Survey on health service needs and influence factors among residents of daga Xiang Lhasa
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摘要: 目的 通过了解达嘎乡15岁以及以上居民卫生服务需要及影响因素，为政府制定卫生政策提供依据。方法 采用多阶段整群抽样法对达嘎乡665名居民进行问卷调查。结果 达嘎乡15岁及以上居民两周患病率及慢性病患病率分别为25.3%及21.5%，经过多因素分析筛选出的主要影响因素有性别、年龄、家庭经济收入及家庭人口数。女性两周患病率为男性的2.725倍（95% CI：1.756～4.225），慢性病患病率为男性的1.887倍（95% CI：1.178～3.017）。年龄越大两周患病率及慢性病患病率均越高，55～64岁年龄组最高。55～64岁年龄组的两周患病率为15～24岁年龄组的8.547倍（95% CI：3.228～22.470），慢性病患病率为15～24岁年龄组的25.641倍（95% CI：8.153～80.450）。高收入居民的两周患病率为低收入者的0.604倍（95% CI：0.376～0.971）。慢性病患病率在中等收入居民中最低（OR=0.536，95% CI：0.292～0.987）。家庭人口数≥4人的居民两周患病率降低，家庭人口数≥7人的居民慢性病患病率降低（OR=0.264，95% CI：0.078～0.886）。结论 达嘎乡居民卫生服务需要较高，人口学特征及家庭资源是主要影响因素。Abstract: Objective To investigate the health service needs and influencing factors among the resident aged 15 years and above, so as to provide the clues for establishing the health policy. Methods 665 residents were recruited through multistage cluster random sampling method and questionnaire survey were conducted. Results The two-week prevalence rate and the chronic disease prevalence rate of residents aged 15 years and above were respectively 25.3% and 21.5%, by multiple factors analysis,the main influencing factors were sex, age, family economic status and population.Both two-week prevalence rate and chronic disease prevalence rate of female were higher than that of male with odds ratio of 2.725 (95% CI:1.756-4.225)and 1.887 ( 95% CI:1.178-3.017) respectively. Both two-week prevalence rate and chronic disease prevalence rate of residents were increasing with age. And both prevalence rates were highest among the residents aged 55 to 64 years. Comparing to the residents aged 15 to 24 years, the two-week prevalence rate and the chronic disease rate of the residents aged 55 to 64 years were 8.547 times(95% CI:3.228-22.470)and 25.641 times (95% CI: 8.153-80.450) of them respectively. The two-week prevalence rate of residents with high income was 0.604 times (95% CI:0.376-0.971)of that of residents with low income. The chronic disease prevalence rate was the lowest among the residents with middle income (OR=0.536,95% CI:0.292-0.987). The two-week prevalence rate was decreased among the residents with family population four and above. The chronic disease prevalence rate was descended in the residents with family population seven and above(OR=0.264,95% CI:0.078-0.886). Conclusions The demands of health services among residents of Daga Xiang were high, the main influencing factors were demographic characteristic and status of family recourses.
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Key words:
- Prevalence rate /
- Questionnaires /
- Epidemiologic studies
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