广东2000 — 2016年婚检率变化趋势及婚检服务利用公平性分析

马远珠; 缪华章; 王雄虎; 王智强; 姚健; 李兵

doi:10.11847/zgggws1117223

广东2000 — 2016年婚检率变化趋势及婚检服务利用公平性分析

Changing trend of premarital medical examination (PME) rate and equity of PME service utilization in Guangdong province, 2000 – 2016

摘要

摘要:
目的分析2000 — 2016年广东省婚检率变化趋势，并对广东省21个地级市婚检服务利用进行公平性分析。
方法采用Mann-Kendall法对婚检趋势进行分析，采用集中指数和集中曲线分析广东省21个地级市婚检服务利用公平性。
结果 2000 — 2003年广东省婚检率为50 %～70 %，2004 — 2008年为2 %～10 %，2009 — 2012年为10 %～25 %，2013 — 2016年为25 %～50 %。21个地市2000 — 2015年婚检服务利用的集中指数分别为0.18、0.22、0.21、0.26、0.37、0.48、0.53、0.62、0.62、0.55、0.39、0.49、0.39、0.37、0.34、0.21。
结论 2000 — 2016年期间，广东省婚检率骤降后缓慢回升；婚检服务利用一直在社会经济状况高的地级市分布更集中；21个地市婚检服务利用经历着相对公平、相对不公平性变大、相对不公平性变小的趋势；改善婚检服务利用公平性，提高婚检率是关键。

Abstract:
Objective To analyse changing trend of premarital medical examination (PME) rate and the equity of PME service utilization in Guangdong province between 2000 and 2016.
Methods Mann-Kendall method was used for trend analysis. Concentration index (CI) and concentration curve were adopted to analyze the equity of PME service utilization.
Results In the porovince, the PME rate fluctuated in the range of 50% to 70% during 2000 – 2003, 2% to 10% during 2004 – 2008, 10% to 25% during 2009 – 2012, and 25% to 50% during 2013 – 2016, respectively. The yearly CI of PME service utilization for the 21 municipalites in Guangdong province was 0.18, 0.22, 0.21, 0.26, 0.37, 0.48, 0.53, 0.62, 0.62, 0.55, 0.39, 0.49, 0.39, 0.37, 0.34, and 0.21 for the years from 2000 to 2015.
Conclusion The PME rate declined rapidly and then increased slowly in Guangdong province during the period from 2000 to 2016 and the PME service utilization was concentrated in cites with higher socioeconomic development. The PME service utilizaion presented a trajectory from relative equity to increased relative inequity and then to decreased relative inequity in 21 administrative regions during the period. Increasing PME rate is the key to improve the equity of PME service utilization.

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