2004年枣庄市部分城乡居民慢性病患病与就诊情况调查

目的]了解枣庄市城乡居民慢性病患病及其就诊情况，探讨影响因素，为制定防治对策，为医疗卫生制度改革提供依据。方法]2004年5～6月，在枣庄市分层随机抽取城区6个居委会、农村9个高收入行政村和9个低收入村，对5207名常驻居民进行调查。结果]合计调查4828人，过去1年内慢性病患病率为12．32％。慢性病患病率城区居民为16．41％，高收入村为9．33％，低收入村为11．60％，主要慢性病（按患病率排序）依次为心血管疾病、慢性支气管炎、高血压、胃病、关节炎、脑血管疾病、糖尿病；心血管疾病、高血压、糖尿病患病率城区居民最高，胃病患病率低收入村居民最高。调查5042人，两周患病率为12．53％，两周就诊率为10．13％。两周患病率城区居民为lO．13％，高收入村居民为10．70％，低收入村居民为16．33％；两周内所患主要慢性病中，心血管疾病和慢性支气管炎分别占5．58％。居民两周就诊率城区为7．33％，高收入村为9．40％，低收入村为13．48％；不同年龄、不同婚姻状况、不同文化程度、不同职业、不同人年收入者的两周患病率与就诊率存在差异。依据是否方便选择就诊医院的占83．39％，就诊医疗单位城区居民以县、市级医院为主，高收入村以乡镇卫生院为主，低收入村以村卫生室为主。

Investigation on Chronic Diseases and Consultation among Zaozhuang Urban and Rural Residents

Objective]To understand the prevalence rate of chronic diseases,their risk factors and consultation situation among Zaozhuang urban and rural residents,and to provide information on prevention,cure and salvation programs from the governments.Methods]Cluster random sampling was carried out in this survey,resulting of questionnaire being applied in 5207 residents from 6 resident committees in urban,9 administration villages with high incomes and 9 administration villages with low incomes during May to June of 2004.Results]In total,the prevalence rate of the subjects in the past one year from 4828 persons was 12.32%.(Urban:16.41%;Village with high incomes:9.33%;Village with low incomes:11.60%)The major diseases were cardiovascular diseases?chronic bronchitis?hypertension?gastrosis?arthritics?cerebrovascular disease and diabetes in order of rate.And the two-week prevalence rate was 12.53%.(Urban:10.13%;Village with high incomes:10.70%;Village with low incomes:16.33%),of those diseases,cardiovascular diseases and chronic bronchitis was respectively 5.58%.The two-week consultation rate was 10.13%.(Urban:7.33%;Village with high incomes: 9.40%;Village with low incomes:13.48%).There existed a significantly statistical difference between the twoweek prevalence rate and the two-week consultation rate respectively in age?marriage status?culture degree?occupation and income per person year.According to the consultation option,the consultation rate was 83.39%,the major medical institutions consulted were hospitals of the level of city or county.(Village with high incomes:the county hospitals;Village with low incomes:the village clinics).Conclusion]There were different characteristics of chronic diseases and consultation among Zaozhuang urban and rural residents.The health service should be strengthened and improved according to those characteristics.