乌鲁木齐市米东区农村居民卫生服务需求分析  

Health services demand among rural residents in Midong District, Urumqi

作　　者：周娜[1] 刘金宝[1] 文国新[2] 胡筱蕾[2] 

机构地区：[1]新疆医科大学公共卫生学院流统教研室,新疆乌鲁木齐830054 [2]乌鲁木齐市疾病预防控制中心,新疆乌鲁木齐830011

出　　处：《现代预防医学》2016年第1期85-87,186,共4页Modern Preventive Medicine

基　　金：新疆维吾尔自治区卫生资源配置标准研究项目(017300454)

摘　　要：目的了解新疆乌鲁木齐市米东区农村地区居民卫生服务需求及利用情况,为相关部门卫生资源合理配置提供参考依据。方法在乌鲁木齐市米东区随机选取大破城、下沙河、西二渠、西工村4个农村地区,采用整群随机抽样方法,共抽取1 200人进行问卷调查。结果调查地区居民两周患病率为26.33%,女性两周患病率高于男性,差异有统计学意义（χ^2=12.97,P〈0.001）;两周患病率随着年龄的增高而增加,60岁以上老年人群两周患病率达到53.15%;文化程度越低,两周患病率越高;在不同的婚姻状况中,丧偶的两周患病率最高达到58.33%;农业劳动和无业者的两周患病率显著高于非农业劳动者。研究人群慢性病的患病率为12.91%,其中高血压患者占70.32%;应就诊而未就诊的居民占患病人群的20.58%,主要原因为自感病情较轻;选择治疗方式中,以找医生看病治疗（占80.08%）为主。结论新疆农村少数民族地区对医疗卫生服务需求较高,应加强基层医疗设施建设,加强对特殊人群保护,尤其是60岁以上老年人群,提高基层卫生服务利用率。Objective The purpose of this study is to understand the health service demand and utilization among rural residents in Midong District of Urumqi, and to provide basis for the rational allocation of health resources for the related department. Methods Dapocheng, Xiashahe, Xierqu, Xigongcun were randomly selected in Midong District of Urumqi. Cluster random sampling method was adopted to survey 1200 people. Results The two-week prevalence rate was 26.33%. The two-week prevalence of female was higher than male, and there was statistically significant difference（χ-2=12.97, P〈0.001）. The two-week prevalence increased with age, and elderly population aged over 60 reached 53.15%. The lower level of culture, the higher two-week prevalence rate was. In different marital status, two-week prevalence of the widow was the highest, which reached 58.33%. Two-week prevalence of the agricultural labor and the unemployed were significantly higher than non-agricultural laborers. The prevalence of chronic diseases was 12.91%, of which hypertension is 70.32%. The sufferings should be no residents accounted for 20.58% of the population, and the main reason was that they did not take it seriously. People who went to see the doctor in choosing a treatment accounted for80.08%. Conclusion Xinjiang rural medical and health services demand are increasing. The construction of medical facilities should be strengthened. Also, the protection for the special groups, especially the elderly population aged over 60, should be strengthened. Lastly, the grassroots health service utilization should be improved.

关 键 词：卫生服务需求 两周患病率 慢性病患病率 

分 类 号：R197[医药卫生—卫生事业管理]