The Influence Of Primary Disease Prevention And Control Capacity On The Health Poverty Of Middle Aged And Elderly People

Healthy poverty alleviation is an important part of targeted poverty alleviation in China,aiming to solve the problem that people become poor due to diseases.China’s poverty alleviation work has entered a crucial and final stage and will eliminate absolute poverty in rural areas by 2020.But even after poverty is eliminated overall,the health poverty caused by the return of disease to poverty will still exist for a long time.The outbreak of new coronavirus has aroused the attention of the community on the disease prevention and control capacity at the grass-roots level.In fact,disease prevention and control is an important channel to solve the problem of health poverty.Only by strengthening the disease prevention and control capacity at the grassroots level can we fundamentally reduce the prevalence of various diseases,avoid the occurrence of large-scale epidemics,and control the occurrence of health poverty.From the perspective of disease prevention and control,this paper will focus on the analysis of grassroots disease prevention and control capacity on the health and poverty of the elderly,and put forward the corresponding countermeasures.This paper first defines the disease prevention and control capacity and health poverty at the grass-roots level,analyzes the mechanism of health poverty and the impact of health infrastructure and health education on health poverty.Secondly,the status quo of disease prevention and control capacity and the status quo of health and poverty are analyzed.Then,it empirically analyzes the influence of health infrastructure and health education on health poverty of middle and old people.(1)The results of the whole sample show that: good health infrastructure such as water toilets,tap water,sewage,household waste treatment and sports facilities can significantly reduce the possibility of the middle-aged and elderly people falling into health poverty;Among middle-aged and elderly people who already have chronic diseases,those who have received health education are more likely to incur catastrophic health expenditures and fall into health poverty.(2)According to the urban and rural samples,the availability of tap water can significantly reduce the possibility of the elderly in rural areas falling into health poverty,but the negative effect on the elderly in urban areas is not significant;Garbage removal and disposal can significantly reduce the possibility of the elderly in urban areas falling into poverty,but the negative effect on the elderly in rural areas is not significant.Receiving health education can significantly increase the possibility of urban middle aged and old people falling into health poverty,but the positive effect on rural middle aged and old people is not significant.(3)According to age group samples,sports facilities can significantly reduce the possibility of middle-aged people under 60 years old falling into health poverty,but the negative effect on elderly people over 60 years old is not significant.(4)According to the samples with or without chronic diseases,the presence of water toilets,tap water and sewage can significantly reduce the possibility of the middle-aged and elderly people with chronic diseases falling into health and poverty,but the negative effect on the middle-aged and elderly people without chronic diseases is not significant;Access to health education can significantly increase the likelihood that middle-aged and elderly people with chronic diseases will fall into health poverty.Finally,this paper argues that through strengthening the construction of infrastructure of health education propaganda,guide and help people especially for rural residents to strengthen health infrastructure construction,strengthen the comprehensive improvement of the urban and rural environmental health,improve the public service system,strengthen the national fitness healthy lifestyle guidance and intervention,strengthen the screening and early detection of chronic diseases,increase financial input to the grassroots disease prevention and control measures such as improving the capacity of grassroots disease prevention and control,reduce the health poverty.