Department of Military Medical Geography, College of High Altitude Military Medicine, Third Military Medical University, Chongqing, 400038 China.
Battalion 5 of Cadet Brigade, Third Military Medical University, Chongqing, 400038 China.
Mil Med Res. 2017 Jun 1;4:18. doi: 10.1186/s40779-017-0126-5. eCollection 2017.
Iodine deficiency disorders (IDDs) refer to a series of diseases caused by the human body's insufficient iodine intake. Edible salt became iodized in China in 1996, which yielded remarkable results. We have known that IDDs is associated with iodine in the human body, but it is not clear whether IDDs is related to medical resource level.
We collected the number of IDDs cases and an index for the level of medical resource from 31 provinces, autonomous regions and municipalities directly under the central government in China. All data came from the China Statistical Yearbook of Health and Family Planning issued in 2013 by the Peking Union Medical College Publishing House. Data standardization and linear regression analysis were used.
The results showed that IDDs correlated with the number of beds in medical and health institutions, number of medical health personnel, number of medical and health institutions, total health expenditure, average health expenditure per capita, medical insurance for urban resident and new rural cooperative medical rural residents ( < 0.01). In a multiple linear regression, IDDs was most significantly associated with the number of beds in hospitals, the number of rural health personnel, the number of basic medical and health institutions and government health expenditure for these institutions.
Based on the experimental data, we concluded that IDDs had a positive connection with the medical resource level, and basic and rural areas had a more significant association with IDDs. This analysis provides new and explicit ideas for iodine prevention and control work in China.
碘缺乏病(IDDs)是指由于人体碘摄入不足而引起的一系列疾病。中国于 1996 年开始食用加碘盐,取得了显著成效。我们知道 IDDs 与人体内的碘有关,但尚不清楚 IDDs 是否与医疗资源水平有关。
我们收集了中国 31 个省、自治区、直辖市的 IDDs 病例数和医疗资源水平指数。所有数据均来自 2013 年由北京协和医科大学出版社出版的《中国卫生和计划生育统计年鉴》。采用数据标准化和线性回归分析。
结果表明,IDDs 与医疗机构床位数量、医疗卫生人员数量、医疗卫生机构数量、卫生总费用、人均卫生费用、城镇居民医疗保险和新型农村合作医疗农村居民(<0.01)有关。在多元线性回归中,IDDs 与医院床位数量、农村卫生人员数量、基本医疗卫生机构数量和政府对这些机构的卫生支出关系最密切。
基于实验数据,我们得出结论,IDDs 与医疗资源水平呈正相关,而基础和农村地区与 IDDs 的相关性更为显著。本分析为中国的碘防治工作提供了新的明确思路。