Laksono Agung Dwi, Wulandari Ratna Dwi, Zuardin Zuardin, Ashar Hadi, Ipa Mara, Kesuma Agung Puja
National Research and Innovation Agency Republic of Indonesia, Jakarta, Indonesia.
Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia.
Iran J Public Health. 2024 Jun;53(6):1372-1380.
The poor are vulnerable when they fall seriously ill and require hospitalization. The study aimed to analyze the factors related to hospital inpatients among the poor in Indonesia.
We analysed the 2018 Indonesian Basic Health Survey data. This cross-sectional study examined 233778 respondents through stratification and multistage random sampling. We used seven independent variables age, gender, marital status, education, employment, and health insurance, in addition to the hospital inpatient, as a dependent variable. We employed binary logistic regression to evaluate the data.
The poor in urban areas were 1.315 times more likely to be hospital inpatients than those in rural areas (95%CI 1.249-1.385). Age, gender, and marital status were related to the hospital inpatients. The better the education level, the higher the hospital inpatient proportion. Meanwhile, the employed were 40% less likely than the unemployed to be hospital inpatients (95%CI 0.565-0.634). Furthermore, the insured were 3.513 times more likely than the uninsured to be hospital inpatients (95%CI 3.264-3.780).
Seven variables were related to hospital inpatients among the poor in Indonesia: residence, age, gender, marital status, education, employment, and health insurance. Health insurance was the main factor associated with hospital inpatients among low-income people. The government must increase the subsidy quota for the poor's participation in National Health Insurance.
穷人在身患重病需要住院治疗时很脆弱。本研究旨在分析印度尼西亚穷人中与住院患者相关的因素。
我们分析了2018年印度尼西亚基本健康调查数据。这项横断面研究通过分层和多阶段随机抽样对233778名受访者进行了调查。我们将七个自变量（年龄、性别、婚姻状况、教育程度、就业情况和健康保险）以及住院患者作为因变量。我们采用二元逻辑回归对数据进行评估。
城市地区的穷人成为住院患者的可能性是农村地区穷人的1.315倍（95%置信区间1.249 - 1.385）。年龄、性别和婚姻状况与住院患者有关。教育水平越高，住院患者比例越高。同时，就业者成为住院患者的可能性比失业者低40%（95%置信区间0.565 - 0.634）。此外，参保者成为住院患者的可能性是未参保者的3.513倍（95%置信区间3.264 - 3.780）。
印度尼西亚穷人中的住院患者与七个变量有关：居住地、年龄、性别、婚姻状况、教育程度、就业情况和健康保险。健康保险是低收入人群中与住院患者相关的主要因素。政府必须增加对穷人参加国家健康保险的补贴配额。
