现状及变化趋势，探讨健康体检率的主要影响因素，为制定健康干预政策提供数据支持和理论依据。方法 利用2010、2013、2015和2018年中国慢性病及危险因素监测横断面调查数据，对数据进行复杂加权后，分析中国成年居民健康体检率、变化趋势及健康体检原因构成比，采用年均变化百分比（AAPC）描述变化趋势。以Anderson模型为分析框架，采用多因素logistic回归模型分析健康体检率的影响因素。结果 2010-2018年中国成年居民健康体检率从28.2%（95%CI：24.8%~31.6%）上升至41.0%（95%CI：38.9%~43.1%，趋势P<0.001），AAPC为5.47%，文化程度较低、人均年收入较低、农村和西部地区的居民年均增长幅度较大。2018年居民参与健康体检的原因以社区免费提供（36.7%）和单位免费提供（28.5%）为主。多因素分析结果显示，女性、年龄≥45岁、初中及以上文化程度、城市、参加医疗保险、人均年收入≥24 000元、患慢性病数≥1个、不吸烟、饮酒、身体活动充足人群的健康体检率较高。结论 中国成年居民健康体检率呈上升趋势，健康体检原因以免费提供为主。 |
| English Abstract: |
| Objective To understand the health examination rate and its changing trend in adults in China from 2010 to 2018, identify the main factors affecting the health examination rate and provide data support for decision making of health intervention. Methods Data from China Chronic Disease and Risk Factor Surveillance in 2010, 2013, 2015 and 2018 were used. After complex weighting of the data, the rates of health examination, its changing trends and reasons for receiving health examination in adults were analyzed. Average annual percent change (AAPC) was used to describe the changing trend. Anderson model was used as the analysis framework. Multivariate logistic regression model was used to identify the influencing factors for the health examination rate. Results From 2010 to 2018, the health examination rate in adults increased from 28.2% (95%CI:24.8%-31.6%) to 41.0% (95%CI:38.9%-43.1%, P for trend <0.001), the AAPC was 5.47%, the annual average increase was more obvious in those with lower education level and lower income level and in those living in rural area and in western China. In 2018, people received health examination mainly due to providing without charge by community (36.7%) and working unit (28.5%). The results of multivariate analysis showed that being women, age ≥ 45 years, education level of junior high school or above, living in urban areas, medical insurance, annual income ≥ 24 000 RMB, suffering from multiple chronic diseases, non-smoking, drinking, adequate physical activity were positive factors for receiving health examination. Conclusion The rate of health examination in adults increased in China during 2010-2018, and the main reason for receiving health examination is free of charge. |
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