Chinese General Practice ›› 2024, Vol. 27 ›› Issue (10): 1179-1185.DOI: 10.12114/j.issn.1007-9572.2023.0686
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Received:
2023-04-10
Revised:
2023-11-15
Published:
2024-04-05
Online:
2024-01-25
Contact:
HE Zhong
通讯作者:
何仲
作者简介:
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URL: https://www.chinagp.net/EN/10.12114/j.issn.1007-9572.2023.0686
省级行政区域名称 | 参加体检人数(例) | 参加体检率(%) | 参加体检项目数a |
---|---|---|---|
新疆维吾尔自治区 | 82 | 96.47 | 13 |
上海市 | 41 | 83.67 | 14 |
北京市 | 32 | 82.05 | 14 |
浙江省 | 556 | 73.06 | 10 |
天津市 | 78 | 70.27 | 11 |
江苏省 | 497 | 60.24 | 11 |
甘肃省 | 237 | 51.41 | 7 |
四川省 | 771 | 51.20 | 8 |
山东省 | 792 | 51.06 | 9.5 |
湖北省 | 241 | 48.98 | 8 |
河南省 | 650 | 48.40 | 8 |
内蒙古自治区 | 364 | 48.34 | 9 |
山西省 | 248 | 47.15 | 8 |
重庆市 | 116 | 46.22 | 9 |
云南省 | 471 | 43.33 | 8 |
安徽省 | 411 | 46.08 | 7 |
江西省 | 408 | 44.88 | 8 |
陕西省 | 273 | 43.54 | 11 |
广西壮族自治区 | 227 | 42.67 | 8 |
黑龙江省 | 117 | 41.05 | 8 |
贵州省 | 76 | 40.86 | 8 |
湖南省 | 321 | 39.83 | 10 |
河北省 | 310 | 39.79 | 8 |
广东省 | 355 | 39.66 | 9 |
吉林省 | 144 | 39.34 | 8.5 |
福建省 | 164 | 36.94 | 8 |
青海省 | 53 | 36.55 | 10 |
辽宁省 | 176 | 35.41 | 7.5 |
Table 1 Utilization of health checkup services for residents in 28 provinces/autonomous regions/municipalities
省级行政区域名称 | 参加体检人数(例) | 参加体检率(%) | 参加体检项目数a |
---|---|---|---|
新疆维吾尔自治区 | 82 | 96.47 | 13 |
上海市 | 41 | 83.67 | 14 |
北京市 | 32 | 82.05 | 14 |
浙江省 | 556 | 73.06 | 10 |
天津市 | 78 | 70.27 | 11 |
江苏省 | 497 | 60.24 | 11 |
甘肃省 | 237 | 51.41 | 7 |
四川省 | 771 | 51.20 | 8 |
山东省 | 792 | 51.06 | 9.5 |
湖北省 | 241 | 48.98 | 8 |
河南省 | 650 | 48.40 | 8 |
内蒙古自治区 | 364 | 48.34 | 9 |
山西省 | 248 | 47.15 | 8 |
重庆市 | 116 | 46.22 | 9 |
云南省 | 471 | 43.33 | 8 |
安徽省 | 411 | 46.08 | 7 |
江西省 | 408 | 44.88 | 8 |
陕西省 | 273 | 43.54 | 11 |
广西壮族自治区 | 227 | 42.67 | 8 |
黑龙江省 | 117 | 41.05 | 8 |
贵州省 | 76 | 40.86 | 8 |
湖南省 | 321 | 39.83 | 10 |
河北省 | 310 | 39.79 | 8 |
广东省 | 355 | 39.66 | 9 |
吉林省 | 144 | 39.34 | 8.5 |
福建省 | 164 | 36.94 | 8 |
青海省 | 53 | 36.55 | 10 |
辽宁省 | 176 | 35.41 | 7.5 |
地区 | 参加体检人数(例) | 参加体检项目数[M(P25,P75)] | Z(χ2)值 | P值 |
---|---|---|---|---|
居住地 | -18.195 | <0.001 | ||
农村 | 4 466 | 8(4,11) | ||
城镇 | 3 745 | 10(6,13) | ||
经济区域 | 104.153a | <0.001 | ||
东部 | 2 825 | 10(6,13) | ||
中部 | 2 279 | 8(5,12)b | ||
西部 | 2 670 | 9(5,12)b | ||
东北部 | 437 | 8(5,11)b |
Table 2 Geographical differences in the utilization of health checkup services for residents of 28 provinces/autonomous regions/municipalities
地区 | 参加体检人数(例) | 参加体检项目数[M(P25,P75)] | Z(χ2)值 | P值 |
---|---|---|---|---|
居住地 | -18.195 | <0.001 | ||
