青州市农村≥60岁居民眼疾病状况及未就诊影响因素分析  

The status of eye diseases and the analysis of non-seeking medical services factors in residents aged equal to or more than 60 years in rural areas of Qinzhou city

作　　者：刘德平 陈丽娟[1,2] 王丽娟 胡文彦[1,2] 刘晓存 陈景武 刘雨林 

机构地区：[1]青州眼科医院,山东262500 [2]潍坊医学院卫生统计学教研室

出　　处：《中国实用眼科杂志》2011年第1期79-81,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的 了解青州市农村60岁及以上居民眼科疾病患病状况及未就诊现状,为防治工作提供依据.方法 采用横断面的抽样调杳研究方法,对农村以地理位置分为平原、丘陵、山区三层,以村为单位分层整群按比例抽样,抽查99个村15929人.数据分析应用SAS9.1完成.农村不同地区眼科疾病患病率比较,先进行率的标准化,再进行样本标准化率的假设检验;未就诊率的比较,进行多个样本率的卡方检验,以α=0.05为检验水准.未就诊的影响因素用logistic回归分析.结果 （1）该市调查样本农村60岁及以上居民眼科疾病患病率为13.16%,平原、丘陵、山区60岁及以上居民的眼科疾病患病率分别为10.93%、12.25%、19.03%,丘陵地区眼科疾病患病率高于平原地区（u=2.56,P〈0.012）;山区眼科疾病患病率高于丘陵地区（u=3.29,P〈0.01）.（2）三区农村60岁及以上居民眼科疾病患者总的未就诊率为71.74%,其中平原为71.11%,丘陵为68.53%,山区为73.15%,三区差别无统计学意义（x2=1.8989,P〉0.05）.（3）三区农村60岁及以上居民眼科疾病未就诊的影响因素有性别、疾病（①白内障、②翼状胬肉）以及年龄与患病时间的交互效应,且皆为负向影响,即以上因索取值越大其优势比OR相对越小.结论 该市农村60岁及以上居民有较高的眼科疾病患病率与未就诊率,研究结果 为深入开展农村眼科疾病防治工作,制定有关规划、制度、措施,提高农村居民视觉与生活质量提供了依据.Objective To investigate the status of eye diseases and the factors of non-seeking medical services in residents aged equal to or above 60 years in rural areas of Qingzhou city so as to provide the basis for the prevention and treatment. Methods A cross-sectional sample survey was used, it was divided into three-tier： plain, hilly and mountain respectively by geographical location of rural areas, stratified cluster proportioual sampling by village unit, 15929 individuals from 99 villages sampled. The data analysis was accomplished by using SAS 9.1. The rate was standardized first, then the hypothesis testing of the sample standardized rate was performed when compared the prevalence of eye diseases in different areas. The chi-square test of multisampling rate was performed when compared the rate of non-seeking medical services, alpha = 0.05 as the test level. Logistic regression analysis was used to analyze the reason of non-seeking medical services. Results The prevalence of eye diseases in sampled residents aged equal to or above 60 years in rural areas of Qingzhou city was 13.16%, the prevalence of eye diseases in plain, hilly and mountain areas were 10.93%, 12.25% and 19.03% respectively. The prevalence of eye diseases in hilly areas was higher than that in plain areas （u =2.56,P 〈0.012）. The prevalence of eye diseases in mountain areas was higher than that in hilly areas （u =3.29, P〈0.01）. The overall rate of non-seeking medical services in residents with eye diseases aged 〉 or = 60 years in three areas was 71.4%, of which, 71.11% for plain, 68.5% for hilly and 73.15% for mountain areas, the difference was not significant （x 2=1.8989, P =0.3869）. The factors of non-seeking medical services in residents aged 〉 or = 60 years in three rural areas include following factors： gender, disease 1 （cataract）, disease 2 （pterygium） and interactive effect between age and course of disease, negative influence was found between factors mentioned above. In other words, the bigger values the f

关 键 词：农村 60岁及以上居民 眼科疾病 患病现状 未就诊率 未就诊影响因素 调查研究 

分 类 号：R197.62[医药卫生—卫生事业管理]