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  

Analysis on the untreated rate of two-week illness of residents aged 65 years and above and its influencing factors in a City of Guangdong Province

作　　者：聂湘辉[1] 温志锋[1] 周志衡[1] 王家骥[1] 林燕棉[1] 

机构地区：[1]广州医科大学公共卫生学院,广东广州510182

出　　处：《中华疾病控制杂志》2013年第7期585-587,共3页Chinese Journal of Disease Control & Prevention

基　　金：广东省科技计划项目(2011B032200019);广东省中医药局科研项目(20111254)

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 investiga- tion. 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 medi- cal and never receiving the community health education were the main influencing factors.

关 键 词：患病率 因素分析 统计学 卫生服务 

分 类 号：R197[医药卫生—卫生事业管理] R181.2[医药卫生—公共卫生与预防医学]