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  • 【居民健康调查研究报告】调查研究报告

    分类:超市工作总结 时间:2019-04-07 本文已影响

      了推动居民健康卡银行应用的开展,加快居民健康卡发放进度,开展居民健康调查能了解到居民健康的情况,进行相应工作。下面是小编为你精心整理的居民健康调查研究报告,希望对你有帮助!

      居民健康调查研究报告篇1

      暑假期间,我在网上看了大量关于农村已婚妈妈的健康状况情况,了解到我国近几年来关于农村已婚妇女的健康存在很大问题。我决定利用暑假期间对农村已婚妇女的健康状况做一个简单的调查。

      为了全面掌握和了解全县农村妇女身体健康状况,我去县计生局做了简单的了解。为了进一步促进广大农村妇女提高卫生保健意识、增强自我保护能力,县妇联配合县妇幼保健院、县计生服务站抽组专业技术人员,先后深入全县14个乡镇对6688名农村妇女进行了常见病诊治、妇科常规检查、宫颈病理刮片等妇科疾病检查。

      一、基本情况

      1、20XX年8月至11月底历时4个月,对全县9个乡镇82个村3082名农村妇女进行了系统的妇科病体检,检查出各种异常或患有疾病的妇女2348例,患病率高达76.3%。其中宫颈炎病人922例、阴道炎及外阴阴道炎病人919例,宫颈息肉病人75例、附件炎病人333例、子宫肌瘤病人67例、阴道膨出病人63例、子宫切除术后病人77例、盆腔炎病人51例、子宫脱垂病人23例、陈旧性会阴裂伤病人9例、其他妇科病30例。阴道宫颈刮片病理检验结果:实查3082人,巴氏Ⅰ级29例,巴氏Ⅱ级2644例,巴氏Ⅱ级追360例,巴氏Ⅲ级39例,宫颈癌10例。巴氏Ⅱ级追和巴氏Ⅲ级之间的399例病人都是需要定期复查和积极治疗的重点对象。

      2、20XX年,县计生服务站抽组专业人员深入全县14个乡镇为3606名农村育龄妇女免费检查,妇科检查3606人,B超检查3606人,乳腺检查377人,宫颈刮片检查771人,共查出患病人数2524人,占妇查人数的70%,其中:阴道炎及外阴阴道炎病人1766例、宫颈炎病人378例、其他妇科病1793例、疑似宫颈癌症病变15例(以上数据含交叉项)。

      3、农村妇女“两癌”免费筛查项目在我县实施后,截止2010年年底,我县共筛查适龄妇女18017例,在宫颈脱落细胞镜检的基础上落实阴道镜检查1538例,病理组织学检查314例,确诊宫颈癌6例(浸润癌);报告原位癌22例;CIN321例;CIN242例;CIN172例。

      二、存在问题

      1、全县农村育龄妇女中患病人数较多,患病率高达76.3%。

      2、患病类型复杂多样,异常检出率相当高。

      3、农村已婚育龄妇女长期处于亚健康状态,给个人、家庭、社会各方面带来各种消极影响,给家庭幸福、社会稳定和妇女地位的提高带来了严峻挑战。

      三、原因分析

      1、农村生产生活环境较差,对农村妇女的身体健康造成危害。随着劳务经济的不断发展,大量农村男劳力外出务工,生活的重担全部落在了妇女肩上,她们既要抓好农业生产,又要照顾好老人孩子,长期操劳是她们易患病的主要原因;目前,农村大量使用农药、化肥造成了有毒有害物质的大量残留,畜禽粪便、生活垃圾随意堆放,大部分在雨水的作用下渗透到地下,污染地下水,是农村妇女患病率高的重要因素之一;畜禽粪便臭气熏天,蚊蝇滋生,遇有雨水天气,在村庄内四处横流,给农村妇女健康也带来严重威胁。

