Analysis of the Status Quo and Influencing Factors of Health Service Utilization of Rural Residents in Ningxia from the Perspective of Health Poverty Vulnerability
摘要
Background In recent years, the direction of China's health policy has shifted from poverty alleviation to poverty prevention, and rural residents are an important target for poverty prevention in the medical and health fields. Objective To understand the current status of health service utilization and its influencing factors among rural residents in Ningxia Hui Autonomous Region under different vulnerabilities of health poverty, in order to provide a realistic basis for improving the health service utilization of rural residents and promoting the governance of poverty prevention in the field of medical and health care. Methods A multistage stratified cluster random sampling method was used to conduct an on-site household survey in four counties of the Ningxia Hui Autonomous Region (Haiyuan, Yanchi, Xiji, and Pengyang counties) in June-July 2022. A questionnaire was used to collect information on the general demographic characteristics of the rural residents, their health status, health service utilization, and household economic situation; a three-stage feasible generalized least squares (FGLS) was used to quantify the vulnerability of the residents to health poverty, and the rural residents were divided into the health poverty vulnerable group and non-health poverty vulnerable group with a cut-off value of 0.5. The multifactorial non-conditional Logistic regression was used in combination with the Anderson model to analyze the utilization of health services by the rural residents of different vulnerabilities to health poverty and the factors affecting them. Results A total of 17 477 cases of rural residents in Ningxia were included in this study, of which 9 154 cases (52.4%) were male and 8 323 cases (47.6%) were female; the results of health poverty vulnerability measurement and grouping of the rural residents showed that 29.9% (5 229 /17 477) of the residents were vulnerable to health poverty, and 70.1% (12 248/17 477) of the residents were vulnerable