农村 | 4 466 | 8(4,11) | ||
城镇 | 3 745 | 10(6,13) | ||
经济区域 | 104.153a | <0.001 | ||
东部 | 2 825 | 10(6,13) | ||
中部 | 2 279 | 8(5,12)b | ||
西部 | 2 670 | 9(5,12)b | ||
东北部 | 437 | 8(5,11)b |
项目 | 不加权 | 加权 | ||||||
---|---|---|---|---|---|---|---|---|
IRR(95%CI) | SE | Z值 | P值 | IRR(95%CI) | SE | Z值 | P值 | |
经济区域(以东部为参照) | ||||||||
中部 | 0.88(0.86~0.91) | 0.013 | -8.94 | <0.001 | 0.89(0.86~0.92) | 0.014 | -7.34 | <0.001 |
西部 | 0.94(0.92~0.97) | 0.013 | -4.58 | <0.001 | 0.94(0.91~0.96) | 0.014 | -4.47 | <0.001 |
东北部 | 0.84(0.80~0.88) | 0.022 | -6.71 | <0.001 | 0.81(0.77~0.86) | 0.023 | -7.19 | <0.001 |
居住地类型(以农村地区为参照) | ||||||||
城镇地区 | 1.10(1.08~1.13) | 0.014 | 7.82 | <0.001 | 1.11(1.07~1.14) | 0.016 | 6.82 | <0.001 |
性别(以男性为参照) | ||||||||
女性 | 0.95(0.93~0.97) | 0.011 | -4.20 | <0.001 | 0.96(0.94~0.99) | 0.012 | -3.11 | 0.002 |
年龄(以45~59岁为参照) | ||||||||
60~74岁 | 1.08(1.05~1.10) | 0.014 | 5.59 | <0.001 | 1.08(1.05~1.12) | 0.017 | 5.17 | <0.001 |
≥75岁 | 1.08(1.04~1.12) | 0.020 | 4.16 | <0.001 | 1.08(1.04~1.12) | 0.020 | 3.88 | <0.001 |
婚姻状况(以单身为参照) | ||||||||
已婚 | 1.03(1.00~1.06) | 0.017 | 1.68 | 0.092 | 1.05(1.02~1.08) | 0.017 | 2.87 | 0.004 |
文化程度(以小学及以下为参照) | ||||||||
初中 | 1.07(1.04~1.11) | 0.016 | 4.71 | <0.001 | 1.08(1.04~1.12) | 0.021 | 3.76 | <0.001 |
高中(中专)及以上 | 1.16(1.12~1.21) | 0.021 | 8.46 | <0.001 | 1.17(1.13~1.21) | 0.020 | 9.39 | <0.001 |
健康状况(以无慢性病为参照) | ||||||||
1种慢性病 | 1.01(0.98~1.03) | 0.013 | 0.65 | 0.516 | 1.00(0.97~1.02) | 0.014 | -0.27 | 0.786 |
共患病 | 1.05(1.01~1.08) | 0.016 | 2.91 | 0.004 | 1.04(1.01~1.08) | 0.018 | 2.54 | 0.011 |
基本医疗保险(以无医保为参照) | ||||||||
居民医保 | 1.08(1.00~1.18) | 0.047 | 1.76 | 0.078 | 1.05(0.92~1.20) | 0.069 | 0.75 | 0.452 |
职工医保 | 1.30(1.19~1.43) | 0.060 | 5.80 | <0.001 | 1.26(1.10~1.44) | 0.085 | 3.41 | 0.001 |
常数 | 6.89(6.26~7.57) | 0.335 | 39.66 | <0.001 | 7.06(6.17~8.08) | 0.485 | 28.45 | <0.001 |
Inflate | ||||||||
常数 | 0.08(0.05~0.11) | 0.015 | 5.28 | <0.001 | 0.02(-0.03~0.06) | 0.022 | 0.74 | 0.461 |
alpha | 0.13(0.12,0.14) | 0.005 | 0.10(0.09~0.11) | 0.006 |
Table 3 Analysis of influencing factors on the number of health checkup item for residents
项目 | 不加权 | 加权 | ||||||
---|---|---|---|---|---|---|---|---|
IRR(95%CI) | SE | Z值 | P值 | IRR(95%CI) | SE | Z值 | P值 | |
经济区域(以东部为参照) | ||||||||
中部 | 0.88(0.86~0.91) | 0.013 | -8.94 | <0.001 | 0.89(0.86~0.92) | 0.014 | -7.34 | <0.001 |
西部 | 0.94(0.92~0.97) | 0.013 | -4.58 | <0.001 | 0.94(0.91~0.96) | 0.014 | -4.47 | <0.001 |
东北部 | 0.84(0.80~0.88) | 0.022 | -6.71 | <0.001 | 0.81(0.77~0.86) | 0.023 | -7.19 | <0.001 |
