上海市居民社区爱国卫生服务满意度现状及影响因素分析  

The current situation and influencing factors of satisfaction with community patriotic health services among residents in Shanghai

作　　者：于慧敏 王伟[1] 姜综敏 史晓誉 刘梦婷 魏晓敏 严非[1] 付朝伟[1] YU Huimin;WANG Wei;JIANG Zongmin;SHI Xiaoyu;LIU Mengting;WEI Xiaomin;YAN Fei;FU Chaowei(School of Public Health,Fudan University(Key Laboratory of Health Technology Evaluation,National Health Commission),Shanghai 200032,China;Patriotic Health and Guiding Department of Health Promotion in Shanghai Health Promotion Center,Shanghai 200040,China)

机构地区：[1]复旦大学公共卫生学院(国家卫生健康委员会卫生技术评估重点实验室),上海200032 [2]上海市健康促进中心爱国卫生和健康促进指导部,上海200040

出　　处：《上海医药》2024年第18期12-15,62,共5页Shanghai Medical & Pharmaceutical Journal

基　　金：基层爱国卫生服务评估(20221H04096)。

摘　　要：目的:通过调查上海市居民对社区爱国卫生服务的满意度,从居民视角探究上海市爱国卫生服务开展情况。方法:将上海市划分为中心城市A区、B区和非中心城区C区、D区,于2022年9-12月采用分层整群随机抽样方法分别从4个区域各抽取5个街道,共计20个街道的社区居民开展问卷调查。问卷内容包括居民一般资料、对近一年社区爱国卫生相关服务满意度、对四害防治效果的感知度和对各类场所卫生情况的感知度。结果:4122名(81.8%)居民对近一年社区爱国卫生服务表示满意,其中城区居民2529名(90.3%),郊区居民1593名(71.2%)。两水平方差成分模型分析结果显示,所在区域、老鼠出现情况、小区垃圾处置点卫生情况和小区周边环境卫生情况是对居民社区爱国卫生服务满意度具有统计学意义的影响因素(P<0.05)。结论:应进一步关注非中心城区爱国卫生服务开展情况,建立健全基层爱国卫生服务体系,以政府为主导、多部门协作、全社会动员,持续推进上海市社区爱国卫生服务的持续发展。Objective:To explore development of community patriotic health services in Shanghai from residents’perspective by investigating the satisfaction of Shanghai residents with community patriotic health services.Methods:Shanghai was divided into A and B districts of the central city and C and D districts of the non-central city and a questionnaire survey was conducted from September to December 2022 by adopting the stratified cluster random sampling method to select 5 communities from each of the 4 districts with a total of 20 communities.The questionnaire contents included residents’general information,satisfaction with community patriotic health related services in the past year,perceived effectiveness of the four pests and perceived hygiene of various types of places.Results:Four thousand one hundred and twenty-two(81.8%)residents expressed satisfaction with community patriotic health services in the past year,including 2529(90.3%)residents in urban areas and 1593(71.2%)residents in suburban areas.The results of two-level variance component mode analysis showed that the location of area,the presence of rats,the hygiene of neighborhood waste disposal sites and the environmental hygiene of neighborhood surroundings were statistically significant influences on residents’satisfaction with community patriotic health services(P<0.05).Conclusion:Further attention should be paid to the development of patriotic health services in non-central urban areas,the establishment of a sound grass-roots patriotic health service system,government-led,multi-sectoral collaboration and community-wide mobilization to continue to promote the sustained development of community patriotic health services in Shanghai.

关 键 词：社区爱国卫生服务 四害 场所卫生 满意度 影响因素 

分 类 号：R193.3[医药卫生—卫生事业管理]