      2、农村妇女自我保健意识淡薄。农村妇女自我保健意识淡薄,保健知识了解少,60%的妇女不知道妇女健康检查是什么,有的农村妇女即使知道保健知识的重要,但对健康检查总采取有意躲避,怕难为情;有的农村妇女对每年一次的健康检查总认为必要性不大;有的农村妇女对良好的卫生习惯总感到麻烦。5%的农村妇女身患疾病后,不去求医问药,反而为封建迷信、邪教等不良思想所蒙蔽,被法轮功、门徒会等非法组织所利用,认为不吃药也可以治病,延误了病情,残害了身体,毁坏了家庭,影响了社会稳定和国家的安定团结,特别是40岁以上的妇女情况较为严重,从而导致了妇科疾病的发生。

      3、农村妇女的经济状况较差。在我县,绝大多数农村家庭的经济收入仍然很低,收入渠道不宽,加之农业生产成本逐年提高,供养老人和孩子上学花费较大,经济状况比较困难。在检查治疗费用方面,一般的小病少则就需上百元,多则高达上千元,多数家庭难以承受高额的检查治疗费用。所以,一些农村妇女在得病时,顾虑较多,一是不主动进行检查,或者发现病情后,不及时治疗,除非已不能参加体力劳动、影响到生产生活后才去诊治;二是缺乏正规治疗。患病妇女要么自行购药,以缓解症状;要么不遵医嘱,只要症状减轻,便放弃治疗。调查显示,70%以上的农村已婚妇女患有程度不同的妇科病,患病妇女中去医院做检查的只有30%,70%以上的妇女因为医疗费用太高选择自己买药或放弃治疗,导致病情加重和治疗时间的延长,因病返贫现象屡见不鲜。因为贫困看不起病,因为得病更加贫困,看病的经济支出增加必然导致生产生活支出的压缩,生活质量也因此大为降低。

      4、农村医疗条件和诊疗水平有限。目前,我县农村医疗卫生条件和诊疗水平有了进一步改善和提高,但医务人员普遍专业素质低,技术力量薄弱,难以满足广大群众的需求;农村医务人员短缺还导致健康教育、康复指导等预防、保健业务开展不够;乡村私人诊所非法行医、假劣药品充斥市场、过期药品、无标签无标价的状况,严重扰乱了正常的医药市场秩序,制约了农村卫生服务能力的提高。

      5、有关部门的职能作用没有得到充分发挥。基层三级保健网络建设还不健全,孕产妇系统保健管理不够严格,产前检查、产后访视等孕产妇系统保健管理工作未能全覆盖,导致个别孕产妇死亡。在宣传形式上,没有根据群众不同的文化、年龄、需求进行个性化的宣传服务。

      四、对策及建议

      1、加强宣传教育,提高广大妇女的思想认识。加强妇女健康保健知识的宣传教育,使广大妇女掌握妇女病的特点、症状、危害和预防等方面的知识,做到平常预防、患了不慌、及时诊疗;消除多数妇女认为病是“常见病,无大碍”和得大病就“见不得人”的错误认识,认真对待病情,做到自己不随便用药,不有病乱投医,以免耽误治疗的时机;重点宣传私下接生、非法接生所造成的严重危害和教训,让群众了解住院分娩的安全,分娩时主动地选择正规医院。

      2、加强服务体系建设,建立长效服务机制。建立健全县、乡、村三级卫生服务网络,采取医疗技术、资金及人才培训等形式进行对口帮扶,成立农村妇女卫生保健服务队,建立农村妇女健康档案,及时掌握农村妇女动态的健康状况,为广大育龄妇女开展好产前、产中、产后及术后回访的生殖保健服务工作。各有关部门要充分发挥职能作用,加强领导,靠实责任,财政部门要在经费上优先考虑;县、乡计生技术服务部门及妇幼保健院,要依托本部门的技术资源优势,把服务触角延伸到村,把服务网点辐射到村,把服务人员“下放”到村,逐步形成县、乡、村三位一体的服务机制,每季度开展一次妇女病普查;卫生部门要加强行风建设和职业道德教育,规范服务行为,改善服务态度。

      3、加强基层医疗队伍建设,提高一线防控能力。对村级和社区从医和计划生育技术服务人员要实行“准入制度”,加强对基层从医人员的业务培训力度,使其掌握妇女常见疾病的处治和诊疗方法,建立健全对计生和医务人员的考核和监督机制,全面促进服务水平和服务能力的提高,使基层卫生和计划生育技术人员向专业型、多能型服务队伍转变。村级和社区医务室、计生服务室要配备常用的生殖系统病症诊疗设备,逐步实现育龄妇女“小病”不出村。

