广东省某市65岁及以上居民两周患病未就诊现状及影响因素分析
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摘要
目的了解广东省某市65岁及以上居民两周患病未就诊现状及主要影响因素,为该地区卫生服务策略的制定提供科学依据。方法运用多阶段分层系统抽样方法,于2011年12月对调查对象进行入户问卷调查。结果共调查5 338人,自报两周内患病者1 922人,两周患病率为36.0%,其中未就诊205人,两周患病未就诊率为10.7%。婚姻状况、职业、是否参加新型农村合作医疗和是否接受过社区健康教育的调查对象两周患病未就诊率差异均有统计学意义(均有P<0.05)。多因素Logistic回归的结果显示,职业为管理人员(OR=2.096,95%CI:1.538～2.710)、未参加新农合(OR=1.672,95%CI:1.211～2.362)和未接受过社区健康教育(OR=1.547,95%CI:1.153～1.957)是该地区人群两周患病未就诊的主要影响因素。结论广东省某市65岁及以上居民两周患病未就诊率较低,管理人员、未参加新农合和未接受过社区健康教育是其主要影响因素。
Objective To understand the status and influencing factors related to residents suffering in latest two weeks but untreated who are aged 65 years and above in a city of Guangdong Province and to provide scientific evidences for making health services policies.Methods The multistage stratified cluster sampling method was carried out to select the residents,and self-made questionnaires were conducted to collect data in December,2011.Results A total sample of 5 338 residents were investigated,among whom 1 922 people reported had been sick during the two weeks before investigation.The two-week prevalence and no clinical visit rate of residents were 36.0% and 10.7%,respectively.The single factor x2 analysis showed that marital status,occupation,whether they participated in the new rural medical cooperative scheme and accepted the community health education or not had significant differences on the nonconsultation(P < 0.05).The Logistic regression analysis showed that occupation,whether participate in the new rural cooperative medical care and accepting the community health education or not were the main influencing factors.Conclusions The untreated rate of two-week illness was relative low in residents aged 65 years and above,occupation,without the new rural cooperative medical and never receiving the community health education were the main influencing factors.
Objective To understand the status and influencing factors related to residents suffering in latest two weeks but untreated who are aged 65 years and above in a city of Guangdong Province and to provide scientific evidences for making health services policies.Methods The multistage stratified cluster sampling method was carried out to select the residents,and self-made questionnaires were conducted to collect data in December,2011.Results A total sample of 5 338 residents were investigated,among whom 1 922 people reported had been sick during the two weeks before investigation.The two-week prevalence and no clinical visit rate of residents were 36.0% and 10.7%,respectively.The single factor x2 analysis showed that marital status,occupation,whether they participated in the new rural medical cooperative scheme and accepted the community health education or not had significant differences on the nonconsultation(P < 0.05).The Logistic regression analysis showed that occupation,whether participate in the new rural cooperative medical care and accepting the community health education or not were the main influencing factors.Conclusions The untreated rate of two-week illness was relative low in residents aged 65 years and above,occupation,without the new rural cooperative medical and never receiving the community health education were the main influencing factors.
引文
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[7]温志锋,王培席,王家骥,等.佛山市65岁及以上居民两周患病情况及影响因素分析[J].中华疾病控制杂志,2012,16(6):506-508.
[8]马杰,温静,任彬彬,等.农村居民两周患病未就诊原因及影响因素分析[J].中国公共卫生,2010,26(5):551-552.
[9]徐刚,袁兆康,朱宏.新农合制度影响下贫困农民医疗卫生服务需求及利用的变化研究[J].现代预防医学,2010,37(21):4063-4065.
[10]熊韵波,刘勤,齐玉龙.我国老年健康管理模式构建[J].中国老年学杂志,2012,32(3):662-664.
[2]谭玲,甘华平,应桂英,等.四川省城乡居民两周患病就诊情况及其影响因素分析[J].中国卫生事业管理,2009,11:750-752.
[3]龚幼龙.社会医学[M].北京:人民卫生出版社,2000:126-129.
[4]葛杰,张菊英,力晓蓉,等.四川省农村15岁及以上居民两周患病未治疗的影响因素探讨[J].现代预防医学,2005,32(5):420-422.
[5]中华人民共和国卫生部.卫生部公布第四次国家卫生服务调查主要结果[EB/OL].(2009-02-27)[2012-12-20].http://www.gov.cn/gzdt/2009-02127/conten_1245006.htm.
[6]广东省卫生统计信息中心.广东省第四次国家卫生服务调查研究[M].广州:广东花城出版社,2009:21-23.
[7]温志锋,王培席,王家骥,等.佛山市65岁及以上居民两周患病情况及影响因素分析[J].中华疾病控制杂志,2012,16(6):506-508.
[8]马杰,温静,任彬彬,等.农村居民两周患病未就诊原因及影响因素分析[J].中国公共卫生,2010,26(5):551-552.
[9]徐刚,袁兆康,朱宏.新农合制度影响下贫困农民医疗卫生服务需求及利用的变化研究[J].现代预防医学,2010,37(21):4063-4065.
[10]熊韵波,刘勤,齐玉龙.我国老年健康管理模式构建[J].中国老年学杂志,2012,32(3):662-664.