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目的了解新疆农村维吾尔族家庭公共卫生服务利用情况影响因素。方法使用自行设计的农村家庭获取公共卫生服务情况调查表,对603户的农村家庭主妇进行问卷调查。结果从单因素分析可见年龄(χ~2=18.377,P<0.01)、文化程度(χ~2=14.473,P<0.01)、健康状况(χ~2=23.228,P<0.01)、各疆域(χ~2=7.522,P<0.05)在不同公共卫生服务总得分等级之间的差异有统计学意义(P<0.05),获取公共卫生服务状况影响因素有序Logistic回归分析结果显示家庭主妇以日常健康状况良好为参照时,日常健康状况一般(OR=0.421,P<0.05)是农村家庭获取公共卫生服务的危险因素;以家庭经济高于5000元为参照时,家庭经济状况低于1000元(OR=0.413,P<0.05)是农村家庭获取公共卫生服务的危险因素。结论应进一步完善乡村公共卫生服务人力资源配置,提高基层医疗服务机构技术人员专业技能,加强宣传力度,普及保健常识,提高农村居民自我保护意识,促进基本公共卫生服务的开展。
Objective To understand the influencing factors of Uygur family public health service utilization in Xinjiang rural areas. Methods Questionnaire about access to public health services by rural households designed by themselves was conducted and 603 rural housewives were surveyed. Results The results of univariate analysis showed that age (χ ~ 2 = 18.377, P <0.01), education level (χ ~ 2 = 14.473, P <0.01) χ ~ 2 = 7.522, P <0.05). There were significant differences in the total scores of public health services between the two groups (P <0.05). Logistic regression analysis of access to public health services showed that housewives (OR = 0.421, P <0.05) were the risk factors for rural families to get public health services when their health status was good as a reference. When the family economy was above 5,000 yuan, the family’s economic status was lower than 1,000 yuan OR = 0.413, P <0.05) is a risk factor for rural families to access public health services. Conclusion The allocation of human resources in rural public health services should be further improved, the professional skills of technicians in primary medical service institutions should be improved, publicity efforts should be intensified, common sense of health care should be popularized, self-protection awareness of rural residents should be improved, and basic public health services should be promoted.