Current Situation of Health Service Needs and Utilization among Six <i>Zhiguo</i> Ethnic Minority Groups in Yunnan Province

Jie CHEN; Xinping WANG; Jiayi XIONG; Chunming MA; Yuan HUANG; Rui DENG; Feng JIAO

doi:10.12259/j.issn.2095-610X.S20240211

Volume 45 Issue 2

Feb. 2024

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Jie CHEN, Xinping WANG, Jiayi XIONG, Chunming MA, Yuan HUANG, Rui DENG, Feng JIAO. Current Situation of Health Service Needs and Utilization among Six Zhiguo Ethnic Minority Groups in Yunnan Province[J]. Journal of Kunming Medical University, 2024, 45(2): 85-93. doi: 10.12259/j.issn.2095-610X.S20240211

Citation:

Jie CHEN, Xinping WANG, Jiayi XIONG, Chunming MA, Yuan HUANG, Rui DENG, Feng JIAO. Current Situation of Health Service Needs and Utilization among Six Zhiguo Ethnic Minority Groups in Yunnan Province[J]. Journal of Kunming Medical University, 2024, 45(2): 85-93. doi: 10.12259/j.issn.2095-610X.S20240211

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Current Situation of Health Service Needs and Utilization among Six Zhiguo Ethnic Minority Groups in Yunnan Province

doi: 10.12259/j.issn.2095-610X.S20240211

1.
School of Public Health，Kunming Medical University，Yunnan Kunming 650500
2.
Student Affairs Office，Kunming Medical University，Yunnan Kunming 650500，China

Received Date: 2023-11-19
Available Online: 2024-02-26
Publish Date: 2024-02-25

Abstract

Abstract

Objective To investigate the need for and utilization of health services among six Zhiguo ethnic minority groups in Yunnan Province, aiming to provide further evidence for the improvement of healthcare. Methods Using stratified random sampling, 1921 individuals from six Zhiguo ethnic minority groups, aged 15 and above, were investigated with a structured questionnaire between August and December 2022. A structured questionnaire was used to collect participants’ information on health service needs and utilization. Results Among the surveyed participants, the two-week prevalence rate was found to be 22.54%, while the prevalence rate of chronic diseases was 38.52%. Among the residents, the risk of two-week prevalence was higher for females （OR=1.564）, individuals aged ≥60 years （OR=1.727）, and those who reported poorer health utility value （OR=5.277）, while it was lower for residents of Keno （OR=0.470） and Lahu （OR=0.659） ethnicity, as well as those who reported higher EQ-VAS scores （OR=0.446/0.174）. Meanwhile, residents aged ≥45 years （OR=3.392/7.072） were at higher risk for chronic disease prevalence, while it was lower for Keno ethnicity （OR=0.409）, unmarried individuals （OR=0.479）, and those with higher education levels （OR=0.629/0.603）, higher EQ-VAS scores （OR=0.208）P < 0.05. Additionally, among the participants, the treatment rate for two-week illness was 14.32%, while the non-treatment rate stood at 36.49%. Furthermore, the one-year hospitalization rate was reported as 19.89%, with a corresponding rate of individuals who needed hospitalization but did not receive it being recorded at 15.86%. Among the residents, the likelihood of treatment for two-week illness was higher for females （OR=1.461） and residents aged ≥45 years （OR=1.510/1.560）, whereas it was lower for individuals with higher EQ-VAS scores （OR=0.445）. The likelihood of hospitalization within one year was also higher for residents aged ≥60 years （OR=2.029） and individuals of Nu （OR=1.599）, Lisu （OR=1.688）, and Keno （OR=1.968） ethnicity, whereas those with high EQ-VAS scores （OR=0.325） had a lower risk （P < 0.05）. Conclusion In Yunnan Province, the need for healthcare services among six Zhiguo ethnic minority groups in this study is relatively low; however, the high prevalence of chronic diseases raises concerns. The utilization of healthcare services appears to be relatively sufficient, but the utilization of outpatient services still needs to be improved.
- Health service need,
- Health service utilization,
- Zhiguo ethnic minority groups

