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《Chinese Journal of Prevention and Control of Chronic Diseases》 2010-02
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Report of Community Diagnosis on Health Service in Qingxiu District,Nanning City

YANG Hong,FENG Qi-ming,QIN Qiu-lan,et al.Division of Chronic Disease and Nutrition Health,Guangxi Center for Disease Control and Prevention,Nanning 530028,China  
Objective To obtain prevalence data of the main sorts of non-communicable diseases(NCD),risk factors for health and awareness level of health knowledge of community residents.Methods 4 827 residents from 1 800 households were investigated with questionnaire by interview at household in Qingxiu District,Nanning.The questionnaire included variables as follows:household numbers,living conditions,medical expenses,health insurance of family members,past chronic diseases history,lifestyle and dietary habits of adults,self health care and awareness of health knowledge.And pressure,body height,weight and waistline of residents aged 15 and over were measured.Results Two weeks morbidity rate(TWMR)of residents was 16.39%,the TWMR of residents aged 60 and over was the highest(36.60%).During the past year,the total hospitalization rate of residents,hospitalization ratio due to diseases,average hospitalization days and average hospitalization costs were 5.14%,77.91%,19.17 day per capita,9767.17 Yuan per man-year,respectively.For the medical expenses,33.5%of patients paid by basic medical insurance,and 41.8%of them paid by themselves.The general prevalence of hypertension in residents aged 15 and over was 9.43%,8.38%in male and 10.35%in female.The rates of smoking and drinking of male residents aged 40 to 59 were 51.33%and 16.31%.The total rates of overweight,obesity and central obesity were 27.19%,7.32%and 46.87%(40.36%in male and 59.64%in female).The initiative exercise rate of residents aged 18 and over was 62.21%and average sitting time was 5.63 hrs per day.The rate of scarcely ever intakes of milk,egg,beans and its products were 56.43%,37.85%and 28.67%,respectively.In the past year,80%of community residents didn't obtain health directions from community health service center and the percent of awareness about knowledge on hypertension and diabetes was just 36.59%.Conclusion The hypertension rate and TWMR of residents aged 60 and over are high.The main health problems in residents are high expenses of inpatients care,low coverage rate of social medical insurance,and low awareness rate about health knowledge.Health education and improvement should be strengthened and appropriate intervention techniques should be extended aiming at the main health problem and unhealthy lifestyle of urban residents.Integrated intervention and control management should be developed widely.
【Fund】: 广西卫生厅基金项目(S200828)
【CateGory Index】: R195
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