重庆市慢性病综合防控示范区建设对居民健康相关知识认知与行为的影响  

Impact of demonstration areas for comprehensive prevention and control of non-communicable diseases on cognition of health knowledge and behavior in residents of Chongqing

作　　者：丁贤彬[1] 陈婷[1] 毛德强[1] 唐文革[1] 许杰 吕晓燕[1] DING Xian-bin, CHEN Ting, MAO De-qiang, TANG Wen-ge, XU Jie, LV Xiao-yan(Institute of Non-Communicable Disease Prevention and Control, Chongqing Center for Disease Prevention and Control, Chongqing 400042, Chin)

机构地区：[1]重庆市疾病预防控制中心慢性病预防控制所,重庆400042

出　　处：《中国慢性病预防与控制》2018年第4期287-291,共5页Chinese Journal of Prevention and Control of Chronic Diseases

基　　金：中国疾控中心慢病中心"互联网+慢性病防控试点项目"(MBFK-2016-003)

摘　　要：目的评估重庆市慢性病综合防控示范区建设对居民健康相关知识认知水平与行为的影响,为推进示范区建设提供建议。方法于2016年11月至2017年2月采用分层随机抽样的方法分别在重庆市4个示范区与4个非示范区抽取18岁及以上常住居民进行健康相关知识认知与行为问卷调查。采用SPSS 19.0统计软件进行χ~2检验。结果示范区与非示范区分别调查4 000和3 997人,示范区居民全民健康生活方式行动知晓率、健康生活方式知晓率、超重肥胖危害的知晓率、高血压危险因素知晓率、糖尿病高危因素知晓率、健康成人每天食盐摄入推荐量知晓率、健康成人每天烹调用油推荐摄入量知晓率、推荐成人身体活动水平的知晓率均高于非示范区,差异均有统计学意义(P<0.01)。示范区居民自觉控制体重的比例、自觉控制食盐摄入的比例、自觉控制油摄入的比例(32.15%、41.90%和36.15%)均高于非示范区(18.71%、30.82%和21.74%),差异均有统计学意义(P<0.01)。示范区居民每天吸烟率、有害饮酒的比例(20.15%、13.53%)与非示范区(19.36%、13.91%)比较,差异均无统计学意义(P>0.05)。示范区居民过去1周主动锻炼的比例、过去1周身体活动水平为充分的比例(77.45%、71.88%)均高于非示范区(67.83%、55.29%),差异均有统计学意义(P<0.01)。示范区居民过去1年有健康行为的比例(30.43%)高于非示范区(27.72%),差异有统计学意义(P<0.01)。结论慢性病综合防控示范区建设可以提高居民健康相关知识的认知水平,促进健康行为的形成,烟草控制和有害饮酒等危险因素控制将是今后示范区建设应重点关注的内容。Objective To evaluate the impact of demonstration areas for comprehensive prevention and control of non-communicable diseases（NCD demonstration areas） on cognition of health knowledge and behavior in residents of Chongqing and to provide the suggestion for promoting NCD demonstration areas in Chongqing. Methods The stratified random sampling was used to select the adult residents（18 years old） from 4 NCD demonstration areas and 4 non NCD demonstration areas as the subjects from November of 2016 to February of 2017. The investigation was performed by the questionnaire of health knowledge and behavior. The Chi-square test was utilized to analyze the data with SPSS 19.0 software. Results A total of 4 000 residents from NCD demonstration areas and 3 997 residents from non-NCD demonstration areas were investigated, respectively. The cognition rates about the healthy lifestyle for all residents, healthy lifestyle, harm of overweight and obesity, risk factors of hypertension and diabetes, recommended daily salt intake and oil intake, recommended level of physical activities in NCD demonstration areas were significantly higher than those in non-NCD demonstration areas（P〈0.01）. The proportions of body weight control, salt intake control and oil intake control（32.15%, 41.90% and 36.15%） in residents of NCD demonstration areas were significantly higher than those（18.71%, 30.82% and 21.74%） in residents of non-NCD demonstration areas（P〉0.01）. The rate of smoking everyday（20.15%） and harm drinking（13.53%） in residents of NCD demonstration areas were not significantly higher than those（19.36%and 13.91%） in residents of non-NCD demonstration areas（P〈0.05）. The proportions of active exercise and full physical activity level in the past week（77.45% and 71.88%） among residents in NCD demonstration areas were significantly higher than those（67.83% and 55.29%） in non-NCD demonstration areas（P〈0.01）. The proportion of residents with healthy behavior in past year（30.43%）

关 键 词：慢性病综合防控示范区 健康行为 健康知识 影响评价 

分 类 号：R197[医药卫生—卫生事业管理]