Influential factors of hospitalization among rural residents in Haiyuan county of Ningxia

Objective To study the status and influence factors of hospitalization among rural residents in Haiyuan county of Ningxia Hui Autonomous Region(Ningxia).Methods With multi-stage stratified cluster sampling,a total of 11 848 rural residents in Haiyuan county of Ningxia were investigated with a household questionnaire survey.Results Of the residents surveyed,1 255 required hospital admission during the period and the presumed hospitalization rate was 6.7%.The proportion of non-hospitalization among the ill residents requiring hospitalization was 17.9%.Univariate analysis showed that the presumed hospitalization rate for the Han residents was 5.8% and that for the Hui was 6.7%,with a statistically significant difference(χ²=8.214,P=0.016).The presumed hospitalization rate in the residents increased with age and was significantly different among the residents of different age groups(χ²=596.479,P<0.01); the presumed hospitalization rate was also significantly different among the residents with various marital status(χ²=153.073,P<0.01) and was low in those unmarried(2.8%); the presumed hospitalization rate decreased with the increase of educational level(χ²=194.628,P<0.01).Multivariate analyses showed that being Hui nationality(odds ratioOR=1.158),at older age(OR=3.246),suffering from chronic disease(OR=3.246),and being ill within the two weeks before the survey(OR=3.496)were risk factors for the requirement of hospital admission; with a higher education level(OR=0.752)was a protective factors for the requirement of hospital admission.Conclusion The presumed hospitalization rate among rural Hui residents,children,elderly persons,and the people with poor health is relatively high in Haiyuan county of Ningxia.