浙江省城乡居民两周患病情况分析  

Analysis of Two-week Prevalence among Residents in Zhejiang Province

作　　者：胡如英[1] 俞敏[1] 钟节鸣[1] 龚巍巍[1] 赵华娟[2] 

机构地区：[1]浙江省疾病预防控制中心,浙江杭州310009 [2]浙江省卫生厅

出　　处：《浙江预防医学》2006年第10期4-5,10,共3页Zhejiang Journal of Preventive Medicine

摘　　要：目的了解浙江省城乡居民患病情况,为卫生服务决策提供客观依据。方法采用多阶段分层整群抽样方法,使用第三次卫生服务调查问卷入户调查。结果浙江省居民两周患病率为113.22‰,城市103.98‰;农村114.94‰,农村高于城市,患病的严重程度农村大于城市。男性、女性的两周患病率分别为104.72‰和121.87‰,女性高于男性。城乡居民的两周患病率在年龄、文化程度、职业、医保类型方面差异有显著性。居民两周患病位于前5位的依次为呼吸系统疾病、消化系统疾病、循环系统疾病、肌肉骨骼结缔组织疾病、损伤和中毒。结论农村居民的卫生服务需要量高于城市居民,女性、儿童、老人、低文化程度、下岗、失业人群是卫生服务重点人群,慢性病是城市居民重点疾病,农村居民卫生服务面临感染性疾病、慢性病、伤害的影响。Objective To investigate the two-week prevalence of urban and rural residents in Zhejiang province, and to provide an objective evidence for policy-making of health service. Methods Representative cities and villages in Zhejiang province were selected by multi-stage stratified cluster sampling. Household investigation was conducted with the questionnaire used in the third health service investigation by Ministry of Health. Results The two-week prevalence rate of residents was 113.22‰ totally, 103.98‰ in urban areas and 114.94‰ in rural areas, respectively. Severity of diseases of residents in rural areas was higher than that in urban areas. The two-week prevalence rate was 121.87‰ in female and 104.72‰ in male, respectively. And it was associated with age, educational level, occupation and medical insurance pattern. The top 5 of the two-week prevalence rates were as follows： respiratory system diseases, digestive system diseases, circulatory system diseases, muscle skeleton system, injuries and poisoning. Conclusions Health service needs in rural areas are higher than that in urban areas. More health services should be provided to females, children, elders, unemployed and those who are in lower educational level. In urban areas health services should be emphasized on the prevention and control of chronic diseases, while in rural areas prevention and control of infectious diseases. The chronic diseases and injuries should be principal tasks in health service.

关 键 词：两周患病率 卫生服务 调查 

分 类 号：R197.1[医药卫生—卫生事业管理]