Abstract: Background　China is a country owing a large mobile labor force，in particular，Jiangxi is a major province for labor force output.In rural families，women often play a key role in supporting their families.But as a vulnerable group，their chronic disease prevalence is often ignored.Objective　To investigate the prevalence and influencing factors of chronic diseases among rural women in Jiangxi Province in the situation of labor mobility.Methods　From 2006 to 2014，a household questionnaire survey was conducted every two years in 15 634 females（≥15 years） from 3 600 households in 27 villages of Jiangxi by multistage cluster sampling and stratified random sampling.Data about chronic diseases prevalence，and demographic characteristics（age，occupation，marital status，educational level，income level，labor force，permanent resident/ migrant） were analyzed.Multivariate Logistic regression was used to find influencing factors of prevalence of chronic diseases.Results　The unweighted total number of rural women was 15 631，and 11 660（74.60%） of them were permanent residents.The weighted total number of rural women was 2 245 283，including 1 621 026（72.20%） permanent residents.The annual prevalence of chronic diseases was 11.2% in the weighted overall sample，among which permanent residents had a higher prevalence than those migrated（14.5% vs 2.8%）（χ2=428.035，P<0.01）.The survey year（2008：OR=0.778，95%CI（0.767，0.789）；2010：OR=1.569，95%CI（1.546，1.592）；2012：OR=0.820，95%CI（0.808，0.833）；2014：OR=0.818，95%CI（0.805，0.831）〕，age〔35-54 years：OR=5.425，95%CI（5.324，5.529）；≥55 years：OR=9.807，95%CI（9.609，10.009）〕，occupation〔farmer：OR=1.371，95%CI（1.353，1.388）〕，marital status〔married/ cohabitation：OR=1.424，95%CI（1.386，1.463）；divorced/ widowed：OR=1.198，95%CI（1.163，1.235）〕，educational level〔primary school and below：OR=1.371，95%CI（1.353，1.388）〕，income level 〔medium：OR=0.898，95%CI（50.888，0.908）；high：OR=0.899，95%CI（0.885，0.914）〕，labor force〔not：OR=1.618，95%CI（1.600，1.636）〕，migration prevalence〔permanent resident：OR=1.667，95%CI（1.637，1.697）〕 were associated with chronic diseases（P<0.05）.Conclusion　The prevalence of chronic disease in rural women of Jiangxi Province was 11.2%，among whom，the permanent residents had a higher prevalence than those migrated.The survey year，age，occupation，marital status，educational level，income level，whether being in the labor force，and being a migrant were the influencing factor of chronic diseases.

Key words: Chronic disease, Rural population, Women, Root cause analysis, Home care services

摘要： 背景　中国是一个人口流动大国，且江西省为我国劳动力输出的主要省份之一。妇女是农村家庭的关键成员同时也是社会的弱势群体，其慢性病患病情况常被忽视。目的　了解人口流动背景下江西省农村妇女慢性病患病情况，并分析其影响因素。方法　采用多阶段分层整群随机抽样法抽取江西省27个行政村3 600户居民，2006—2014年，每两年进行一次一对一的入户问卷调查。共15 634名15岁及以上农村妇女的慢性病患病情况及人口学信息（年龄、职业、婚姻状况、受教育程度、收入水平、是否为劳动力、是否外出）纳入此次分析，采用多因素Logistic回归分析探究农村妇女慢性病患病的影响因素。结果　加权前农村妇女总人数为15 631名，其中常住妇女11 660名（74.60%）；加权后妇女总人数为2 245 283名，其中常住妇女1 621 026名（72.20%）。加权后，妇女整体慢性病患病率为11.2%，其中常住妇女慢性病患病率为14.5%，高于外出妇女（2.8%）（χ2=428.035，P<0.01）。年份〔2008年：OR=0.778，95%CI（0.767，0.789）；2010年：OR=1.569，95%CI（1.546，1.592）；2012年：OR=0.820，95%CI（0.808，0.833）；2014年：OR=0.818，95%CI（0.805，0.831）〕、年龄〔35~54岁：OR=5.425，95%CI（5.324，5.529）；55~岁：OR=9.807，95%CI（9.609，10.009）〕、职业〔农民：OR=1.371，95%CI（1.353，1.388）〕、婚姻状况〔已婚同居：OR=1.424，95%CI（1.386，1.463）；离婚或丧偶：OR=1.198，95%CI（1.163，1.235）〕、受教育程度〔小学及以下：OR=1.371，95%CI（1.353，1.388）〕、收入水平〔中等：OR=0.898，95%CI（50.888，0.908）；高等：OR=0.899，95%CI（0.885，0.914）〕、是否为劳动力〔否：OR=1.618，95%CI（1.600，1.636）〕、是否外出〔否：OR=1.667，95%CI（1.637，1.697）〕为江西省农村妇女患慢性病的影响因素（P<0.05）。结论　江西省农村妇女慢性病患病率为11.2%，且常住妇女慢性病患病率较外出妇女更高。年份、年龄、职业、婚姻状况、受教育程度、收入水平、是否为劳动力、是否外出为江西省农村妇女患慢性病的影响因素。

关键词: 慢性病, 农村人口, 妇女, 影响因素分析, 家庭医疗保健服务