基于社区居民的流感样病例发病率估计及其治疗流向分析  

Community based estimation of incidence of influenza like illness and analysis of health care seeking intention

作　　者：董晓春[1] 高璐[1] 徐文体[1] 

机构地区：[1]天津市疾病预防控制中心,天津300011

出　　处：《疾病监测》2015年第9期754-757,共4页Disease Surveillance

基　　金：天津市卫生局科技基金项目(No.2013KZ049)~~

摘　　要：目的了解天津市社区居民流感样病例（ILI）的发病水平及患病后的治疗意向。方法采用等比例分层随机抽样,随机选择4个区（县）1~3个社区的4028名居民进行ILI发病与治疗流向调查。结果 2013年天津市ILI发病率为11.37%（95%CI：10.39%~12.42%）,出现ILI后56.87%的人选择就医,不同年龄组及不同地区人群患病后治疗流向不同（χ2分别为46.563和40.637,P〈0.05）。病后选择一级医院就诊的占64.31%,在一级医院就诊的费用低于二级以上医疗机构（P〈0.05）。结论基于社区居民调查的ILI发病率高于哨点监测。患病后大多数居民选择就医,且在一级医院就医占比较高。Objective To estimate the incidence of Influenza-like illness（ ILI） and health care seeking intention in community residents in Tianjin. Methods A total of 4028 local residents were selected through stratified random sampling from 1 to 3 communities in 4 counties in Tianjin. A self-designed questionnaire was used to collect information on incidence of ILI and health care seeking intention among them. Results The incidence of ILI was 11. 37%（ 95%CI： 10. 39%- 12. 42%） in Tianjin during 2013. Of all the residents with ILI,56. 87% would like to see doctor. There are statistically significant differences in health care seeking intention among the residents in different age groups and in different districts（ χ2= 46. 563 and χ2= 40. 637,P 0. 05）. Up to 64. 31% of the residents with ILI chose class 1hospital. The costs for health care in class 2 and class 3 hospitals were higher than that in class 1 hospital（ P 0. 05）.Conclusion Community survey based ILI incidence was higher than that based on sentinel surveillance. Most residents with ILI chose class 1 hospital for the treatment.

关 键 词：社区居民 流感样病例 发病率 治疗流向 

分 类 号：R511.7[医药卫生—内科学]