中山市社区居民两周患病就诊取向及影响因素调查

Intention of Community Residents' Visit in Two Weeks and Its Influential Factors in Zhongshan City

目的了解中山市15岁以上社区居民两周患病就诊取向及影响因素。方法采用多阶段整群随机抽样方法,利用自行设计的问卷进行入户调查,调查结果进行多因素Logistic回归分析。结果共调查中山市15岁以上居民42 632人,两周患病率134.9‰;有64.0%的居民选择在区医院或二级医院就诊,仅31.0%的居民选择在社区卫生服务机构就诊。自我治疗(46.4%)、自感病轻(38.7%)为主要的未就诊原因。Logistic回归分析结果显示,影响居民两周患病是否就诊的主要因素为年龄〔OR=1.007,95%CI(1.001,1.012)〕与是否患慢性病〔OR=0.686,95%CI(0.593,0.793)〕;到医疗机构时间〔OR=1.317,95%CI(1.060,1.636)〕、年人均收入〔OR=1.084,95%CI(1.027,1.145)〕、年龄〔OR=1.108,95%CI(1.035,1.186)〕、是否患慢性病〔OR=0.513,95%CI(0.436,0.605)〕与文化程度〔OR=1.164,95%CI(1.061,1.278)〕是影响居民两周患病是否到社区卫生服务机构就诊的主要因素。结论中山市居民两周患病在社区卫生服务机构就诊比例低,应积极引导患者到社区卫生服务机构就诊。

Objective To investigate the intention of residents aged more than 15 in communities of Zhongshan City for medical care in two - weeks and its influential factors. Methods The multi - stage cluster random sampling was used to choose the subjects. A self - designed questionnaire was taken for household interview, and the data collected were treated by Logistic re- gression analysis. Results Totally 42 632 residents aged 15 years and above were included. Their prevalence rate in two weeks was 134. 9‰; some 64.0% of them chose the district hospital or the second - leveled hospital for medical care, and only 31.0% chose the community health center for medical care. The major reasons for no visit in two weeks were self - treatment （46.4%） and mild condition of disease believed by themselves （38. 7% ） . The logistic regression analysis showed that the major influential factors for whether on not the residents visit in two weeks were age [ OR = 1. 007, 95% CI （ 1. 001, 1. 012） ] and whether or not thy had chronic diseases [ OR = 0. 686, 95% CI （0. 593, 0. 793 ） ] ; and the main influential factors for whether or not the resi- dents go to the community health service centers when they become ill in two weeks were the time they go to the medical institu- tions [0R=1.317, 95%CI （1.060, 1.636）], annual income [OR=1.084, 95%CI （1.027, 1.145）], age [OR= 1. 108, 95%CI （1. 035, 1. 186）3, whether or not they suffered from chronic diseases [ OR =0. 513, 95% CI （0. 436, 0. 605 ） ], and education background [ OR = 1. 164, 95% CI （ 1. 061, 1. 278 ） 3 . Conclusion The percentage of the resi- dents in Zhongshan City who go to the community health service centers for medial care in two weeks was lower. It is necessary to actively guide the residents to go to the community health service organizations for medical care.