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目的比较新疆新源县新型农村合作医疗实施前后哈萨克族牧民健康状况和卫生服务需要的变化,为进一步的科学研究提供基础,为医药卫生体制改革提供相应的参考依据。方法利用2006年及2008年哈萨克牧区居民卫生服务调查中有关2周患病、半年慢性病的相关数据进行描述性统计分析。结果 2006年、2008年新源县哈萨克族牧民2周患病率分别为8.05%、11.78%,差异有统计学意义(χ2=21.02,P<0.05);慢性病患病率分别为15.97%、24.27%,差异有统计学意义(χ2=57.88,P<0.05);类风湿性关节炎、高血压病是影响哈萨克牧民健康的主要疾病。结论新疆新源县哈萨克牧民慢性疾病患病率有明显增加趋势,与其生产生活环境、民族习俗、膳食结构等有关,适宜的健康教育和提供适宜的卫生服务可提高牧民对健康的关注程度。
Objective To compare the changes of health status and health service needs of Kazakh herdsmen before and after the implementation of new rural cooperative medical system in Xinjiang Xinyuan County so as to provide the basis for further scientific research and provide reference for the medical and health system reform. Methods Descriptive statistical analysis was made on the data of 2-week sick and 6-year chronic diseases in the survey of residents’ health service in pastoral areas in Kazakhstan and in 2006. Results The prevalence rates of Kazak herdsmen in Xinyuan County in 2006 and 2006 were 8.05% and 11.78%, respectively (χ2 = 21.02, P <0.05). The prevalence rates of chronic diseases were 15.97% and 24.27 %, The difference was statistically significant (χ2 = 57.88, P <0.05); rheumatoid arthritis and hypertension were the main diseases affecting the health of Kazakh herdsmen. Conclusion The prevalence of chronic diseases among Kazakh herdsmen in Xinyuan County, Xinjiang Province has been significantly increased, which is related to their production and living environment, ethnic customs, dietary structure and so on. Appropriate health education and provision of appropriate health services can raise their concern for health.