【作者】 王琦；

【导师】 胡志； 张冬梅； 丁宏；

【作者基本信息】 安徽医科大学 ， 社会医学与卫生事业管理， 2002， 硕士

【摘要】 目的：了解在我国实行社会主义市场经济和卫生体制改革的背景下，1993-2001年的8年间，15岁以上农村居民生活行为与健康状况变化情况，分析影响农村居民生活行为模式的社会经济因素，为完善我国农村卫生改革提供理论和现实依据。方法：采用整群随机抽样方法抽取样本，入户询问的方法收集数据；采用描述性分析、x~2检验、t检验，结合8年前在同一地区用相同方法收集的资料进行对比，分析不同社会经济特征人群的生活行为模式变化情况；采用非条件Logistic回归，分析影响农村居民生活行为模式的社会经济因素。结果：(1)2001年农村居民的两周患病率、慢性病患病率比1993年有所升高(113.41‰，58.17‰，P＜0.001；109.35‰，105.90‰，P=0.003)；(2)2001年15岁以上农村居民的吸烟率、饮酒率和急性生产性农药中毒发生率均高于1993年水平(20.43％，21.89％，P=0.016；12.25％，18.49％，P＜0.001；1.94％，4.94％，P＜0.001)；(3)性别、年龄、经济状况等社会人口因素是影响农村居民生活行为模式的主要因素。(4)2001年15岁以上农村居民的居住条件较1993年水平有很大改善，膳食结构亦趋合理。讨论：(1)树立“大卫生”观念，强调健康教育工作；(2)健全农村健康教育网络，开展多种形式的健康教育及健康促进活动；(3)女性和青少年是健康教育的重点人群；(4)政府应对烟草和酒类市场进行干预。更多还原

【Abstract】 Objectives:To compare the change of behavioral patterns among the rural residents aged over 15 years and to identify its socioeconomic-related factors after Chinese rural region having witnessed the implemation of reform policy and healthcare system reform for 8 years.Methods:Cross-section study,about 10,000 persons from 2000 households by cluster sampling were interviewed to fill in the questionnaires about health status and health behaviors from August to September in Yijing Town of Zongyang County,Anhui province;The results were compared with the data collected through the same survey method and toward the same region 8 years ago,simple statistical methods and non-conditional multivariate logistic model were used to analyze the change of behavioral profile and its related factors through the statistical package of SPSS (VerlO.O).Results:(l)Prevalenee of disease within two weeks in 2001 is higher than that in 1993 (113.41%0,58.17%o,P=0. 000)and prevalence of chronic disease in 2001 is higher than that in 1993 (109.35%o,105.90%o,P=0. 003);(2)Rates of smoking,drinking and pesticide poisoning are all higher than those in 1993(20.43%,21.89%,P=0. 016;12.25%,18.49%,P<0. 001;1. 94%,4.94%,P<0. 001) .(3)Sex,age and economic status are main factors impacting behavior pattern.Discussion:(1) Attaching importance to health education. (2) Establishing health education network to rural residents and developing diversity of health education and health promotion mechanism. (3) Femails and teenagers are the key objections of health education. (4) Goverement sure dominate the market of smoking and drinking.更多还原