居住地类型(以农村地区为参照) | ||||||||
城镇地区 | 1.10(1.08~1.13) | 0.014 | 7.82 | <0.001 | 1.11(1.07~1.14) | 0.016 | 6.82 | <0.001 |
性别(以男性为参照) | ||||||||
女性 | 0.95(0.93~0.97) | 0.011 | -4.20 | <0.001 | 0.96(0.94~0.99) | 0.012 | -3.11 | 0.002 |
年龄(以45~59岁为参照) | ||||||||
60~74岁 | 1.08(1.05~1.10) | 0.014 | 5.59 | <0.001 | 1.08(1.05~1.12) | 0.017 | 5.17 | <0.001 |
≥75岁 | 1.08(1.04~1.12) | 0.020 | 4.16 | <0.001 | 1.08(1.04~1.12) | 0.020 | 3.88 | <0.001 |
婚姻状况(以单身为参照) | ||||||||
已婚 | 1.03(1.00~1.06) | 0.017 | 1.68 | 0.092 | 1.05(1.02~1.08) | 0.017 | 2.87 | 0.004 |
文化程度(以小学及以下为参照) | ||||||||
初中 | 1.07(1.04~1.11) | 0.016 | 4.71 | <0.001 | 1.08(1.04~1.12) | 0.021 | 3.76 | <0.001 |
高中(中专)及以上 | 1.16(1.12~1.21) | 0.021 | 8.46 | <0.001 | 1.17(1.13~1.21) | 0.020 | 9.39 | <0.001 |
健康状况(以无慢性病为参照) | ||||||||
1种慢性病 | 1.01(0.98~1.03) | 0.013 | 0.65 | 0.516 | 1.00(0.97~1.02) | 0.014 | -0.27 | 0.786 |
共患病 | 1.05(1.01~1.08) | 0.016 | 2.91 | 0.004 | 1.04(1.01~1.08) | 0.018 | 2.54 | 0.011 |
基本医疗保险(以无医保为参照) | ||||||||
居民医保 | 1.08(1.00~1.18) | 0.047 | 1.76 | 0.078 | 1.05(0.92~1.20) | 0.069 | 0.75 | 0.452 |
职工医保 | 1.30(1.19~1.43) | 0.060 | 5.80 | <0.001 | 1.26(1.10~1.44) | 0.085 | 3.41 | 0.001 |
常数 | 6.89(6.26~7.57) | 0.335 | 39.66 | <0.001 | 7.06(6.17~8.08) | 0.485 | 28.45 | <0.001 |
Inflate | ||||||||
常数 | 0.08(0.05~0.11) | 0.015 | 5.28 | <0.001 | 0.02(-0.03~0.06) | 0.022 | 0.74 | 0.461 |
alpha | 0.13(0.12,0.14) | 0.005 | 0.10(0.09~0.11) | 0.006 |
项目 | 城镇(n=10 568) | 农村(n=6 635) | ||||||
---|---|---|---|---|---|---|---|---|
IRR(95%CI) | SE | Z值 | P值 | IRR(95%CI) | SE | Z值 | P值 | |
经济区域(以东部为参照) | ||||||||
中部 | 0.92(0.88~0.96) | 0.020 | -3.90 | <0.001 | 0.85(0.81~0.88) | 0.019 | -7.46 | <0.001 |
西部 | 0.94(0.90~0.97) | 0.019 | -2.97 | 0.003 | 0.92(0.89~0.96) | 0.019 | -3.87 | <0.001 |
东北部 | 0.82(0.77~0.88) | 0.029 | -5.50 | <0.001 | 0.81(0.74~0.88) | 0.036 | -4.80 | <0.001 |
性别(以男性为参照) | ||||||||
女性 | 0.98(0.95~1.01) | 0.017 | -1.21 | 0.225 | 0.94(0.90~0.97) | 0.018 | -3.51 | <0.001 |
年龄(以45~59岁为参照) | ||||||||
60~74岁 | 1.07(1.02~1.11) | 0.022 | 3.08 | 0.002 | 1.11(1.06~1.16) | 0.024 | 4.59 | <0.001 |
≥75岁 | 1.08(1.03~1.13) | 0.026 | 2.98 | 0.003 | 1.08(1.02~1.14) | 0.032 | 2.50 | 0.012 |
婚姻状况(以单身为参照) | ||||||||
已婚 | 1.05(1.00~1.09) | 0.023 | 2.01 | 0.044 | 1.05(1.00~1.10) | 0.026 | 3.79 | 0.068 |
文化程度(以小学及以下为参照) | ||||||||
初中 | 1.06(1.00~1.12) | 0.029 | 2.07 | 0.039 | 1.10(1.05~1.15) | 0.027 | 3.79 | <0.001 |
高中(中专)及以上 | 1.16(1.11~1.21) | 0.025 | 6.75 | <0.001 | 1.18(1.12~1.25) | 0.033 | 5.95 | <0.001 |
健康状况(以无慢性病为参照) | ||||||||
