广州市15岁以上居民肿瘤患病及社区卫生服务状况的调查

目的了解广州市居民肿瘤患病情况及其流行特征、卫生服务现状,为今后制定有效的防治措施提供科学依据。方法采用多阶段分层整群随机抽样方法,于2004年4~8月对广州市13个区(县级市)年龄在15岁以上的常住居民进行询问调查,调查其肿瘤患病情况及社区卫生服务状况。结果共调查25 220人,肿瘤患病率为1.53%,恶性肿瘤患病率为0.34%,肿瘤患病率以女性、文化程度较低、离退人员、待业和家务、家庭人均年收入低、离异或丧偶、有肿瘤家族史、年长的人群较高,并随着年龄的增长,肿瘤和恶性肿瘤患病率呈上升趋势。调查385例患者,肿瘤病人其家庭距离最近医疗点的实际步行的平均距离为500 m,88.1%肿瘤患者表示患病后希望社区卫生服务机构人员给予服务;肿瘤患者患病后选择就诊机构为社区卫生服务机构只占2.3%;65.5%的肿瘤患者未到过社区卫生服务机构接受服务;86.5%的肿瘤患者未接受过社区卫生服务机构人员上门服务。结论广州市肿瘤(恶性肿瘤)患病形势严峻,虽然肿瘤患者所在的社区卫生服务可及性良好,需求程度高,但社区卫生服务利用率低,应加强肿瘤社区综合防治。

Prevalence of tumours and related community health service status among residents aged 15 and over in Guangzhou city

Objective To investigate prevalence rate of tumour and related community health service status.Methods A community-based,stratified multi-stage cluster sampling survey was carried out in 13 districts of Guangzhou from April to August,2004.Residents aged 15 and over were interviewed with questionnaire about tumour and related community health services.Results The prevalence rate of tumour and malign tumour were 1.53% and 0.34% respectively among(25 220) surveyed residents.Female,low educated,retired,unemployed and house working,low family income,divorce and bereft spouse,family history and old age related to higher prevalence.The prevalence rate increased with age.The survey of 385 patients showed the average distance from nearest clinics was 500 m.88.1% hoped for services from community health providers after fallen ill but only 2.3% sought community health services.65.5% patients had never accessed to community health providers and 86.5% had not received home services from community health providers.Conclusion Tumours(malign tumours) were prevalent and needs and accessibility of community health service for patients were high,yet the utilization level was low.