武警部队某高校大学生卫生服务需要调查研究

Study on health service demand among undergraduates in a university of PAP

【目的】通过对武警部队某高校大学生卫生服务需要现状的研究,分析其存在的问题,并提出对策及建议。【方法】参考《2008年中国卫生服务调查》相关内容,自行设计卫生服务需要情况调查问卷。对武警部队某高校1 908名1～4年级所有大学生进行现场问卷调查,内容包括人员基本情况、基本健康状况、卫生服务需要等情况,进行一般描述性分析及多因素logistic回归分析。【结果】调查对象自评健康状况好的学生有1 356人（71.07%）,一般的有484人（25.37%）,差的有68人（3.56%）。两周患病人数为546人,患病人次为740人次,两周患病率为38.78%,高于全国平均水平24.10%（P〈0.05）。两周患病率按照不同人口学特征进行统计分析,结果显示男生两周患病率（34.25%）显著低于女生（51.72%）（P〈0.05）;一年级学生两周患病率（45.38%）显著高于其它年级（P〈0.05）;非医学专业学生两周患病率（47.87%）显著高于医学专业学生（31.58%）（P〈0.05）;经多因素分析,性别、年级、专业是影响大学生患病的主要因素。【结论】武警部队某高校大学生的两周患病率较高,其中性别、年级、专业是影响大学生患病的主要因素,该武警高校的整体卫生服务保障能力与学生的期望之间还存在一定差距。

【Objective】To investigate the health service demand among undergraduates in a university of Chinese People＇s Armed Police Forces（PAP） and analyse the existing problems, thus providing countermeasures and suggestions.【Methods】In reference to the relevant items of the health service demand in Chinese Health Service Survey in 2008 and combined with the characteristics of the respondents, the questionnaire on health service demand among certain PAP university students was designed. The survey was conducted among 1 908 undergraduates including all of the 1-4 grade students in a PAP comprehensive university. The study contents include respondents＇ basic situation, basic health condition, health service demand, general descriptive analysis and logistic regression analysis.【Results】1 356 students（71.07%） evaluated their own health condition as good, 484（25.37%） regarded theirs to be average,and 68（3.56%） thought of theirs to be poor.Within two weeks, the number of sick people was 546, with 740 person-time cases and the two-week prevalence rate was 38.78%, the incidence rate was higher than that of the national average level（24.10%）（P〈0.05）. The statistical results of two-week prevalence rate analyzed according to different demographic characteristics revealed that two-week prevalence rate in males（34.25%） was significantly lower than that in females（51.72%）（P〈0.05）, and that of self-evaluated good health status（31.56%） was significantly lower than that of self-evaluated bad health status（85.29%）（P〈0.05）, but the prevalence rate of firstgrade students（45.38%） was significantly higher than the other grade ones（P〈0.05）, and that of non-medical students（47.87%） was also significantly higher than that of the medical ones（31.58%）（P〈0.05）. Logistic regression analysis showed that the gender, major and grade were the main influencing factors that caused the illness among college students.【Conclusion】Two-week prevalence rate of the respondents was high, and the gender, major and grade were the main factors that caused the illness among college students. The survey showed that there was still a gap between the overall health service ability and the expectation of the students in the university of PAP.