摘要
目的了解贵州省毕节氟病区居民卫生服务需求与利用情况,为改善氟病区居民卫生服务状况提供参考依据。方法在贵州省毕节氟病区采用分层整群随机抽样方法抽取666名居民进行问卷调查,了解一般情况、氟骨症症状及体征检出情况和卫生服务需求与利用情况,分析不同特征受访者卫生服务需求与利用情况。结果毕节市氟病区居民氟中毒临床症状和体征阳性检出率分别为39.3%(262/666)和31.2%(208/666),症状和体征均为阳性者共254人(38.1%)。氟病区居民2周患病率和慢性病患病率均较高,分别为38.1%(254/666)和35.3%(235/666);女性、老年人、受教育年限<1年、自认为家庭经济水平贫困、氟中毒临床症状和体征分别为阳性者患病率均高于其他人群,差异均有统计学意义(P<0.05)。氟病区居民患病后就诊率较低,为63.7%(163/254);不同性别、年龄、受教育年限、家庭收入状况、氟骨症症状及体征者患病率差异均无统计学意义(P>0.05)。未就诊原因主要为自我治疗、经济困难、自感病情较轻、没时间,分别占47.3%(43/91)、29.7%(27/91)、20.9%(19/91)、4.4%(4/91)。结论贵州省毕节市氟病流行地区居民患病率高,躯体健康状况较差,卫生服务需求高,但利用率不高。
Objective To investigate health service demands and usage among residents in endemic fluorosis area in Bijie of Guizhou province,and to provide basis for improving the condition of health service in endemic fluorosis areas.Methods With a questionnaire survey,information on general characteristics,prevalence of endemic fluorosis,clinical symptoms and signs,and the condition of health demands and usage were collected among 666 residents selected with stratified cluster random sampling in Bijie city of Guizhou province.Results The rates of clinical symptoms and signs of endemic fluorosis were 39.3% （262/666）and 31.2%（208/666）,with 245 residents with both clinical symptoms and signs （38.1%）.The two-week disease prevalence and chronic disease prevalence in the residents were 38.1%（254/666） and 35.3%（235/666）.The residemts of female,at older age,with the education less than one year,and self-reported poor familial economic status had higher rates of fluorosis clinical symptoms and signs than other residents（P〈0.05）.The rate of visiting doctors within two-week was 63.7 %（163/254）.There were no differences in health care utilization among the residents of different gender,age,years of education,family economy,with or without endemic fluorosis clinical symptoms and signs（P〉0.05 for all）.The main reasons of not visiting doctors were self-treatment（47.3%,43/91）,financial difficulty （29.7%,27/91）,not feeling urgent enough（20.9%,19/91）,and lack of time（4.4%,4/91） among the residents.Conclusion The prevalence rate of illness was high among residents in Bijie endemic fluorosis areas of Guizhou province and the residents had poor physical health status,high demands of health service,and low health care usage.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2014年第4期490-492,共3页
Chinese Journal of Public Health
基金
科技部国际合作重大项目(2010DFB30530)
关键词
氟病区
卫生服务需求与利用
调查
endemic fluorosis area health service demand and usage survey
