CAJ | 학술논문

目的：研究普遍开展基本公共卫生服务情况下孟连县农村居民的两周患病情况及其影响因素．方法2012年2月，问卷调查多阶段分层随机抽取的孟连县2011名农村居民两周患病情况．结果孟连县2011名农村居民的两周患病率为97.5‰（95%CI 84.5‰～110.5‰），低于2008年全国四类农村水平（149.6‰，＜0.05）；年龄别两周患病率变化趋势与全国四类农村相似，但0～14岁未成年人的两周患病率高于全国四类农村水平；两周患病率排名前5位的疾病是急性上呼吸道感染、急性肠胃炎、骨质增生、急性气管-支气管炎和类风湿性关节炎．以山区为组群水平解释变量、性别为个体水平随机斜率变量、其他个体背景变量为固定斜率变量所拟合的多层Logistic回归模型结果表明，山区与性别之间有跨层交互作用（＜0.05）；家庭年收入＜15000元（OR=3.2378，95%CI 1.9014～5.5130）和年龄（OR=1.0163，95%CI 1.0002～1.0327）对2周患病有正效应；以未婚为参照，在婚对两周患病有负效应（OR=0.4727，95%CI 0.2534～0.8819）．结论与普遍开展基本公共卫生服务前的全国四类农村水平相比，2012年孟连县农村居民两周患病率降低．加强山区妇幼保健、改善低收入家庭卫生条件、提高单身人群健康意识等举措有助于人群健康水平的进一步提高．
목적：연구보편개전기본공공위생복무정황하맹련현농촌거민적량주환병정황급기영향인소．방법2012년2월，문권조사다계단분층수궤추취적맹련현2011명농촌거민량주환병정황．결과맹련현2011명농촌거민적량주환병솔위97.5‰（95%CI 84.5‰～110.5‰），저우2008년전국사류농촌수평（149.6‰，＜0.05）；년령별량주환병솔변화추세여전국사류농촌상사，단0～14세미성년인적량주환병솔고우전국사류농촌수평；량주환병솔배명전5위적질병시급성상호흡도감염、급성장위염、골질증생、급성기관-지기관염화류풍습성관절염．이산구위조군수평해석변량、성별위개체수평수궤사솔변량、기타개체배경변량위고정사솔변량소의합적다층Logistic회귀모형결과표명，산구여성별지간유과층교호작용（＜0.05）；가정년수입＜15000원（OR=3.2378，95%CI 1.9014～5.5130）화년령（OR=1.0163，95%CI 1.0002～1.0327）대2주환병유정효응；이미혼위삼조，재혼대량주환병유부효응（OR=0.4727，95%CI 0.2534～0.8819）．결론여보편개전기본공공위생복무전적전국사류농촌수평상비，2012년맹련현농촌거민량주환병솔강저．가강산구부유보건、개선저수입가정위생조건、제고단신인군건강의식등거조유조우인군건강수평적진일보제고．
Objective To assess prevalence and risk factors of illness within the past 2 weeks among rural residents in Menglian,under the background of essential public health service implemented generally. Methods In February 2012, the questionnaire method was employed to investigate the two-week morbidity in 2011 rural residents sampled by multistage stratified random sampling from Menglian population. Results The prevalence, that of illness within two-week among 2011 rural residents in Menglian, was 97.5‰ (95%CI 84.5‰-110.5‰) . It was lower than that of the rural region IV in China (149.6‰, <0.05) .Its age trend was the same as that of the rural region IV in China,the prevalence in 0-14 years old children,however,was higher than the counterpart in the rural region IV in China. The diseases, which two-week morbidity ranked the top five, were acute upper respiratory infection, acute gastroenteritis, hyperostosis, acute tracheobronchitis and rheumatoid arthritis. The results of multilevel logistic regression model fitted by group-level explanatory variable mountainous area, individual-level random slopes variable gender and other individual background variables indicated that there were across-level interactions between mountainous area and gender ( <0.05), the family income lower than RMB 15000 (odds ration 3.2378, 95%CI 1.9014-5.5130) and age (odds ration 1.0163, 95%CI 1.0002-1.0327) had a positive effect to two-week morbidity, and contrasting to unmarried, married had a negative effect to two-week morbidity (odds ratio 0.4727, 95%CI 0.2534-0.8819) . Conclusions Comparing with that of the rural region IV in China before implementing essential public health service, the two-week morbidity in Menglian was lower. For further elevating the health level of population, the strategies, such as intensifying material and child hygiene in the mountain area, improving sanitary conditions of low income family, and updating health consciousness in single population,would be implemented.