苏北城镇社区居民健康认知与行为现状的调查

目的了解江苏省苏北地区城镇社区健康管理与健康促进的现状，为社区的发展以及居民健康水平的提高提供依据。方法采用实地走访、问卷调查等研究方法，对苏北城镇不同年龄、性别、职业的社区居民的健康管理和健康促进状况进行调查研究。结果调查的41个社区，共1586人，健康档案已建和在建的占48．29％，社区居民对慢性病全部掌握、全面了解的分别占4．02％、12．99％；社区健身活动有计划有组织开展的占14．52％，项目多样的占19．64％；健身活动有专门的露天场所、室内场所或广场可健身的分别占21．4％、23．68％、31．11％；健身器材充足的占7．82％；15．70％的人每周参加3次及以上健身活动；每年1次以上体检的占59．40％；对营养结构的搭配非常注意、注意、比较注意的分别占2．70％、13．70％、42．97％；不吸烟的占40．05％；认为健康检查间隔时间是1年的占41．40％；知道影响健康的危险因素有吸烟、酗酒、缺乏运动、肥胖的分别占44．48％、41．82％、40．58％、36．22％；认为与生活方式密切的疾病有高血压、糖尿病、冠心病、肿瘤的分别占59．27％、43．47％、26．39％、16．18％、10．87％；认为我国居民每人每天食盐量是6g的占42．20％；知道成年人正常血压上限是140／90mmHg的占48．85％。结论目前社区较为重视居民的健康管理与健康促进，已建和在建健康档案的社区占近50％，社区的健康教育方式多样，居民获取健康知识渠道广泛；相对于健康教育的开展，社区居民的健康促进仍显不足，居民对健康知识和行为等方面的认知仍存在较多误区和盲点。

Investigation on Health Cognition and Behavior Status among Urban Community Residents of Northern Jiangsu

[ Objective ] To understand the health management and health promotion in urban communities of Northern Jiangsu, and provide evidence for community development and health improvement of residents. [ Methods] Research methods such as field visits, questionnaires survey were adopted to investigate the status of health management and health promotion among community residents with different age, gender and occupation. [ Results] Totally 1586 people of 41communities were investigated, health files established and establishing accounted for 48.29% ; the residents who could comprehensively master and understood chronic diseases accounted for 4.02% , 12.99% respectively. 14.52% took organized and planed fitness activities, 19.64% took a variety of activities. 21.4%, 23.68% and 31.11% of the community had open-ir places, indoor or places of the square for fitness activities; 7.82% of the community had enough equipments for fitness activities ; 15.70% of the people participated in fitness activities for more than 3 times per week; 59.40% of the people had physical examination more than 1 time every year; 2.70% , 13.70% and 42.97% of the people paid more attention, attention and less attention to the structure of nutrition; non-smokers accounted for 40. 05% ;41.40% of the people thought that the interval of physical examination was 1 year; 44.48%, 41.82%, 40.58% and 36.22% of the people understood that the risk factors to the health are smoking ,drinking ,lack of exercise and obesity; 59.27%, 43.47%, 26.39%, 16.18% and 10.87% of the people thought that hypertension, diabetes, coronary heart disease and cancer related with lifestyle ; 42.20% of the people regarded that the daily consumption of salt per person is 6g ; 48.85% of the people knew that the upper limit of normal blood pressure of adults is 140/90 mm Hg. [ Conclusion ] At present , the community pay more attention to the health management and health promotion , and healthy file has been established or are been stabling in about 50% communities. The ways of healthy