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

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