哈萨克族牧民2周患病率和慢性病患病率比较

Comparison of two-week morbidity and chronic disease morbidity among Kazakh herdsmen

目的比较新疆新源县新型农村合作医疗实施前后哈萨克族牧民健康状况和卫生服务需要的变化,为进一步的科学研究提供基础,为医药卫生体制改革提供相应的参考依据。方法利用2006年及2008年哈萨克牧区居民卫生服务调查中有关2周患病、半年慢性病的相关数据进行描述性统计分析。结果 2006年、2008年新源县哈萨克族牧民2周患病率分别为8.05%、11.78%,差异有统计学意义(χ2=21.02,P<0.05);慢性病患病率分别为15.97%、24.27%,差异有统计学意义(χ2=57.88,P<0.05);类风湿性关节炎、高血压病是影响哈萨克牧民健康的主要疾病。结论新疆新源县哈萨克牧民慢性疾病患病率有明显增加趋势,与其生产生活环境、民族习俗、膳食结构等有关,适宜的健康教育和提供适宜的卫生服务可提高牧民对健康的关注程度。

Objective To compare the changes of health status among Kazakh herdsmen in Xinyuan county of Xinjiang Uygur Autonomous Region before and after the New Rural Cooperative Medical Scheme（NCMS）implementation and to provide evidence for policy making and medical reform.Methods The data were from Health Service Survey conducted in the years of 2006 and 2008.The two-week morbidity and chronic diseases morbidity were analyzed with descriptive methods.Results The two-week morbidity rate incresased from 8.05%（2006） to 11.78%（2008）,（χ^221.02,P〈0.05）.The chronic diseases morbidity increased from 15.97%（2006） to 24.27%（2008）,（χ^257.88,P〈0.05）.Rheumatoid arthritis,hypertension,chronic gastroenteritis,gall-stone and cholecystitis,and anemia were the main diseases that Kazakh herdsmen suffered from.Conclusion Before and after the NCMS implementation,the health service needs of Kazakh herds men in Xinyuan county increased evidently.