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目的:分析湖南省四县(区)15岁及以上居民两周患病和发病情况及影响因素。方法:利用第四次国家卫生服务调查湖南省四县(区)的样本数据,分析两周患病和发病情况,采用非条件逐步logistic回归分析其影响因素。结果:湖南省四县(区)15岁及以上居民的两周患病率及发病率分别为11.5%和3.9%。两周患病和发病前3位的疾病分别是呼吸系统疾病、消化系统疾病、肌肉骨骼疾病。非条件逐步logistic回归分析显示:两周患病中,城市居民两周患病风险是农村居民的0.64倍(P<0.05);45~59岁组和≥60岁组的两周患病风险分别是15~44岁组的1.69和2.62倍(P<0.05);丧偶者两周患病风险是未婚者的1.91倍(P<0.05);在校学生两周患病风险为在业人员的0.29倍(P<0.05);两周发病中,城市居民两周发病风险为农村居民的0.63倍(P<0.05);丧偶者两周发病风险为未婚者的2.37倍(P<0.05)。结论:湖南省四县(区)15岁及以上居民的卫生服务需要主要为呼吸系统疾病、消化系统疾病和肌肉骨骼疾病,农村居民、中老年人、在业人员、丧偶者的卫生服务需要相对较高,应予特别重视。
Objective: To analyze the two-week prevalence and influencing factors of residents aged 15 and over in four counties (districts) of Hunan Province. Methods: The data of the fourth national health service survey in four counties (districts) of Hunan Province were used to analyze the two-week prevalence and incidence, and the non-conditional stepwise logistic regression analysis was used to analyze the influencing factors. Results: The two-week prevalence and incidence of residents aged 15 and over in four counties (districts) of Hunan Province were 11.5% and 3.9% respectively. Two weeks before and after the disease and the incidence of the first three diseases are respiratory diseases, digestive diseases, musculoskeletal diseases. Non-conditional stepwise logistic regression analysis showed that in the two-week prevalence, the risk of two-week urban residents was 0.64 times of that of rural residents (P <0.05), and the two-week risk of illness in 45- 59 years old and ≥60 years old groups were respectively Were 1.69 and 2.62 times higher than those in the 15-44 age group (P <0.05). The risk of being widowed for two weeks was 1.91 times higher than that of unmarried children (P <0.05). The prevalence of illness in the two weeks of school-age students was 0.29 (P <0.05). During the two-week incidence, the risk of two-week urban residents was 0.63 times of that of rural residents (P <0.05). The risk of widowed two-week disease was 2.37 times that of unmarried persons (P <0.05). Conclusions: The health services of residents aged 15 and over in four counties (districts) of Hunan Province need to be relative to the health services of respiratory diseases, digestive diseases and musculoskeletal diseases, rural residents, middle-aged and elderly people, employed persons and widows High, should pay special attention.