合肥市社区居民健康状况及其影响因素分析

Analysis on the state of health and its influencing factors of Hefei community inhabitants

目的了解社区居民健康状况及其影响因素,为合理配置社区卫生资源提供决策依据。方法在合肥市39所CHS中心服务辖区内随机选择40户家庭,采用入户访谈调查全部家庭成员。结果社区居民2 w患病率为80.0‰;年住院率为7.3%;慢性病患病率为16.4%;15岁及以上居民认为自身健康状况"好"、"一般"及"差"的比例分别为33.6%、58.5%、7.9%;医疗保障制度、文化程度、收入水平及生活行为是影响健康状况的重要因素。结论在社区居民健康诊断的基础上,合理配置社区卫生资源,精心设计服务提供内容,不断满足社区居民卫生服务需求。

Objective To understand the community inhabitant state of health and its influencing factors, then to provide the policy-making basis for the reasonable disposition of community health resources. Methods To choose 40 families stochastically in the serving area of Hefei 39 CHS centers, then to investigate the families＇ members by conversation on the spot. Results The two-week prevalence of community inhabitant is 80.0 %0 ; Yearly being hospitalized is 7.3 % ; the chronic illness prevalence is 16.4% ; the proportion of the inhabitants aged 15 and 15 plus think their own state of health ＂better＂, ＂ordinary＂ and ＂worse＂ is 33.6 % , 58.5 % , 7.9 % respectively. The medical safeguard system, the education background, the income level and the living behavior are attributed to the state of health more important than others. Conclusions Basing on the community health diagnosis, it is vital to dispose the community health resources reasonably and design the serving content carefully, then to meet the health demands of community inhabitant.