CAJ | 학술논문

结合慢性病发病特点以及社会学、政策学相关理论，构建了慢性病影响因素的健康生态学模型，将个人特点和健康生态学四大系统细化为个人特质、行为特点、人际网络、工作类型和物质条件、政策环境五类变量，并利用“中国健康与养老追踪调查”的数据进行了实证分析。结果显示：个人特质和行为特点是影响慢性病患病率的首要因素，家庭微系统、工作微系统和物质条件也会对慢性病患病率和患病年龄有重要影响。相关部门应通过转变卫生发展模式、开展综合性社区干预措施和保障低收入人群对卫生服务的可负担性等措施改进中国的慢性病防治工作。
결합만성병발병특점이급사회학、정책학상관이론，구건료만성병영향인소적건강생태학모형，장개인특점화건강생태학사대계통세화위개인특질、행위특점、인제망락、공작류형화물질조건、정책배경오류변량，병이용“중국건강여양로추종조사”적수거진행료실증분석。결과현시：개인특질화행위특점시영향만성병환병솔적수요인소，가정미계통、공작미계통화물질조건야회대만성병환병솔화환병년령유중요영향。상관부문응통과전변위생발전모식、개전종합성사구간예조시화보장저수입인군대위생복무적가부담성등조시개진중국적만성병방치공작。
This research combined the characteristics of chronic diseases,as well as sociology,policy science and relat-ed theory to build a healthy ecological model of the influencing factors of chronic diseases,the personal characteristics and four healthy ecology system are elaborated to five variables which are personal traits,behavior characteristics,inter-personal network,type of work,material conditions and policy environment.Cross -section data of CHARLS(China Health and Retirement Longitudinal Study)2013 is adopted to conduct the empirical study.The results show that per-sonal traits and behavioral characteristics are the primary factors which influence the prevalence of chronic diseases, while family microsystem,work microsystem and material conditions can also have important effects on chronic disease prevalence and sickness age.Therefore the paper proposes that relevant departments should take measures to improve the chronic disease prevention by changing health development mode,comprehensive community intervention measures and guarantee for low -income people to affordable health services.