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Large urban–rural disparity in the severity of two-week illness: updated results based on the first health service survey of Hunan Province, China

BACKGROUND: To examine urban–rural differences in the severity of non-fatal disease and injury using the latest household interview survey data of Hunan Province, China. METHODS: Two-week illness data were from the first provincial health household interview survey of Hunan in 2013. The proportion o...

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Autores principales: Tian, Danping, Sun, Li, Zhang, Lingling, Zhang, Lin, Zhang, Wei, Li, Li, Deng, Xin, Ning, Peishan, Cheng, Xunjie, Deng, Jing, Hu, Guoqing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4772339/
https://www.ncbi.nlm.nih.gov/pubmed/26926446
http://dx.doi.org/10.1186/s12939-016-0330-z
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author Tian, Danping
Sun, Li
Zhang, Lingling
Zhang, Lin
Zhang, Wei
Li, Li
Deng, Xin
Ning, Peishan
Cheng, Xunjie
Deng, Jing
Hu, Guoqing
author_facet Tian, Danping
Sun, Li
Zhang, Lingling
Zhang, Lin
Zhang, Wei
Li, Li
Deng, Xin
Ning, Peishan
Cheng, Xunjie
Deng, Jing
Hu, Guoqing
author_sort Tian, Danping
collection PubMed
description BACKGROUND: To examine urban–rural differences in the severity of non-fatal disease and injury using the latest household interview survey data of Hunan Province, China. METHODS: Two-week illness data were from the first provincial health household interview survey of Hunan in 2013. The proportion of patients being bedridden, the average days of being bedridden and the average off-work days were calculated to measure the severity of two-week illness. Rao-Scott-adjusted chi-square test was performed to examine the significance of two-week illness severity differences from demographic variables. Multiple logistic regression and linear regression were used to control for sex, age and household income. RESULTS: The two-week illness prevalence was 22.8 % in Hunan province. Despite similar two-week ill prevalence rates between urban areas and rural areas (23.0 % vs. 22.8 %), rural residents had higher proportions of being bedridden and of being off work than urban residents after controlling for sex, age and household income, with adjusted odds ratios of 3.4 and 6.9, respectively. Similarly, the average days of being bedridden and of being off work in rural residents were 0.45 days and 1.61 days longer than in urban residents after controlling for demographic variables, respectively. CONCLUSION: The recent data shows that two-week illness in rural residents is more serious than urban residents in Hunan Province, China in spite of very similar two-week prevalence rates. The neglected urban–rural disparities in the severity of two-week illness deserve the attention of health policy-makers and researchers.
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spelling pubmed-47723392016-03-02 Large urban–rural disparity in the severity of two-week illness: updated results based on the first health service survey of Hunan Province, China Tian, Danping Sun, Li Zhang, Lingling Zhang, Lin Zhang, Wei Li, Li Deng, Xin Ning, Peishan Cheng, Xunjie Deng, Jing Hu, Guoqing Int J Equity Health Research BACKGROUND: To examine urban–rural differences in the severity of non-fatal disease and injury using the latest household interview survey data of Hunan Province, China. METHODS: Two-week illness data were from the first provincial health household interview survey of Hunan in 2013. The proportion of patients being bedridden, the average days of being bedridden and the average off-work days were calculated to measure the severity of two-week illness. Rao-Scott-adjusted chi-square test was performed to examine the significance of two-week illness severity differences from demographic variables. Multiple logistic regression and linear regression were used to control for sex, age and household income. RESULTS: The two-week illness prevalence was 22.8 % in Hunan province. Despite similar two-week ill prevalence rates between urban areas and rural areas (23.0 % vs. 22.8 %), rural residents had higher proportions of being bedridden and of being off work than urban residents after controlling for sex, age and household income, with adjusted odds ratios of 3.4 and 6.9, respectively. Similarly, the average days of being bedridden and of being off work in rural residents were 0.45 days and 1.61 days longer than in urban residents after controlling for demographic variables, respectively. CONCLUSION: The recent data shows that two-week illness in rural residents is more serious than urban residents in Hunan Province, China in spite of very similar two-week prevalence rates. The neglected urban–rural disparities in the severity of two-week illness deserve the attention of health policy-makers and researchers. BioMed Central 2016-02-29 /pmc/articles/PMC4772339/ /pubmed/26926446 http://dx.doi.org/10.1186/s12939-016-0330-z Text en © Tian et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Tian, Danping
Sun, Li
Zhang, Lingling
Zhang, Lin
Zhang, Wei
Li, Li
Deng, Xin
Ning, Peishan
Cheng, Xunjie
Deng, Jing
Hu, Guoqing
Large urban–rural disparity in the severity of two-week illness: updated results based on the first health service survey of Hunan Province, China
title Large urban–rural disparity in the severity of two-week illness: updated results based on the first health service survey of Hunan Province, China
title_full Large urban–rural disparity in the severity of two-week illness: updated results based on the first health service survey of Hunan Province, China
title_fullStr Large urban–rural disparity in the severity of two-week illness: updated results based on the first health service survey of Hunan Province, China
title_full_unstemmed Large urban–rural disparity in the severity of two-week illness: updated results based on the first health service survey of Hunan Province, China
title_short Large urban–rural disparity in the severity of two-week illness: updated results based on the first health service survey of Hunan Province, China
title_sort large urban–rural disparity in the severity of two-week illness: updated results based on the first health service survey of hunan province, china
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4772339/
https://www.ncbi.nlm.nih.gov/pubmed/26926446
http://dx.doi.org/10.1186/s12939-016-0330-z
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