      4、加强流动人口管理,关爱流动女性。针对我县流出女性较多的情况,建立流动人口女性生殖健康户籍地与现居住地的协调机制,对在生殖健康服务中发生的问题及时进行交流和解决。通过多种渠道、多种形式为流动人口女性开展生殖健康咨询、生殖健康服务,使流动人口女性得到应有的生殖健康知识。流动人口女性也要积极参与现居住地的管理、教育和服务活动,不断提高自身的生殖保健服务率。

      居民健康调查研究报告篇2

      为及时了解掌握本辖区居民健康知识和健康行为状况,我们于采用统一问卷对本辖区30名年龄18—60岁居民进行了健康知识和健康行为抽查测试,现将调查结果报告如下:

      一、调查结果

      本次共抽查本辖区居民30人,其中男性15名,女性15名。年龄跨度从18—60岁。本次抽查健康知识部分共有300题,回答正确的有273题,健康知晓率为90.33%,同比去年增长率上升0.67%;健康行为部分共有210题,回答正确的有188题,健康行为形成率为89.5%,同比去年增长率上升1.07%。

      二、分析及建议

      1、从本次调查的结果来看,无论是健康知识知晓率,还是健康行为形成率都说明本辖区近一年来开展健康教育工作的成效是明显的,显著的。为此,我们还要一如既往、发扬成绩、继续做好居民健康教育工作,为全市巩卫增加力量。

      2、在健康知识方面,本次抽查共涉及到十个知识点。抽查中我们发现居民对营养素、酗酒的危害、不良习惯可能导致高血压、糖尿病、儿童计划免疫预防接种的知识掌握得比较好。在去年的抽查中居民对艾滋病的传播途径方面的知识是比较欠缺的,通过我们一年的宣传教育,今年在这方面的知识抽查中我们取得了可喜的成绩,但在食用碘盐的好处、蚊子可传播的疾病方面居民还是比较欠缺。这让我们意识到我们应该在下一阶段的健康教育中侧重点要有所转移,在宣传教育活动中要重点围绕这些薄弱环节来进行。

      3、在健康行为方面,本次抽查的七个内容虽然比去年同期有所提高,但是形势依然严峻。特别是反映在吐痰、饮食习惯、抽烟喝酒的问题上。在随地吐痰的不良行为中人员结构特点以男性、低教育程度居多和年龄层次倒没有太大关系。饮食习惯方面的不良行为人员结构特点以女性偏多,女性对甜食的喜好程度大于男性;男性的不良饮食习惯主要表现在大鱼大肉,很少吃青菜。饮食习惯方面主要还是和抽查人员的性别有关,和年龄、职业、教育程度的关系不大。在抽烟喝酒的问题上,人员结构特点在横向面和纵向面都有体现,无论性别、年龄、职业、教育程度。这一方面说明居民的经济生活水平在不断提高,另一方面也说明了经济文明建设和精神文明建设没能和谐统一。这也让我们意识到精神文明建设的重要性和紧迫性。我们要让这种紧迫感成为我们健康教育工作的动力,加强宣传,努力提高全民的健康教育知识水平,促使居民改变原有的不良行为习惯,达到经济文明和精神文明双丰收。

      居民健康调查研究报告篇3

      第一部分 背景

      一、调查目的与意义

      国民营养与健康状况是反映一个国家或地区经济与社会发展、卫生保健水平和人口素质的重要指标。良好的营养和健康状况既是社会经济发展的基础,也是社会经济发展的重要目标。世界上许多国家,尤其是发达国家均定期开展国民营养与健康状况调查,及时颁布调查结果,并据此制定和评价相应的社会发展政策,以改善国民营养和健康状况,促进社会经济的协调发展。

