戒毒康复社区居民卫生服务需要及影响因素研究  

Study on the Needs and Influencing Factors of Health Services of Residents in Drug Rehabilitation Community

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作  者:杨岳峰 张敏[2] 胡青 严宇 杨书 杜沛沛 马小凤 周子慧 冯曦兮 YANG Yuefeng;ZHANG Min;HU Qing;YAN Yu;YANG Shu;DU Peipei;MA Xiaofeng;ZHOU Zihui;FENG Xixi(School of Public Health,Chengdu Medical College,Chengdu,610500,China;不详)

机构地区:[1]成都医学院公共卫生学院,四川成都610500 [2]四川警察学院侦查系,四川泸州646000 [3]四川警察学院科研所,四川泸州646000 [4]成都中医药大学医学信息工程学院,四川成都611130

出  处:《中国社会医学杂志》2023年第3期324-328,共5页Chinese Journal of Social Medicine

基  金:国家社科基金项目(17BGL189);四川省级大学生创新创业训练计划项目(201813705068)。

摘  要:目的调查西南少数民族地区戒毒康复社区居民基本特征和卫生服务需要并分析其影响因素,以指导卫生服务资源配置及制定戒毒康复居民健康促进策略和措施。方法于2020年7月21日-8月10日使用问卷调查凉山州7个戒毒康复社区中的1219名居民,调查内容包括人口学信息、两周患病率、慢性病患病率、卫生服务需要可能的影响因素,采用卡方检验和二元Logistic回归模型分析卫生服务需要影响因素。结果该地区戒毒康复社区居民以低文化程度、低收入的农村中青年男性为主。两周患病率为12.2%,高文化程度(初中OR=1.674,P=0.017;高中OR=2.900,P<0.001)、患慢性病(OR=2.794,P<0.001)、有政府医疗救助(OR=1.638,P=0.022)、复吸(OR=1.508,P=0.025)为两周患病率的独立影响因素;慢性病患病率36.8%,男性(OR=0.282,P<0.001)、低文化程度(初中OR=0.409,P<0.001;高中OR=0.330,P<0.001)、城镇户口(OR=0.609,P=0.012)、有医疗保险(OR=1.531,P=0.005)和政府医疗救助(OR=2.580,P<0.001)为慢性病患病率的独立影响因素。结论戒毒康复社区居民卫生服务需要较全国一般水平高,需适当增加资源配置;卫生服务需要会受复吸、文化程度、户口性质等因素影响,应对重点人群和特殊卫生服务需要实施具有针对性、合理性的措施和策略。Objective To investigate the basic characteristics and health service needs of residents in drug rehabilitation and rehabilitation communities in southwestern ethnic minority areas and analyze their influencing factors,guide the allocation of health service resources,and formulate health promotion strategies and measures for residents in drug rehabilitation and rehabilitation.Methods From July 21 to August 10,2020,a questionnaire survey of 1219 residents in seven drug rehabilitation communities in Liangshan Prefecture was conducted.The content of the survey included demographic information,two-week prevalence,prevalence of chronic diseases,and health service needs.Chi-square test and binary Logistic regression model were used to analyze the influencing factors of health service needs.Results The residents in the drug rehabilitation community in this area were mainly young and middle-aged men in rural areas with low education and low income.The two-week prevalence rate was 12.2%.High education level(Junior high school:OR=1.674,P=0.017;High school:OR=2.900,P<0.001),chronic disease(OR=2.794,P<0.001),and government medical assistance(OR=1.638,P=0.022),relapse(OR=1.508,P=0.025)were independent influencing factors of the two-week prevalence;the prevalence of chronic diseases was 36.8%.Male(OR=0.282,P<0.001),low education level(Junior high school:OR=0.409,P<0.001;High school:OR=0.330,P<0.001),urban household registration(OR=0.609,P=0.012),medical insurance(OR=1.531,P=0.005)and government medical assistance(OR=2.580,P<0.001)were chronic diseases independent factors affecting the rate.Conclusion The health service needs of residents in drug rehabilitation and rehabilitation communities are higher than the general level in the country,and resource allocation needs to be appropriately increased;health service needs will be affected by factors such as relapse,education level,and household registration.Targeted and reasonable measures and strategies should be implemented to address the needs of key populations and special hea

关 键 词:戒毒者 戒毒康复 社区 卫生服务需要 

分 类 号:R197.1[医药卫生—卫生事业管理]

 

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