南方军队人员卫生服务需要及利用抽样调查分析

A survey on health service needs and utilization in military members

目的 :研究我国南方军队人员卫生服务需要和利用的基本情况和特点 .方法 :采用多阶段分层整群随机抽样法在我国南方某地区调查了 2 1 0 0名军队人员 .采用SPSS 1 1 .0软件对调查数据进行统计分析 .结果 :干部 2wk患病率及半年慢性病患病率显著高于战士 (χ22wk=1 7.79,P <0 .0 1 ;χ2 慢性=6 3.6 4 ,P <0 .0 1 ) .军队人员 2wk患病以呼吸系统疾病为主 ;慢性病以消化系统疾病为主 .干部和战士 2wk患病未就诊率差异具有显著统计学意义 (χ2 =1 1 .38,P <0 .0 1 ) ;住院服务利用干部显著高于战士 ,差异具有统计学意义 (χ2 =1 0 .5 0 ,P <0 .0 1 ) .结论 :军队人员的卫生服务需要及门诊、住院服务利用高于全国居民 ;在加强对军队人员的健康教育和做好防治常见病工作的同时 。

AIM: To study the basic situation and character of the health services needs and utilization in military members in southern China. METHODS: Multistage stratified cluster random sampling was conducted and a total of 2100 military members in the southern regions of China were sampled. Survey data were analyzed by SPSS 11.0 software package. RESULTS: The two week illness prevalence and six month chronic illness prevalence of the officer were significantly higher than those of the soldier ( χ 2 2 wk =17.79, P < 0.01; χ 2 CI =63.64, P <0.01). Respiratory system disease was the main problem in two week illness prevalence and digestive system disease was the main problem in chronic illness prevalence. There was significantly difference between the officer and the soldier in the rate of no clinic visits within two weeks( χ 2=11.38, P <0.01). The number of officers with hospital admission within twelve months was significantly higher than that of the soldiers ( χ 2= 10.50, P <0.01). CONCLUSION: Military members have higher health service needs and better utilization, compared with those of citizens. Health education in military members should be strengthened and more attention should be paid to the prevention of training injuries as well as the prevention of common diseases.