上海县家庭卫生服务调查研究

1981年中美合作在上海县率先开展了卫生服务研究,采用家庭健康询问调查方法研究人群健康状状及卫生服务利用状况。为了进行纵向和横向比较研究,1991年在上海县又进行了本次家庭卫生服务调查研究。 本次调查采用整群分层随机抽样方法,对上海县3个乡9个村1546户家庭共5505人进行了调查。调查内容主要有个人基本情况、健康状况、卫生服务利用情况、医疗费用、个人行为生活方式等。结果表明:两周患病率为48‰,三月慢性病患病率为116.1‰,与1981年及1985年调查结果相比较,两周患病率较低,而慢性病患病率则相似。两周患病主要疾病为呼吸、消化循环系统疾病。15岁以上男性吸烟率为73.5％,饮酒率为39.4％,较1981年调查有明显的上升,建议开展广泛而有效的健康教育,以降低人群的吸烟率。

HOUSEHOLD HEALTH INTERVIEW SURVEY IN SHANGHAI COUNTY

A household health interview survey was made in Shanghai County in April, 1991. All together, 1546 households and 5505 persons were interviewed. The main conclusions were:1. The two-week prevalence rate was 48.0, and the ctironic disease prevalence rate was 116.1. The days of disability per person per year was 9.9 days, the day lost from work per person per year was 1.2, the day lost from school and the day sick in bed perperson per year was 0.5 and 1.1 day respectively.2. The outpatient service per 100 persons in two weeks was 5.6. The main reasons for those who did not seek medical treatment were: Mildness of the diseases, self-treatment, less confident, and too busy to seek care. The hospital admission rate per 1000 population was 25.6, and the average length of hospital stay for these admissions was about 29 days.3. The percentage of prenatal care in,Shanghai County was 100, and the number of prenatal care per pregnancy was 7.5 times. 100 per cent of the delivery was in the hospitals. The average number of postnatal care was 1.9 times.4. The smoking rate for men over 15 years of age was 73.5%, and smoking rate for women was 0.9%; 39.4 per cent of men, and 0.8 per cent of women drink alcoholic beverages; 90.1 per cent of married women over 15 years of age had pap smear test during past five years, and 86.2 per cent of women had their breast checked by the physicians or nurses, and 11.5 per cent of women often self-exam breast for lumps. 75 per cent of persons over 15 years of age have good individual health habits.