【摘要】 目的 探讨惠州市新生儿疾病农村家庭返贫的风险及影响因素，为巩固脱贫攻坚成果提供参考依据。方法 采用便利抽样方法，调查获得2023年9月—12月广东惠州市132个新生儿疾病农村家庭样本，采用单因素及二元logistics回归分析，探讨返贫风险发生率及风险的影响因素。结果 惠州市新生儿疾病农村家庭导致返贫的风险概率达71.97%。新生儿患有败血症(OR=14.54)、新生儿窒息/缺血缺氧性脑病(OR=12.80)、呼吸窘迫综合征/其他早产并发症(OR=63.12)等家庭更容易发生返贫风险(均P<0.05)。参保新生儿医保(OR=0.12)、参保商业健康保险(OR=0.22)等家庭更不容易产生返贫风险(均P<0.05)。结论 应关口前移，严守新生儿疾病农村家庭返贫关口。针对新生儿疾病农村家庭要做好医保与其他救助政策的配合，同时实施主动筛查保证患儿早发现、早诊断、早治疗，健全和落实防止返贫监测帮扶机制，从而降低新生儿疾病农村家庭经济负担，巩固脱贫攻坚成果。更多还原

【Abstract】 Objective To explore the risk of poverty due to neonatal diseases in rural families of Huizhou City,Guangdong Province and the influencing factors,consolidating the achievements of poverty alleviation.Methods Investigators adopted convenience sampling to obtain 132 rural family samples with neonatal diseases in Huizhou City from September to December 2023. Univariate analysis and binary logistic regression were used to explore the incidence of poverty risk and its influencing factors. Results The probability of poverty due to neonatal diseases reached 71. 97%. Families with children suffering from sepsis(OR = 14. 54),neonatal asphyxia/hypoxic-ischemic encephalopathy(OR = 12. 80),and respiratory distress syndrome/other complications of premature birth(OR = 63. 12) were more likely to experience poverty risk(all P < 0. 05). Families with newborns insured under the Newborn Medical Insurance(OR = 0. 12) or commercial health insurance(OR = 0. 22) were less likely to experience poverty risk(all P < 0. 05). Conclusions We should take preventive measures to strictly guard against poverty due to neonatal diseases. For rural families with neonatal diseases,it is necessary to coordinate medical insurance and other assistance policies,implement active screening to ensure early detection,diagnosis,and treatment of children,and improve and implement the monitoring and assistance mechanism for preventing poverty recurrence,thereby reducing the financial burden on rural families with patients,and consolidating the achievements of poverty alleviation.更多还原