      我国曾于1959年、1982年和1992年分别进行过三次全国营养调查;1959年、1979年和1991年分别开展过三次全国高血压流行病学调查;1984年和1996年分别开展过两次糖尿病抽样调查。上述调查对于了解我国城乡居民膳食结构和营养水平及其相关慢性疾病的流行病学特点及变化规律;评价城乡居民营养与健康水平;制定相关政策和疾病防治措施发挥了积极的作用。由于近十年来,我国社会经济得到了快速发展,一方面为消除营养缺乏和改善居民健康提供了经济、物质基础,另一方面也导致了膳食结构、生活方式和疾病谱的变化。为及时了解居民膳食结构、营养和健康状况及其变化规律,揭示社会经济发展对居民营养和健康状况的影响,为国家制定相关政策、引导农业及食品产业发展、指导居民采纳健康生活方式提供科学依据,2002年8-12月,在卫生部、科技部和国家统计局的共同领导下,由卫生部具体组织各省、自治区、直辖市相关部门在全国范围内开展了"中国居民营养与健康状况调查"。

      这是我国首次进行的营养与健康综合性调查。它将以往由不同专业分别进行的营养、高血压、糖尿病等专项调查进行有机整合,并结合社会经济发展状况,增加了新的相关指标和内容,在充分科学论证的基础上,统一组织、设计和实施。调查覆盖全国31个省/自治区/直辖市(不含香港、澳门特别行政区及台湾),对全国和不同类型地区具有良好的代表性。本次调查设计科学,内容丰富,充分体现了多部门、多学科合作的优势,不仅大量节约了人力、物力资源,而且避免了调查内容和指标的重复,并为深入分析相互之间的关系奠定了基础。

      本次调查正值我国全面建设小康社会的重要时期。通过调查不但可以建立中国居民营养与健康状况数据库,为科学研究和制定相关政策提供重要资源,也是坚持以人为本,树立和落实全面、协调、可持续科学发展观的具体体现。

      二、调查方法与内容

      按经济发展水平及类型将全国各县(市、区)划分为大城市、中小城市、一类农村、二类农村、三类农村、四类农村,共6类地区。采用多阶段分层整群随机抽样,在全国31个省、自治区、直辖市的132个县(区、市)(见图1)共抽取71971户(城市24034户、农村47937户), 243479人(城市68656人、农村174 823人)。为保证孕妇、乳母、婴幼儿和12岁及以下儿童的调查人数,以满足各组样本量的要求,在样本地区适当补充调查人数,本次调查总计272023人。

      本次调查包括询问调查、医学体检、实验室检测和膳食调查四个部分,其中膳食调查23463户(城市7 683户、农村15780户)、69205人,体检221044人,血压测量153259人,血脂测定94996人,血红蛋白测定211726人,血糖测定98509人,血浆维生素A测定13870人。

      2002年8-10月在北方地区, 2002年9-12月在南方地区进行现场调查;2003年1-8月完成各类实验室检验和数据录入;2003年5-12月完成数据清理和数据库建立;2004年1-7月完成数据分析报告。

      为确保调查数据的准确性,对整个调查进行了严格的全程质量控制。所有质控结果表明,本次调查各个环节均达到方案设计的质控要求。

      三、数据质量评价与结果表述

      将样本人口资料与2000年第五次人口普查数据和国家统计局2002年人口学指标(性别比例、负担系数、家庭规模、少数民族人口比例)比较,表明样本人群对总体有较好的代表性。

      由于抽样人口中有10.1%的人外出未能参加体检,致使调查样本中15-25岁各年龄组人口比例偏低。因此,采用2000年第五次人口普查数据作为标准人口,首先对6类地区样本患病率进行年龄别校正,各类地区校正后的患病率再用该地区的人口比例作为权重进行加权,推算全国的患病率。

      第二部分 主要结果

      最近十年我国城乡居民的膳食、营养状况有了明显改善,营养不良和营养缺乏患病率继续下降,同时我国仍面临着营养缺乏与营养过度的双重挑战。

      一、居民营养与健康状况明显改善

      (一) 居民膳食质量明显提高。我国城乡居民能量及蛋白质摄入得到基本满足,肉、禽、蛋等动物性食物消费量明显增加,优质蛋白比例上升。城乡居民动物性食物分别由1992年的人均每日消费210克和69克上升到248克和126克。与1992年相比,农村居民膳食结构趋向合理,优质蛋白质占蛋白质总量的比例从17%增加到31%、脂肪供能比由19%增加到28%,碳水化合物供能比由70%下降到 61%。(详见表1,2)。

