上海市中老年人参加体检影响因素分析

Analysis on related factors with participation in communal physical examination among mid-aged and aged population in Shanghai city

目的了解影响上海市中老年人参加体检的相关因素,为更好地提供社区保健服务和提高服务利用率提供依据。方法采用整群随机抽样的方法,在上海市徐汇区枫林、斜土及田林街道通知2 972名中老年人参加体检,其中参加体检者1 404人,未参加体检者1 568人,从未参加体检者中随机抽取372人调查未体检的原因。结果除了21.45%的对象表示未接到体检通知外,未参加体检的原因主要为没有时间参加(35.38%)、居住地点离体检地点远(11.97%)、认为自己身体健康而对体检不感兴趣(10.03%)、不久前体检过(9.19%)、因病不能参加体检(2.51%)等。影响中老年人参加体检的人口学因素主要有年龄、性别、婚姻状况、职业和收入。结论为了给中老年人提供更加有效的服务,必须解决中老年人就诊时间、地点不合适等问题,并提高中老年人保健知识水平。

Objective To find the related factors influencing the participation in the communal physical examination among the mid-aged and aged in Shanghai. All these would become a basis for better communal health services supply to improve the utilization of the services. Methods 2 972 subjects were selected and informed to participate in the communal physical examination by cluster sampling. 1 404 subjects participated in the physical examination, while 1 568 didn＇t. Among those who didn＇t participate in the examination, 372 were sampled at random to know the reasons for not participating in the examination. Results Except that 21.45 % subjects hadn＇ t been informed, the main reasons for not participating in the examimation were： having no time （35.38 % ）, living far away form the location of the examination （ 11.97 % ）, thinking oneself to be very healthy and having no interest in the examinatiion（ 10.03 % ） having had physical examination recently （9.19 % ） and not being able to participate due to illness （2.51% ）. The demographic factors relating to participating in the communal examination mainly included age, gender, marital status, profession and income. Conclusion For the sake of providing more effective services to the mid-aged and aged in the community, the problem of unfitted time and location should be solved, and their knowledge of health care should be improved as well.