中华预防医学杂志
中華預防醫學雜誌
중화예방의학잡지
CHINESE JOURNAL OF
2014年
7期
587-591
,共5页
庄润森%向月应%韩铁光%张媛
莊潤森%嚮月應%韓鐵光%張媛
장윤삼%향월응%한철광%장원
健康教育%危险因素%社区医学%慢性病
健康教育%危險因素%社區醫學%慢性病
건강교육%위험인소%사구의학%만성병
Health education%Risk factors%Community medicine%Chronic disease
目的 调查深圳市社区居民的自我健康管理状况,分析影响自我健康管理状况的因素.方法 于2012年7月在深圳市采用多阶段整群随机抽样方法,从全市53个街道中抽取16个,每个街道抽取2个社区,该社区以社区健康服务中心服务的区域为准,每个社区随机入户100户,周查约200名,本研究估计总样本量为6 400名,实际调查6 413名.采用自行设计的调查问卷,入户后由被调查对象自行填写的方式进行调查,调查内容包括性别、年龄、户籍、婚姻、文化程度、收入、家庭健康投资、家庭人口数等社会人口学特征,自我健康管理情况、自评健康状况、两周病伤情况、过去1年慢性病患病和住院情况等.使用二分类logistic回归分析自我健康状况的影响因素.结果 渊查对象自我健康管理比例为29.47%(1 890/6 413).前10位主要慢性病患者的总体健康管理比例是37.26% (392/1 052),其中糖尿病、贫血、心血管疾病、慢性支气管炎、高血压患者的自我健康管理比例较高,分别为46.67%(35/75)、41.94% (26/62)、38.96% (30/77)、38.95% (37/95)和38.93%(102/262).经二分类logistic回归分析显示,高年龄、女性、高文化程度、个人月收入高、家庭人口数多、深圳户籍、患有慢性病是进行自我健康管理的贡献因素,其OR(95% CI)值分别为1.22(1.15~1.30)、1.20(1.07 ~ 1.34)、1.24(1.15 ~1.34)、1.07(1.00~1.13)、1.23(1.10~1.38)、1.13(1.00~1.29)、1.22(1.05~1.42).结论 深圳市社区居民自我健康管理比例不高,应加大健康管理体系建设力度,并针对健康管理状况影响因素开展有关干预.
目的 調查深圳市社區居民的自我健康管理狀況,分析影響自我健康管理狀況的因素.方法 于2012年7月在深圳市採用多階段整群隨機抽樣方法,從全市53箇街道中抽取16箇,每箇街道抽取2箇社區,該社區以社區健康服務中心服務的區域為準,每箇社區隨機入戶100戶,週查約200名,本研究估計總樣本量為6 400名,實際調查6 413名.採用自行設計的調查問捲,入戶後由被調查對象自行填寫的方式進行調查,調查內容包括性彆、年齡、戶籍、婚姻、文化程度、收入、傢庭健康投資、傢庭人口數等社會人口學特徵,自我健康管理情況、自評健康狀況、兩週病傷情況、過去1年慢性病患病和住院情況等.使用二分類logistic迴歸分析自我健康狀況的影響因素.結果 淵查對象自我健康管理比例為29.47%(1 890/6 413).前10位主要慢性病患者的總體健康管理比例是37.26% (392/1 052),其中糖尿病、貧血、心血管疾病、慢性支氣管炎、高血壓患者的自我健康管理比例較高,分彆為46.67%(35/75)、41.94% (26/62)、38.96% (30/77)、38.95% (37/95)和38.93%(102/262).經二分類logistic迴歸分析顯示,高年齡、女性、高文化程度、箇人月收入高、傢庭人口數多、深圳戶籍、患有慢性病是進行自我健康管理的貢獻因素,其OR(95% CI)值分彆為1.22(1.15~1.30)、1.20(1.07 ~ 1.34)、1.24(1.15 ~1.34)、1.07(1.00~1.13)、1.23(1.10~1.38)、1.13(1.00~1.29)、1.22(1.05~1.42).結論 深圳市社區居民自我健康管理比例不高,應加大健康管理體繫建設力度,併針對健康管理狀況影響因素開展有關榦預.
목적 조사심수시사구거민적자아건강관리상황,분석영향자아건강관리상황적인소.방법 우2012년7월재심수시채용다계단정군수궤추양방법,종전시53개가도중추취16개,매개가도추취2개사구,해사구이사구건강복무중심복무적구역위준,매개사구수궤입호100호,주사약200명,본연구고계총양본량위6 400명,실제조사6 413명.채용자행설계적조사문권,입호후유피조사대상자행전사적방식진행조사,조사내용포괄성별、년령、호적、혼인、문화정도、수입、가정건강투자、가정인구수등사회인구학특정,자아건강관리정황、자평건강상황、량주병상정황、과거1년만성병환병화주원정황등.사용이분류logistic회귀분석자아건강상황적영향인소.결과 연사대상자아건강관리비례위29.47%(1 890/6 413).전10위주요만성병환자적총체건강관리비례시37.26% (392/1 052),기중당뇨병、빈혈、심혈관질병、만성지기관염、고혈압환자적자아건강관리비례교고,분별위46.67%(35/75)、41.94% (26/62)、38.96% (30/77)、38.95% (37/95)화38.93%(102/262).경이분류logistic회귀분석현시,고년령、녀성、고문화정도、개인월수입고、가정인구수다、심수호적、환유만성병시진행자아건강관리적공헌인소,기OR(95% CI)치분별위1.22(1.15~1.30)、1.20(1.07 ~ 1.34)、1.24(1.15 ~1.34)、1.07(1.00~1.13)、1.23(1.10~1.38)、1.13(1.00~1.29)、1.22(1.05~1.42).결론 심수시사구거민자아건강관리비례불고,응가대건강관리체계건설력도,병침대건강관리상황영향인소개전유관간예.
Objective To analyze the risk factors of the self-health management among Shenzhen's community residents by surveying the status of the self-health management.Methods Multi-stage cluster random sampling was used in this study.The estimated sample size was 6 400 of the study,and the actual number of the subjects was 6 413,who were from 32 communities in Shenzhen.All the subjects were investigated by using a self-devised questionnaire on July 2012.The contents of the questionnaire included sociodemographic characteristics of genders,age,household register,marriage suatus,degrees of education,income,investment of health,family population,the status of self-health management,self-health assessment,illness and injury in the last two weeks,chronic diseases and in hospital last year.Through binary logistic regression,factors influencing the self-health status were analyzed.Results The proportion of self-health management among the residents was 29.47% (1 890/6 413),and the proportion was 37.26% (392/1 052)among the first ten chronic disease patients.The proportions of diabetes mellitus,anemia,cardiovascular disease,chronic bronchitis and hypertension patients were higher,which were 46.67% (35/75),41.94% (26/62),38.96% (30/77),38.95% (37/95) and 38.93% (102/262)respectively.The binary regression analysis results showed that the effect factors of the self-health management were high age (OR =1.22,95% CI:1.15-1.30),females(OR =1.20,95% CI:1.07-1.34),high culture (OR =1.24,95 % CI:1.15-1.34),high monthly income (OR =1.07,95 % CI:1.00-1.13),large family population(OR =1.23,95% CI:1.10-1.38),household register in Shenzhen (OR =1.13,95% CI:1.00-1.29),chronic diseases (OR =1.22,95% CI:1.05-1.42).Conelusion The proportion of self-health management among the community residents in Shenzhen was not high.We should put more effort on construction of health management system,and take action on intervention of the risk factor of health management status.