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中文摘要: 目的：探究社区城镇化对我国城乡居民4周患病率的影响。方法：选取CHNS1991年-2015年数据，采用多水平回归模型进行分析。结果：城镇化指数越高，居民患病率风险越高（OR=1.01，P < 0.001）。人口密度、教育和收入多样性、经济活动、住房基础设施、社会服务方面城镇化指数对居民4周患病率产生显著影响；在城市社区，社区城镇化指数每增加1个指数水平，居民患病风险提高1个百分点；在农村社区，社区城镇化指数影响并不显著（P=0.207>0.05）。讨论：社区城镇化激发了居民医疗服务需要，但环境卫生维度的城镇化降低了我国居民医疗服务需要。应充分考虑城镇化的影响，制定更精准的干预措施。
Abstract:Objective：To explore the influence of community urbanization on 4-week prevalence of urban and rural residents in China. Methods：Based on the data of CHNS from 1991 to 2015，multilevel regression model was adopted for analysis. Results：The higher the urbanization index is，the higher the risk of residents’ morbidity will be（OR=1.01，P < 0.001）. Population density，differences in education and income，economic activities，housing infrastructure and social services have a statistically significant effect on the 4-week prevalence rate In urban communities，the risk of disease of residents increases by 1 percentage point with each increase of 1 index level of community urbanization index. In rural communities，the impact of community urbanization index was not significant（P=0.207>0.05）. Discussion：Community urbanization stimulates the residents’ medical service needs，but the urbanization of environmental health dimension reduces the residents’ medical service needs in China. We should fully consider the impact of urbanization and formulate more precise intervention measures.
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基金项目:国家自然科学基金青年项目（71704083） 国家自然科学基金青年项目（71704083）
引用文本：
周 稳,徐 乐,杨 帆,唐金海*.社区城镇化对我国居民医疗服务需要的影响研究△[J].江苏卫生事业管理,2021,32(4):409-413.
ZHOU Wen,XU Le,YANG Fan,TANG Jinhai*.Study on the Influence of Community Urbanization on the Medical Service Needs of Chinese Residents△[J].Jiangsu Health System Management,2021,32(4):409-413.
周 稳,徐 乐,杨 帆,唐金海*.社区城镇化对我国居民医疗服务需要的影响研究△[J].江苏卫生事业管理,2021,32(4):409-413.
ZHOU Wen,XU Le,YANG Fan,TANG Jinhai*.Study on the Influence of Community Urbanization on the Medical Service Needs of Chinese Residents△[J].Jiangsu Health System Management,2021,32(4):409-413.
