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作 者:顾丽丽[1] 宋春华[2] 李长平[1] 崔壮[1] 柯慧 朱宝[4] 刘媛媛[1] 马骏[1]
机构地区:[1]天津医科大学公共卫生学院卫生统计学教研室,天津300070 [2]天津经济技术开发区卫生防疫站 [3]天津市津南区疾病预防控制中心 [4]四川省成都市疾病预防控制中心
出 处:《中国公共卫生》2013年第2期245-248,共4页Chinese Journal of Public Health
基 金:全国统计科学研究计划项目(2009LY048;2009LY011)
摘 要:目的对天津市内6区社区居民的2周患病及就诊情况进行流行病学调查,为合理配置卫生资源,有效开展社区卫生服务提供参考依据。方法采用多阶段随机整群抽样方法获取研究样本人群,利用自制问卷和必要的体格检查对社区居民进行入户调查。结果社区居民2周患病率为33.21%,男性为31.88%,女性为34.45%;2周患病病种前5位依次是高血压、糖尿病、冠心病、上呼吸道感染和脑血管病,较2008年第4次天津卫生服务调查结果略有变化;患病者2周就诊率为85.00%,前3位未就诊原因为自觉病情减轻、经济困难和没时间。结论慢性病已成为影响天津市社区居民健康的主要问题;市区居民卫生服务需求量较高,基层医疗卫生体系的服务能力亟待加强。Objective To examine two-week morbidity rate and medical service use among community residents in Tianjin and to provide reference for allocating health resources and offering medical services effectively. Methods Multistage cluster random sampling was adopted to obtain the sample population. We collected data by means of face-toface questionnaire survey and physical examination. Results The two-week morbidity rate of the community residents was 33.21% (31.87% for male,34. 45% for female). The top five diseases with higher two-week morbidity rate were hypertension, diabetes, coronary heart disease, upper respiratory illness, and cerebrovascular disease with slight difference compared to the results of the 4th survey on the medical service in Tianjin in 2008. The ratio of sick persons seeking medical service in two weeks was 85.00%. The three main reasons for the sick persons did not seek medical service were self-rated alleviation of the disease,economic problem,and being busy. Conclusion The general health level of Tianjin community residents need to be enhanced and chronic diseases have become the key influencing factors to the community residents' health. Much more medical service is in demand among community residents.
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