重庆市中老年社区居民性健康服务使用及相关因素分析

目的:了解我国重庆市中老年居民性健康服务使用情况,并探讨其潜在相关因素。方法:2020年6月至2022年12月,对重庆市≥50岁社区中老年人进行了多阶段抽样横断面调查。问卷调查内容包括社会人口学特征、一般健康特征、性健康特征以及性健康服务使用情况等相关信息。性健康服务使用情况定义为曾进行过HIV检测、最近1年曾进行过男科/妇科生殖健康体检。采用多因素logistic回归模型分析性健康服务使用的相关因素。结果:研究对象共794名(男性和女性分别为482名和312名),年龄(62.8±8.2)岁。中老年社区居民HIV检测的比例为18.0%,生殖健康体检的比例为10.1%。多因素logistic回归分析结果显示,60~69岁年龄组(a OR=0.37,95% CI:0.18~0.76)、女性(a OR=11.34,95% CI:5.71~22.52)、月均收入≥5 000元(a OR=3.05,95% CI:1.01~9.27)、性活跃(a OR=4.99,95% CI:2.23~11.15)与最近1年进行生殖健康体检有关。 结论:中老年人对性健康服务的利用比例较低。应进一步加强我国中老年人性健康教育,正确引导和应对中老年人之间的亲密关系,制定适宜中老龄人群的性健康服务。

广东江门市区流动人口性健康服务需求状况调查分析

目的对广东江门市区流动人口性健康服务需求状况进行调查分析并作出相应的干预策略,为流动人口提供优质的生殖健康服务。方法对江门市区109名男性和392名女性流动人口进行了问卷调查。采用多元线性回归分析知识得分的可能影响因素,非条件Logistic回归分析宣传教育服务需求的影响因素。结果平均外出务工时间男性(8.52±2.97)年,女性(8.96±1.97)年。男性未婚者中有57.50%(23/40)曾经与异性有过性行为,女性未婚者中有33.93%(38/112)曾经与异性有过性行为。调查对象关于性传播疾病(sexually transmitted diseases,STD)/获得性免疫缺陷疾病(acquired immunodeficiency disease,AIDs)综合知识平均得分为(60.17±17.76)分,其中男性为(67.49±13.07)分,女性为(58.14±18.37)分。调查对象中仅有5.50%(6/109)男性和6.63%(26/392)女性自认为没有接受STD/AIDs宣传教育服务的需求。婚姻状况、受教育程度、年均收入、居住方式、上网等因素会显著影响调查对象的STD/AIDs知晓情况;年龄、工作类别、喝酒、抽烟、前往娱乐场所的频率等因素不会影响其知晓情况,但是这些因素可以影响对STD/AIDs宣传教育服务的需求意愿。结论在改善流动人口的性健康服务状况中,可以采取提高流动人口的受教育程度、增加收入,以及改良其居住方式等干预性策略;加强STD/AIDs宣传教育;普及安全性行为及相关知识,提高流动人口人群的性与生殖健康的综合水平。

凝聚群团力量 共同缔造家庭健康

家庭是社会的基本细胞,家庭健康是全民健康的基石。近年来,湖北省荆州市荆州区计生协充分发挥组织网络和群众工作优势,以中国计生协家庭健康促进行动试点为契机,积极围绕家庭健康全生命周期服务,把家庭健康促进工作融入美好环境与幸福生活共同缔造的重要内容,积极参与提供全方位全生命周期的群众性健康服务,在实践中积极探索新时代基层群众健康治理的新模式。

Promoting the Development of Traditional Chinese Medicine in the New Century

Reviewing the past, traditional Chinese medicine (TCM) in the 20th century experienced vicissitude. Since the founding the People's Republic of China, especially for the past twenty years, traditional Chinese medicine undertaking, full of vigor and vitality, has made an unprecedented development in China. The legal status and scientific status of traditional Chinese medicine and pharmacology have already been established. The medical system of traditional Chinese medicine, which is composed of traditional Chinese medicine hospitals, ethnic minority medicine hospitals, integration of traditional and western medicine hospitals and comprehensive hospitals, is playing an important role in preventing, treating diseases and enhancing people's health level. The system of production and circulation for traditional Chinese medicine has basically guaranteed the people's demand for Chinese medicine, with the principles of producing medicinal materials as basis, taking Chinese medicine industry as pillar and Chinese medicine as link. Remarkable achievements have been scored in the research of TCM development as well as research of TCM basic theory and clinical treatment. A number of scientific and technological results have been transformed into productive forces. TCM education has formed a rational pattern based on inheriting traditional way of transmission from master to disciple as well as taking the university and college education as the main part. Minority medical science has been further explored and sorted out; the level of medical treatment, teaching and scientific research for ethnic minority medicines has been improved. As the contingent of integrated traditional and western medicine is growing steadily, medical treatment system, scientific research system and teaching system for integrated traditional and western medicine takes shape progressively. International exchange and cooperation on traditional Chinese medicine has been greatly promoted. Various forms of cooperative relations on the TCM medical treatment, teaching and scientific research have been established between China and many other countries and regions in the world. With the increasing influence of TCM in the world, the accomplishment of traditional Chinese medicine in the 20th century has attracted world attention.

Implementation and evaluation of the peer-training program for village health volunteers to improve chronic disease management among older adults in rural Thailand

Objectives This study aimed to investigate the effect of a peer-training program for village health volunteers(VHVs)to improve chronic disease management among older adults in rural Thailand.Methods The study was guided by community-based participatory research(CBPR).The peer-training program was developed by engaging diverse stakeholders,including community organizations,healthcare services,VHVs,older adults with chronic illnesses,and folk scholars in remote communities with high healthcare needs.The peer-training program comprised a three-day training workshop that convened once a week for three weeks with the following six sessions:knowledge sharing,peer support and empowerment,health literacy and health behavior,the general caring procedure for older adults with chronic illnesses,information sharing and communication,and home visit.From January to April 2021,a total of 28 VHVs completed the peer training program in a rural area in Chiang Rai province,Thailand.The Health Literacy and Health Behavior-3E2S(HLHB-3E2S),the Management of Non-Communicable Diseases Questionnaire(MNCDQ),and a self-confidence questionnaire were used to survey pre(week 1)and post-intervention(week 12),respectively.Then VHVs were interviewed to collect attitudes,and opinions about the intervention.Results After the intervention,the HLHB-3E2S scores(49.39±5.54 vs.52.35±4.26,P=0.001),the MNCDQ scores(44.10±6.27 vs.50.60±4.84,P<0.001),and the self-confidence questionnaire scores(22.28±2.46 vs.23.21±1.81,P=0.01)of VHVs significantly increased.VHVS also reported that the peer-training program enhanced their healthcare services,including health education,chronic disease management,leadership skills,and improving their relationship with healthcare providers.Conclusion Peer training programs are a practical strategy to improve VHVs’capacities.Healthcare professionals should provide a continuous training program for VHVs with their peers to increase capacities,confidence,and satisfaction in caring for the older adults with chronic diseases in the community.