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南京医科大学学报（社会科学版）京医科大学学报（社会科学版） 第6期 总第107期
· 578 · Journal of Nanjing Medical University（Social Sciences）of Nanjing Medical University（Social Sciences） 2021年12月
Journal
卫生支出水平及其影响因素［J］. 医学与社会，2021， 2021，21（2）：101-104
34（10）：48-52 ［23］ 赵钦风，李佳婧，焦晨，等. 慢性病患者家庭发生灾难
［21］ 杨红燕，黄梦. 灾难性卫生支出的城乡差异及分配敏感 性卫生支出研究［J］. 卫生经济研究，2021，38（02）：7-10
性研究［J］. 中国卫生政策研究，2018，11（07）：24-29 ［24］ 吴宪明，孙跃民. 焦虑抑郁与高血压［J］. 中华高血压
［22］ 陈鸣声. 医疗共同决策的内涵与外延：社区慢性病服 杂志，2016，24（2）：188-192
务应用研究［J］. 南京医科大学学报（社会科学版）， （本文编辑：接雅俐）

Study on health shock and influencing factors of low⁃income population

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AI Xiaoqian ，XU Aijun ，QIAO Xuebin ，SONG Ying 4
1. School of Health Economics and Management，Nanjing University of Chinese Medicine，Nanjing 210023；2. Jiangsu Center for
Major Health Risk Management and Prevention and Control of Traditional Chinese Medicine，Nanjing 210023；3. School of
Nursing，Nanjing University of Chinese Medicine，Nanjing 210023；4. Organization Department of the First Affiliated Hospital of
Soochow University，Suzhou 215006，China
Abstract：To understand the current situation of health shock and its intensity among low ⁃ income
population，Logistic model and Tobit model were used to analyze the influencing factors of health shock of low⁃
th
income population based on the data of the 6 National Health Service Survey in Jiangsu Province. The results
showed that the incidence of health shock of low⁃income population was 19.39%（392/2 022），with an average
intensity of 0.096. The results of Logistic regression analysis showed that having a job，high annual per capita
income level，participating in serious illness insurance and good self ⁃ rated health status were the positive
factors of health shock（P<0.05），while coming from urban areas，suffering from a variety of chronic diseases，

anxiety or depression were the negative factors（P<0.05）. It is necessary to increase the support of government
funds and policies，construct the chronic disease prevention and control system，perfect the medical security
system，and pay special attention to the mental health education of the population.
Key words：low⁃income population；health shock；serious illness insurance；influencing factors