1种慢性病 | 0.99(0.96~1.03) | 0.019 | -0.33 | 0.740 | 1.00(0.96~1.04) | 0.020 | 0.14 | 0.892 |
共患病 | 1.02(0.97~1.06) | 0.024 | 0.69 | 0.492 | 1.09(1.04~1.14) | 0.025 | 3.67 | <0.001 |
基本医疗保险(以无医保为参照) | ||||||||
居民医保 | 0.96(0.78~1.18) | 0.102 | -0.36 | 0.716 | 1.15(0.99~1.34) | 0.088 | 1.87 | 0.062 |
职工医保 | 1.16(0.94~1.43) | 0.123 | 1.39 | 0.164 | 1.40(1.20~1.64) | 0.112 | 4.20 | <0.001 |
常数 | 8.53(6.91~10.54) | 0.921 | 19.86 | <0.001 | 6.46(5.48~7.62) | 0.542 | 22.26 | <0.001 |
inflate | ||||||||
常数 | -0.28(-0.35~0.20) | 0.040 | -6.94 | <0.001 | 0.30(0.25~0.34) | 0.022 | 13.61 | <0.001 |
alpha | 0.05(0.04~0.07) | 0.139 | 0.18(0.16~0.20) | 0.008 |
Table 4 Analysis of factors influencing on the number of health checkup items by urban and rural
项目 | 城镇(n=10 568) | 农村(n=6 635) | ||||||
---|---|---|---|---|---|---|---|---|
IRR(95%CI) | SE | Z值 | P值 | IRR(95%CI) | SE | Z值 | P值 | |
经济区域(以东部为参照) | ||||||||
中部 | 0.92(0.88~0.96) | 0.020 | -3.90 | <0.001 | 0.85(0.81~0.88) | 0.019 | -7.46 | <0.001 |
西部 | 0.94(0.90~0.97) | 0.019 | -2.97 | 0.003 | 0.92(0.89~0.96) | 0.019 | -3.87 | <0.001 |
东北部 | 0.82(0.77~0.88) | 0.029 | -5.50 | <0.001 | 0.81(0.74~0.88) | 0.036 | -4.80 | <0.001 |
性别(以男性为参照) | ||||||||
女性 | 0.98(0.95~1.01) | 0.017 | -1.21 | 0.225 | 0.94(0.90~0.97) | 0.018 | -3.51 | <0.001 |
年龄(以45~59岁为参照) | ||||||||
60~74岁 | 1.07(1.02~1.11) | 0.022 | 3.08 | 0.002 | 1.11(1.06~1.16) | 0.024 | 4.59 | <0.001 |
≥75岁 | 1.08(1.03~1.13) | 0.026 | 2.98 | 0.003 | 1.08(1.02~1.14) | 0.032 | 2.50 | 0.012 |
婚姻状况(以单身为参照) | ||||||||
已婚 | 1.05(1.00~1.09) | 0.023 | 2.01 | 0.044 | 1.05(1.00~1.10) | 0.026 | 3.79 | 0.068 |
文化程度(以小学及以下为参照) | ||||||||
初中 | 1.06(1.00~1.12) | 0.029 | 2.07 | 0.039 | 1.10(1.05~1.15) | 0.027 | 3.79 | <0.001 |
高中(中专)及以上 | 1.16(1.11~1.21) | 0.025 | 6.75 | <0.001 | 1.18(1.12~1.25) | 0.033 | 5.95 | <0.001 |
健康状况(以无慢性病为参照) | ||||||||
1种慢性病 | 0.99(0.96~1.03) | 0.019 | -0.33 | 0.740 | 1.00(0.96~1.04) | 0.020 | 0.14 | 0.892 |
共患病 | 1.02(0.97~1.06) | 0.024 | 0.69 | 0.492 | 1.09(1.04~1.14) | 0.025 | 3.67 | <0.001 |
基本医疗保险(以无医保为参照) | ||||||||
居民医保 | 0.96(0.78~1.18) | 0.102 | -0.36 | 0.716 | 1.15(0.99~1.34) | 0.088 | 1.87 | 0.062 |
职工医保 | 1.16(0.94~1.43) | 0.123 | 1.39 | 0.164 | 1.40(1.20~1.64) | 0.112 | 4.20 | <0.001 |
常数 | 8.53(6.91~10.54) | 0.921 | 19.86 | <0.001 | 6.46(5.48~7.62) | 0.542 | 22.26 | <0.001 |
inflate | ||||||||
常数 | -0.28(-0.35~0.20) | 0.040 | -6.94 | <0.001 | 0.30(0.25~0.34) | 0.022 | 13.61 | <0.001 |
alpha | 0.05(0.04~0.07) | 0.139 | 0.18(0.16~0.20) | 0.008 |
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