目的:了解城乡医保整合后居民的参保水平选择情况并分析其影响因素。方法:对可能影响居民参保水平选择的因素进行单因素卡方检验和多因素logistic回归分析。结果:选择低水平参保的居民较多,户口、年龄、人均年收入、文化程度、职业类型和自评健康是其主要影响因素。结论:“一制两档”筹资模式的局限性、整合中的政策引导缺失和居民经济条件的制约影响了居民参保水平的选择。建议整合两个参保水平,加大居民医保政策的宣传力度,加快农村经济发展。 Objective: To understand the health care insurance integration of urban and rural residents after the selection of insurance levels and analyze its influencing factors. Methods: One-way chi-square test and multivariate logistic regression analysis were conducted on the factors that may affect the level of residents’ insured. Results: There were many residents with low level of insured ones. The main factors affecting the enrollment, age, per capita annual income, educational level, occupational type and self-rated health were the main factors. Conclusion: The limitations of the “one system, two files” fundraising model, the lack of policy guidance in integration and the restriction of the economic conditions of residents have affected the choice of residents’ level of insurance coverage. It is suggested to integrate the two levels of insurance coverage, intensify publicity of residents’ health insurance policies and speed up rural economic development.