广西宾阳县农村地区社区卫生诊断报告  

Analysis of community health diagnosis in BinYang County of Guangxi

作　　者：李秀霞[1] 李伟[1] 梁海[1] 

机构地区：[1]广西宾阳县疾病预防控制中心,广西南宁530400

出　　处：《应用预防医学》2014年第2期69-72,共4页Applied Preventive Medicine

基　　金：2013年中央补助地方慢性病综合防控项目

摘　　要：目的了解宾阳县农村地区社区主要公共卫生问题。方法采取分阶段整群随机抽样的方法,在宾阳县辖区内抽取8个镇1 600户共6 244名居民进行调查,内容包括社区环境特征、社区居民健康状况、慢性病行为危险因素、各类重点人群健康状况、社区卫生服务满意度等。结果农村社区人群死亡率为720.87/10万,慢性病死因居首位;居民两周患病率为9.1%,过去一年居民总住院率为6.0%;居民高血压、糖尿病、脑卒中、慢性阻塞性肺病(COPD)、其它慢性病(以冠心病、风湿病、慢性胃炎和骨质疾病为主)患病率依次为9.2%、2.3%、0.2%、0.6%、2.8%,5种慢性病患病率随年龄增加而升高;社区居民总吸烟率为21.7%,经常饮酒率为6.9%;超重率为25.0%,肥胖率为16.4%;社区服务对象总体满意度为88.7%。结论慢性病已成为农村社区居民主要患病和死亡的疾病,吸烟、饮酒、缺乏锻炼等不良生活方式为慢性病主要危险因素,应加强健康教育和健康促进,广泛开展慢性病社区综合干预与管理。Objective To understand the main problem of public health among community resident in rural areas of Guangxi. Methods With stratified cluster random sampling method 6 244 residents from 1 600 households in 8 townships of BinYang County were selected to survey on community environment, physical condition, risk factors of chronic diseases, and satisfaction with community health services. Results The mortality in the community residents was 720.87/100 000, and chronic diseases ranked first in all causes of death. Two-week prevalence of illness in the residents was 9.1%, and the hospitalization rate in last year was 6.0%. Prevalence of hypertension, diabetes, cerebral apoplexy, chronic obstructive pulmonary disease and other chronic diseases were 9.2%, 2.3%, 0.2%, 0.6% and 2.8%, respectively. Prevalence of chronic diseases rose with the age. The prevalence of smoking and drinking in the community residents was 21.7% and 6.9% respectively. The prevalence of overweight and obesity was 25.0% and 16.4% respectively. The proportion of resident satisfied with the health service was 88.7%. Conclusion Chronic diseases are the main types of illness and causes of death among the community resident. Major risky factors of chronic diseases are smoking, drinking and lack of exercises. Health education, promotion and comprehensive intervention of chronic diseases should be reinforced.

关 键 词：社区卫生服务 居民健康 慢性病 健康管理 

分 类 号：R18[医药卫生—流行病学]