摘要
目的了解深圳市罗湖区残疾人群健康状况及卫生服务需求与利用,为提高残疾人群健康状况及提供适当的卫生服务提供科学依据。方法对罗湖区登记在册的残疾人群进行健康体检,整群抽样问卷调查两个街道残疾人群卫生服务需求与利用并对结果进行分析。结果本次调查中健康体检与抽样问卷调查残疾人群的年龄、残疾等级、残疾类型经统计学检验差异无统计学意义(P>0.05)。深圳市罗湖区残疾人群的高血压、超重或肥胖、贫血、高血脂、高血糖、阴道炎病患病率分别为22.78%、44.85%、7.20%、40.58%、21.65%、55.09%,其中高血压、超重或肥胖、贫血、高血脂患病率随残疾等级增加而增高(P<0.05)。残疾人群两周患病率为53.12%,半年慢性病患病率为32.03%,两周就诊率为57.81%,年住院率为22.92%,且均随年龄增加而增高(P<0.05);两周患病率一级残疾人群明显高于二级残疾人群(P<0.01);半年慢性病患病率男性高于女性(P<0.05);两周就诊率四级残疾人群高于二级残疾人群(P<0.01);年住院率男性高于女性(P<0.01),多重残疾人群高于精神残疾人群(P<0.01)。康复需求率为51.04%,不同残疾类型需求率不同。结论深圳市罗湖区残疾人群是一个高血压、超重或肥胖、高血脂、高血糖及妇女病高发的人群,卫生服务需求高但利用率却较低,有必要据此采取有针对性的措施,提高残疾人群健康水平。
Objective To investigate the health condition, health demand and application of health service among the disabled in Luohu District, Shenzhen City so as to provide scientific evidence for improving the health status of the disabled and supplying suitable health service. Method Physical examination was performed among disabled people registered in Luohu District, and a questionnaire survey on demand for and application of health service was conducted in the disabled of two streets selected by cluster sampling method. The results were statistically analyzed. Results The age, disability class and type of disability of the disabled people were not statistically significant between the physical examination and questionnaire survey （P 〉0.05）. The prevalence rates of hypertension, overweight and obesity, anemia, hyperlipemia, hyperglycemia and colpitis were 22.78%, 44.85 %, 7.20 %, 40.58 %, 21.65 % and 55.09 % respectively. And the prevalence rates of hypertension, overweight and obe- sity, anemia and hyperlipemia increased with the increasing disability class （ P 〈 0.05 ）. The two - week prevalence rate of the disabled was 53.12 %, the half year chronic disease prevalence rate was 32.03 %, the two - week hospital visit rate was 57.81%, the yearly hospitalization rate was 22.92%, and the above- mentioned rates increased with the increasing age （P 〈 0.05）. The two - week prevalence rate was higher in class I disabled people than in class II disabled ones （P〈0.01）. The half year chronic disease prevalence rate was higher in males than in females （P 〈 0.05）. The two - week hospital visit rate was high- er in class IV disabled people than in class II ones （P〈0.01）. The yearly hospitalization rate was higher in males than in females （P 〈 0.01） as well as higher in multiple disabled people than in mental disabled ones （P 〈 0.01 ）. The rate of rehabilitation de- mands was 51.04%, and different types of disabilities showed diverse demands. Conclusions The disabled surveyed in Luohu District, Shenzhen City are a high risk population for hypertension, overweight and obesity, hyperlipemia, hyperglycemia and gynecological diseases. The health service demands of the disabled are high, but the related application is lower. It is necessary to carry out the targeted intervention based on this analysis so as to improve the quality of life of people with disabilities.
出处
《实用预防医学》
CAS
2015年第9期1044-1048,共5页
Practical Preventive Medicine
基金
深圳市罗湖区科技创新局2013年软科学科研项目
关键词
残疾人
健康状况
卫生服务需求
卫生服务利用
The disabled
Health status
Health service demand
Application of health service