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References(21)

References

[1]	程玄. 云南 “直过民族”社会发展与现代化[M]. 昆明: 云南人民出版社, 2002: 1
[2]	蒋梅英,熊理然,阳茂庆. 西南边疆“直过民族”发展研究的回顾与展望[J]. 边疆经济与文化,2011,85(1):171-173.
[3]	王磊. 我国“直过民族”的三重跨越[J]. 广西民族研究,2018,144(6):78-84.
[4]	中华人民共和国国务院新闻办公室. 云南11个“直过民族”和“人口较少民族”全部实现整族脱贫[EB/OL]. （2020-12-08）[2023-08-31]. http://www.scio.gov.cn/ztk/dtzt/42313/44426/44430/Document/1694355/1694355.htm
[5]	陈啸宏. 增强针对性全力提升民族地区卫生计生服务能力[N]. 中国民族报, 2014-08-15（001）.
[6]	罗艳丰,李婧,吴茂婷,等. 云南省城乡居民两周患病率及慢性病患病率现状分析[J]. 卫生软科学,2019,33(12):82-85. doi: 10.3969/j.issn.1003-2800.2019.12.018
[7]	代紫璇,满晓玮. 我国老年人卫生服务需要及利用情况Meta分析[J]. 中国初级卫生保健,2023,37(5):44-47. doi: 10.3969/j.issn.1001-568X.2023.05.0011
[8]	陈杰,吴楷雯,邓淦元,等. 西南地区乡村振兴重点帮扶县居民脱贫前后卫生服务调查研究[J]. 中国农村卫生事业管理,2023,43(7):474-480.
[9]	王良晨,赵新平,蔡敏,等. 0~5岁留守儿童健康状况、卫生服务需要及利用状况分析[J]. 中国妇幼保健,2019,34(15):3393-3396.
[10]	国家卫生健康委统计信息中心.2018年全国第六次卫生服务统计调查报告[M].北京:人民卫生出版社, 2021:22-23.
[11]	Luo N,Liu G,Li M,et al. Estimating an EQ-5D-5L value set for China[J]. Value Health,2017,20(4):662-669. doi: 10.1016/j.jval.2016.11.016
[12]	禄沙沙,王蕾,王云昭,等. 贵州少数民族地区15岁及以上居民卫生服务需求和利用分析[J]. 现代预防医学,2023,50(4):676-681.
[13]	吴楷雯,唐娴,黄源,等. 2015−2019年云南省“直过民族”居民死因分析[J]. 中国预防医学杂志,2021,22(12):920-925.
[14]	崔晨涛. 新中国70年“直过民族”跨越式发展与社会主义民族理论创新[J]. 广西民族研究,2019,149(5):42-48.
[15]	孔虹倩,蔡乐,许庆良,等. 云南独有少数民族高血压患病及控制现状[J]. 中国公共卫生,2016,32(6):725-728.
[16]	梁烨倍,侯旭宏,吴伟,等. 布朗族成人糖尿病患病率及其影响因素研究[J]. 中华内科杂志,2019,58(1):27-32.
[17]	彭曼华,张林,黄德建,等. 2013年湖南省居民两周患病及≥15岁居民半年内慢性病患病构成分析[J]. 中华疾病控制杂志,2016,20(9):921-925.
[18]	胡鲲,苏军,陈新春,等. 贵州黔南地区20~79岁农村居民类风湿关节炎患病现状及危险因素[J]. 中国公共卫生,2019,35(7):813-817.
[19]	韦艳,李美琪,徐赟. 贫困地区农村居民卫生服务利用及影响因素分析[J]. 现代预防医学,2020,47(14):2497-2500,2516.
[20]	贺梦璐,王春霞,王海鹏等. 山东省农村多重慢病患者卫生服务利用现状及影响因素分析[J]. 中国卫生事业管理,2021,38(12):922-925,935.
[21]	于楣, 白琳. 云南人口较少民族地区特色产业发展分析[J]. 当代经济, 2017, （8）: 8-11.

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