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目的分析甘肃省兰州市城关区居民两周患病率及影响因素,为制定相关卫生服务政策提供科学依据。方法2014年11—12月,采用随机整群抽样的方法选取兰州市城关区常住居民1 012人进行两周患病情况问卷调查,两周患病率影响因素采用Logistic回归分析。结果 1 012名居民两周患病率为34.7%,不同年龄(χ2=77.815)、文化程度(χ2=7.887)居民两周患病率比较差异有统计学意义(P<0.05),不同性别居民两周患病率比较差异无统计学意义(χ2=0.364,P>0.05);排在前5位的疾病类别依次为呼吸系统疾病(20.6%)、循环系统疾病(7.7%)、内分泌和代谢疾病(3.2%)、消化系统疾病(1.5%)、眼和附器疾病(1.1%);45岁~和60岁及以上年龄组居民患病风险均高于14岁及以下年龄组,中学/中专、大专及以上文化程度居民患病风险均低于小学及以下文化程度,有家族史和有过敏史居民患病风险均高于无家族史和无过敏史居民。结论影响兰州市居民健康的主要是呼吸系统、循环系统、内分泌和代谢疾病、消化系统、眼和附器疾病;中老年人、小学及以下文化程度及有家族史和过敏史人员卫生服务需求相对较高。
Objective To analyze the prevalence and influencing factors of residents in Chengguan District of Lanzhou City, Gansu Province for two weeks and provide a scientific basis for formulating relevant health service policies. Methods From November to December 2014, a random cluster sampling method was used to select 1 012 residents in Chengguan District, Lanzhou City for questionnaire survey of two weeks ’prevalence. The influencing factors of two weeks’ prevalence were analyzed by Logistic regression. Results The prevalence of two weeks in 1 012 residents was 34.7%. There was significant difference in the two-week prevalence among residents of different ages (χ2 = 77.815) and education level (χ2 = 7.887) (P <0.05) There was no significant difference in the two-week prevalence (χ2 = 0.364, P> 0.05). The top five diseases were respiratory diseases (20.6%), circulatory diseases (7.7%), endocrine and metabolic (3.2%), digestive system disease (1.5%), eye and adnexal disease (1.1%), and those in the 45- and 60-year-olds and above were significantly higher than those in the 14- and younger age groups. Secondary / The prevalence of residents with secondary technical secondary education, college education and above was lower than that of primary school education and below, and the residents with family history and history of allergies had higher prevalences than those without family history and no history of allergies. Conclusions The main diseases that affect the health of Lanzhou residents are respiratory system, circulatory system, endocrine and metabolic disease, digestive system, ocular and adnexal diseases. The demand for health service among middle-aged and elderly, primary education and below, family history and allergy history Higher.