文献类型：期刊文献

中文题名：社会分层视角下的浙江省城市居民健康公平性研究

英文题名：Study on the health equity in urban dwellers from social stratification

作者：邢海燕[1];于伟[2];陈定湾[3]

机构：[1]绍兴文理学院医学院,浙江省绍兴市312000;[2]绍兴市柯桥区疾病预防控制中心;[3]浙江医学高等专科学校

年份：2015

卷号：31

期号：2

起止页码：143

中文期刊名：中华医院管理杂志

外文期刊名：Chinese Journal of Hospital Administration

收录：CSTPCD、、北大核心2014、北大核心

基金：浙江省人力资源和社会保障科学研究课题（R2013A011）;教育部人文社会科学研究青年基金项目（10YJC840007）

语种：中文

中文关键词：社会分层;健康公平;浙江省;城市居民

外文关键词：Social stratification; Health equity; Zhejiang province; Urban dwellers

中文摘要：目的考察不同社会阶层城市居民的健康公平情况，为提高居民健康水平、促进健康公平提供依据。方法采用分层抽样方法，调查浙江省1007名城市居民，依据修订后的社会经济地位量表，综合收入、职业和教育程度3个因素进行社会分层，比较不同阶层城市居民健康公平情况。结果城市居民参加社会医疗保险的比例达97．5％，参加医疗保险的种类差异有统计学意义（P〈0.05）；不同社会阶层城市居民的两周患病率和两周就诊率差异无统计学意义，但两周内应就诊而未就诊率与社会阶层呈显著负相关，因经济困难未就诊的比例在社会下层为23．1％，社会中下层为3．2％，中层及以上者为0％；首选门诊机构和住院机构的级别与社会阶层呈正相关关系。结论不同社会阶层城市居民存在健康不公平，政府和社会应更加关注低社会阶层群体的健康。

外文摘要：Objective To investigate health equity status of urban dwellers with different social stratification and provide evidence for health promotion. Methods 1,007 urban dwellers were surveyed in Zhejiang province in a stratified sampling based on their income, occupation and education, with their health equity analyzed. Results The proportion of urban dwellers to participate in social health insurance reached 97.5%, a proportion of statistical significance （P〈0. 05）. The two-week prevalence rate and two-week attendance rate of urban dwellers of different social stratification has no significant difference, but the rate of sickness without attending was significantly negatively correlated to social stratification. The proportion of no visiting because of poverty was 23. 1% in the lower social class, 3.2% in middle and lower class, and 0% in the middle and upper class, a difference being statistically significant （P〈0. 001）. The outpatient clinic of first choice and ranking of the hospital was positively correlated to social stratification. Conclusion There is health inequity for urban dwellers with different social stratification, for which the government should pay more attention to lower social class.