CAJ | 학술논문

目的：：探讨徐州市高校大学生医疗保险意识现状及其影响因素，为提高大学生医疗保险意识提供依据。方法：采用分层随机整群抽样的方法抽取徐州市1645名在校大学生，采用自制调查问卷进行调查。结果：调查对象参保情况为：参加城镇居民基本医疗保险者占54.6%，未参加者占15.3%，不知道是否参加者占30.1%；参加新型农村合作医疗保险者占50.1%，未参加者占27.3%，不知道是否参加者占22.6%。医疗保险意识强者占79.7%；单因素分析显示是否有宗教信仰、是否喜欢运动、父母亲职业类型、两周内是否患病及是否获得学校宣传教育是大学生医疗保险意识的影响因素；多因素分析显示：医疗保险意识的危险因素主要有父亲职业类型是务农[OR(95% CI)=2.372(1.216~4.630)]、两周内未患病[OR(95% CI)=1.711(1.256~2.330)]、有宗教信仰[OR(95% CI)=1.669(1.171~2.377)]，保护因素主要有女性[OR(95% CI)=0.765(0.588~0.996)]、母亲职业类型是事业单位[OR(95% CI)=0.407(0.227~0.729)]和务农[OR(95% CI)=0.394(0.206~0.754)](P <0.05)。结论：徐州市高校大学生医疗保险意识不强，影响因素复杂；需大学生自身、学校以及政府共同努力来提高其医疗保险意识。
목적：：탐토서주시고교대학생의료보험의식현상급기영향인소，위제고대학생의료보험의식제공의거。방법：채용분층수궤정군추양적방법추취서주시1645명재교대학생，채용자제조사문권진행조사。결과：조사대상삼보정황위：삼가성진거민기본의료보험자점54.6%，미삼가자점15.3%，불지도시부삼가자점30.1%；삼가신형농촌합작의료보험자점50.1%，미삼가자점27.3%，불지도시부삼가자점22.6%。의료보험의식강자점79.7%；단인소분석현시시부유종교신앙、시부희환운동、부모친직업류형、량주내시부환병급시부획득학교선전교육시대학생의료보험의식적영향인소；다인소분석현시：의료보험의식적위험인소주요유부친직업류형시무농[OR(95% CI)=2.372(1.216~4.630)]、량주내미환병[OR(95% CI)=1.711(1.256~2.330)]、유종교신앙[OR(95% CI)=1.669(1.171~2.377)]，보호인소주요유녀성[OR(95% CI)=0.765(0.588~0.996)]、모친직업류형시사업단위[OR(95% CI)=0.407(0.227~0.729)]화무농[OR(95% CI)=0.394(0.206~0.754)](P <0.05)。결론：서주시고교대학생의료보험의식불강，영향인소복잡；수대학생자신、학교이급정부공동노력래제고기의료보험의식。
Aim: To discuss the status and the influential factors of the medical insurance consciousness of university students in Xuzhou so as to provide evidence for the improvement of the medical consciousness of university students. Methods: Totally 1 645 university students in Xuzhou were selected with stratified random cluster sampling method. And the surveys were conducted by questionnaires homemade. Results: Those students participated in the basic medical insur-ance for urban residents, those not participated in the insurance and others accounted for 54. 6% , 15. 3% and 30. 1% , re-spectively. Those participated in the new rural cooperative medical insurance, those not participated in the new rural coop-erative medical insurance and others accounted for 50. 1% , 27. 3% and 22. 6% , respectively. Those with strong medical consciousness accounted for 79. 7% ; single factor analysis showed that whether having religious beliefs, whether liking sports, professions of parents, whether suffering from disease within 2 weeks and whether having access to school education were the factors that affected the medical insurance consciousness of university students. Multivariate analysis indicated that father′s occupation was farming, not suffering from diseases within 2 weeks,religious beliefs were the main risk factors of medical insurance consciousness[OR(95% CI) = 2. 372(1. 216 - 4. 630),1. 711(1. 256 - 2. 330),and 1. 669(1. 171 -2. 377),P <0. 05], and female,the mother′s occupation was public sector employee or farming were protective factors[OR (95% CI) =0. 765(0. 588 - 0. 996),0. 407(0. 227 - 0. 729),and 0. 394(0. 206 - 0. 754),P < 0. 05]. Conclusion: The medical insurance consciousness of university students in Xuzhou is low and is affected by complex factors. The efforts of soci-ety, university, and the students should be combined to improve the medical insurance consciousness of university students.