四川省城乡居民健康状况现况调查  

CROSS-SECTIONAL SURVEY OF HEALTH STATUS OF URBAN AND RURAL RESIDENTS IN SICHUAN

作　　者：谭玲[1] 甘华平[2] 应桂英[2] 力晓蓉[2] 杨静[3] 张菊英[4] 赵立强[5] 谭坤[2] 吕宇[4] 

机构地区：[1]四川省卫生厅,成都610041 [2]四川省卫生信息中心,四川大学华西公共卫生学院 [3]成都中医药大学 [4]四川大学华西公共卫生学院 [5]四川大学华西第四医院

出　　处：《现代预防医学》2009年第22期4252-4256,共5页Modern Preventive Medicine

基　　金：四川省卫生厅科研基金(080321)

摘　　要：[目的]了解四川省城乡居民的健康状况,为卫生政策的制定提供参考依据,为新一轮医改提供基础信息。[方法]按照第4次国家卫生服务调查设计的方案采用多阶段分层整群系统随机抽样方法进行抽样,采用入户调查的方式对抽中的城乡家庭户3960户、11679名居民进行健康询问调查。[结果]四川省城乡居民两周患病率为217.3‰,农村高于城市、女性高于男性。自报两周患病程度严重者占26.8%,疼痛是城乡居民自感身体不适的主要症状。城乡每千人口两周因病持续天数为1636d,卧床率39.4‰,休工率17.2‰,休学率6.7‰,失能率16.2%。两周患病前5位疾病按系统顺位为呼吸系统疾病、循环系统疾病、消化系统疾病、运动系统疾病、内分泌营养代谢性疾病,占疾病构成的81.3%。两周新发疾病53.8%为慢性病发生持续到两周内。城乡居民慢性病患病率按患病人数计算为168.1‰,按患病病例数计算为209.5‰,慢性病按系统顺位,前5位为循环系统疾病、消化系统疾病、运动系统疾病、呼吸系统疾病、内分泌营养代谢疾病,占疾病系统构成的83.4%。城乡居民自报健康状况总体感觉评分78.4分。[结论]四川省城乡居民两周患病率及慢性病患病率仍然较高,呼吸系统疾病、循环系统疾病是威胁该省城乡居民健康的主要疾病,慢性病是主要的健康问题。四川省农村居民、女性健康状况不容乐观,需进一步改善。[Objective] To investigate the health status of urban and rural residents in Sichuan,so as to provide the reference for health policy making and the basic information for new medical reform.[Methods] 11 679 urban and rural residents for 3960 family in Sichuan were selected by multi-stages stratified cluster and systematic random sampling method.Household investigation was conducted with the questionnaire used in the Fourth National Health Service Survey.[Results] The two-week total prevalence of residents was 217.3‰,and it in rural areas was higher than that in urban areas,moreover,it in female was higher than that in male.26.8% of people reported their illness was severe,and pain was main symptom.Diseases would last for 1636 days per thousand persons until it was cured.The rate of lying in bed was 9.4‰,the rate of suspend working was 17.2‰,the rate of suspend schooling was 6.7‰,and the rate of disability was 16.2%.The top 5 two-week prevalence rates diseases were as follows：respiratory system diseases,circulatory system diseases,digestive system diseases,moving system diseases,endocrine and nutritional,and metabotropic diseases.These disease accounted for 81.3%.53.8% of diseases which lasted for two-week were chronic diseases.The prevalence rate of chronic diseases of residents was 168.1‰ by calculating number of patients,and was 209.5‰ by calculating number of cases.The top 5 chronic diseases were as follows：circulatory system diseases,digestive system diseases,moving system diseases,respiratory system diseases,endocrine and nutritional and metabotropic diseases.These diseases accounted for 83.4%.The score of self-report health status among residents was 78.4.[Conclusion] The two-week and chronic diseases prevalence rate of urban and rural residents in Sichuan were still high.Respiratory and circulatory system diseases should be the main diseases for urban and rural residents.Chronic diseases were main health problems.Rural and female health status should be paid more attention to,which needs fu

关 键 词：居民 健康状况 现况调查 

分 类 号：R181.22[医药卫生—流行病学]