摘要
目的评估重庆市慢性病综合防控示范区的创建效果。方法2012年5月，采取多阶段分层随机抽样的方法，在重庆市创建慢性病综合防控示范区的17个区（县）（简称示范区）和未创建慢性病综合防控示范区的21个区（县）（简称非示范区）抽取居住6个月以上的18岁以上居民为调查对象，共抽取调查对象15108名。采用中国CDC{2012年全民健康生活方式行动效果评估方案》问卷对居民健康知识知晓率、健康行为形成率等37项指标进行逐一调查，并对示范区和非示范区调查对象各项指标进行比较。结果在15108名调查对象中，示范区和非示范区分别为6156和8951名。示范区和非示范区调查对象对全民健康生活方式行动的知晓率分别是44．4％（2734／6157）和40．2％（3598／8951），对盐摄入过多加重或引起高血压的危害的知晓率分别是72．4％（4458／6156）和67．5％（6042／8951），对超重肥胖引起心脑血管疾病危害的知晓率分别是77．2％（4753／6157）和69．6％（6230／8951），均为示范区高于非示范区（P〈0．05）；在健康行为的形成上，示范区和非示范区调查对象限盐勺或限盐罐使用率分别是23．5％（1447／6157）和17．9％（1602／8951），控油壶使用率分别是16．7％（1028／6157）和11．8％（1064／8951），均为示范区高于非示范区（P〈0．05）。结论重庆市慢性病综合防控示范区创建效果显著，对提高居民健康知识水平、促进健康行为养成有较大的推动作用。
Objective To evaluate the effect of comprehensive control and prevention for chronic diseases in demonstration plot of Chongqing. Methods Residents were enrolled through multi-stage stratified random sampling method from 17 districts or counties which had successfully established demonstration plots and 21 districts or counties which had not established demonstration plots （non- demonstration plot for short） yet on May,2012. Questionnaire was designed to survey awareness of health knoMedge, health behaviors and utilization of health supportive tools. The results were analyzed by SPSS 15.0 software. Results We investigated 15 108 residents,6156 of which were in demonstration plot and others （ 8951 ） were not. The findings revealed the percentage of the people who were aware the national action of health lifestyle in demonstration plot and in non-demonstration plot were 44.4% （ 2734/6157 ） and 40. 2% （3598/8951） ,respectively, and the awareness of the hypertension risk of too much sodium were 72.4% （4458/6156） and 67. 5% （ 6042/8951 ） , respectively, and the awareness of the cardinal vascular disease （CVD） risk of obesity and overweight were 77.2% （4753/6157） and 69.6% （6230/8951）, respectively. About the residents＇ health behaviors in demonstration plot and in non-demonstration plot, the utilization rates of salt restriction scoop or pot were 23.5 % （ 1447/6157 ） and 17.9 % （ 1602/8951 ）, and the utilization rates of oil restriction pot were 16.7% （1028/6157） and 11.8% （1064/8951）, respectively. Totally,33 of the 37 indexes were shown higher in demonstration plot than that in non- demonstration plot （P 〈 0. 05 ）. Conclusion The chronic diseases comprehensive control and prevention in demonstration plot was more effective, and the remarkable improvement of health knowledge and behaviorslevel had been achieved in demonstration plot.
出处
《中华预防医学杂志》
CAS
CSCD
北大核心
2013年第3期260-264,共5页
Chinese Journal of Preventive Medicine
基金
基金项目：中国/世界卫生组织2012--2013年度正规预算合作项目
关键词
重庆
慢性病
示范区
效果评估
Chongqing
Chronic disease
Demonstration plot
Effect evaluation
