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目的了解山区农村50岁以上中老年人健康管理的认知和需求意愿,为开展中老年人健康管理提供科学依据。方法采用自行设计的调查问卷,在广州从化辖区随机抽取3个乡镇8个村的467位50岁以上中老年人进行面对面访谈。结果 65.31%的人完全不清楚健康管理的概念;对健康管理机构的认知和对服务项目的认知及需求均以体检最高,分别为41.97%、53.75%和68.52%;人群对健康管理服务项目的需求高于对其的认知(2=46.82,P<0.001);需求意愿及行为与婚姻状况、文化程度和自感健康状况均有关(均有P<0.05)。结论山区中老年农民对健康管理总体认知度低,但有实际的需求,认知和需求意愿与行为受多方面因素的影响,相关部门要加大投入和管理力度。
Objective To understand the cognition and needs of the elderly in over 50 years of age in mountainous rural areas and to provide scientific evidence for the health management of middle-aged and elderly people. Methods A questionnaire designed by ourselves was used to interview 467 middle-aged and elderly people over 50 years old in 8 villages of 3 villages and towns randomly in Guangzhou Conghua. Results 65.31% of the people were completely unaware of the concept of health management. The cognition of health management agencies and their cognition and demand for service items were the highest, accounting for 41.97%, 53.75% and 68.52% respectively. People’s health management services The demand for the project was higher than that of the cognition (2 = 46.82, P <0.001). The willingness of demand and behavior were related to marital status, education and self-esteem status (both P <0.05). Conclusion The middle-aged and elderly peasants in mountain areas generally have low awareness of health management. However, there are practical needs, cognition and the wishes and behaviors of consumers are affected by many factors. Relevant departments should increase investment and management efforts.