广东顺德居民对部分基本公共卫生服务项目接受状况的调查

目的 了解陕西省居民基本公共卫生服务参与率以及影响因素，为实施基本公共卫生服务提供参考。 方法 采用多阶段抽样的方法，2016年12月在陕西省北部、中部和南部地区各抽取1个县，每个县抽取3个乡镇，随机对每个乡镇90名居民进行入户问卷调查。 结果 694名调查对象中，78.7 %的居民至少参加过1项基本公共卫生服务，其中参与率最高的为预防接种（100 %），参与率最低的为健康教育（46.3 %）；多因素logistic回归分析结果显示，年龄（OR = 0.583），地区（OR = 5.138、2.234）是居民参与基本公共卫生服务项目的影响因素（P < 0.05）；62.2 %的居民是通过医务人员入户宣传知晓基本公共卫生服务项目。 结论 在陕西基本公共卫生服务地开展存在各项目、各地区发展不平衡，主要宣传方式较为传统的问题。建议各级政府和基层医疗机构优化基本公共卫生服务宣传方式，提高服务能力，促进服务均等化发展。

Participation in basic public health service among adult residents in Shaanxi province: a cross-sectional survey

Objective To examine the rate and influencing factors of participation in basic public health service (BPHS) among adult residents in Shaanxi province and to provide a reference for the implementation of BPHS. Methods Using multistage sampling, we selected three towns in each of the three counties located in northern, central, and southern Shaanxi province; then we randomly recruited 90 residents aged 18 years and above in each of the towns selected for a household questionnaire survey in December 2016. Results Of the 694 eligible respondents, 78.7% reported the participation in at least one item of BPHS, with the planned immunization vaccination being a BPHS item with the highest participation rate (100%) and health education with the lowest participation rate (46.3%). Multivariate logistic regression analyses indicated that major influencing factors for the participation in BPHS were age (41 – 64 years vs. ≤ 40 years: odds ratio [OR] = 0.583) and living region (central Shaanxi vs. northern Shaanxi: OR = 5.138; southern Shaanxi vs. northern Shaanxi: OR = 2.234). The majority of the respondents (62.2%) reported being aware of items of BPHS via household communication with medical personnel. Conclusion The implementation of BPHS is unbalanced for various service items and among different regions and the popularization of BPHS among the residents is mainly through traditional pattern in Shaanxi province. The results suggest that efficient measures should be promoted by relevant institutions for balanced development of BPHS.