戒毒康复社区康复人员健康体检服务利用研究  

Study on the utilization of physical examination service among the drug rehabilitation population

作　　者：赵月娟 张敏[2] ZHAO Yue-juan;ZHANG Min(Guang'anmen Hospital,Chinese Academy of Traditional Chinese Medicine,Bejing 100053,China;Investigation Department,Sichuan Police College,Luzhou646000,Sichuan,China)

机构地区：[1]中国中医科学院广安门医院,北京100053 [2]四川警察学院侦查系,四川泸州646000

出　　处：《中国药物依赖性杂志》2022年第4期291-295,共5页Chinese Journal of Drug Dependence

基　　金：国家社科基金(17BGL189)。

摘　　要：目的 了解戒毒康复社区康复人员对健康体检服务的利用现状及可能的影响因素。方法 采用分层等比抽样法,抽取1225名某少数民族地区戒毒康复社区康复人员,问卷调查其健康体检服务利用现状及影响因素;应用SPSS 22.0进行描述性统计分析、χ~2检验、Logistic回归模型构建等,检验水准α=0.05。结果 收回有效问卷1219份,有效问卷回收率99.5%。过去一年中,该社区康复人员总体健康体检服务利用率为47.3%;慢性病患者、HIV感染者的健康体检利用率分别为60.9%和67.0%;女性戒毒康复人员妇科健康体检利用率为11.9%。女性、具有体育锻炼行为、睡眠时长≥7 h/d、罹患慢性病、拥有良好的工作环境等因素是健康体检服务利用的保护因素(P<0.05)。在婚状态、工作日平均工作时间>8 h/d、在戒毒康复社区居住时间>3个月、非医疗救助对象等因素是该服务利用的危险因素(P<0.05)。结论 戒毒康复社区应加强健康教育,提升康复人员的健康保健意识;女性健康监测应引起高度重视;政府应给予一定的财政支持,扶持戒毒康复社区开展健康体检服务;此外,应不断完善戒毒康复社区的慢性病规范化管理。Objective To investigate the utilization status and possible influencing factors of health examination service among the drug rehabilitation population. Methods A total of 1225 drug rehabilitation personnel in an ethnic minority area were selected by stratified equal proportion sampling method, and their utilization status and influencing factors of health examination service were assessed by questionnaire. SPSS 22.0 software was used for descriptive statistical analysis, Chi square test and logistic regression model construction. The test level α = 0.05. Results 1219 valid questionnaires were collected, with a recovery rate of 99.5%. In the past year, the overall utilization rate of health examination service among the drug rehabilitation personnel was 47.3%;the utilization rates of health examination service among the chronic disease patients and HIV infected people were 60.9% and 67.0%, respectively;the utilization rate of gynecological health examination among the female drug rehabilitation personnel was 11.9%. Those people tended to use health examination service who were female, had physical exercise, slept more than seven hours a day, suffered from chronic disease, or had good working environment(P<0.05). And those people had a disposition not to use health examination service who were married, worked more than 8 hours a day, lived in the rehabilitation community for more than 3 months, were not the target of medical assistance(P<0.05). Conclusion Health education should be strengthened in drug rehabilitation community to enhance the health care awareness of drug rehabilitation personnel. Attention should be paid to female health monitoring. The government should provide financial support to help drug rehabilitation community to carry out health examination service. Finally, the standardized management of chronic diseases in rehabilitation community should be improved.

关 键 词：戒毒康复人员 健康体检 影响因素 

分 类 号：R749[医药卫生—神经病学与精神病学]