      (二)儿童青少年生长发育水平稳步提高。婴儿平均出生体重达到3309克,低出生体重率为3.6%,已达到发达国家水平。全国城乡3-18岁儿童青少年各年龄组身高比1992年平均增加3.3厘米。但与城市相比,农村男性平均低4.9厘米,女性平均低4.2厘米。

      (三)儿童营养不良患病率显著下降。5岁以下儿童生长迟缓率为14.3%,比1992年下降55%,其中城市下降74%,农村下降51%;儿童低体重率为7.8%,比1992年下降57%,其中城市下降70%,农村下降53%。

      (四)居民贫血患病率有所下降。城市男性由1992年的13.4%下降到10.6%;城市女性由23.3%下降到17.0%;农村男性由15.4%下降至12.9%;农村女性由20.8%下降至18.8%。

      二、居民营养与健康问题不容忽视

      (一)城市居民膳食结构不尽合理。畜肉类及油脂消费过多,谷类食物消费偏低。2002年城市居民每人每日油脂消费量由1992年的37克增加到44克,脂肪供能比达到35%,超过世界卫生组织推荐的30%的上限。城市居民谷类食物供能比仅为47%,明显低于55-65%的合理范围。此外,奶类、豆类制品摄入过低仍是全国普遍存在的问题。

      (二)一些营养缺乏病依然存在。儿童营养不良在农村地区仍然比较严重,5岁以下儿童生长迟缓率和低体重率分别为17.3%和9.3%,贫困农村分别高达29.3%和14.4%。生长迟缓率以1岁组最高,农村平均为20.9%,贫困农村则高达34.6%,说明农村地区婴儿辅食添加不合理的问题十分突出。

      铁、维生素A等微量营养素缺乏是我国城乡居民普遍存在的问题。我国居民贫血患病率平均为15.2%;2岁以内婴幼儿、60岁以上老人、育龄妇女贫血患病率分别为24.2%、21.5%和20.6%。3-12岁儿童维生素A缺乏率为9.3%,其中城市为3.0%,农村为11.2%;维生素A边缘缺乏率为45.1%,其中城市为29.0%,农村为49.6%。全国城乡钙摄入量仅为391毫克,相当于推荐摄入量的41%。

      (三)慢性非传染性疾病患病率上升迅速

      1、高血压患病率有较大幅度升高

      我国18岁及以上居民高血压患病率为18.8%,估计全国患病人数1.6亿多。与1991年相比,患病率上升31%,患病人数增加约7 000多万人。农村患病率上升迅速,城乡差距已不明显。大城市、中小城市、一至四类农村高血压患病率依次为20.4%、18.8%、21.0%、19.0%、20.2%和12.6%。

      我国人群高血压知晓率为30.2%,治疗率为24.7%,控制率为6.1%;与1991年的26.6%、12.2%和2.9%相比有所提高,但仍处于较差水平。

      2、糖尿病患病增加

      我国18岁及以上居民糖尿病患病率为2.6%,空腹血糖受损率为1.9%。估计全国糖尿病现患病人数2 000多万,另有近2 000万人空腹血糖受损。城市患病率明显高于农村,一类农村明显高于四类农村。与1996年糖尿病抽样调查资料相比,大城市20岁以上糖尿病患病率由4.6%上升到6.4%、中小城市由3.4%上升到3.9%。

      3、超重和肥胖患病率呈明显上升趋势

      我国成人超重率为22.8%,肥胖率为7.1%,估计人数分别为2.0亿和6 000多万。大城市成人超重率与肥胖现患率分别高达30.0%和12.3%,儿童肥胖率已达8.1%,应引起高度重视。与1992年全国营养调查资料相比,成人超重率上升39%,肥胖率上升97%,预计今后肥胖患病率将会有较大幅度增长。

      4、血脂异常值得关注

      我国成人血脂异常患病率为 18.6%,估计全国血脂异常现患人数1.6亿。不同类型的血脂异常现患率分别为:高胆固醇血症2.9%,高甘油三酯血症11.9 %,低高密度脂蛋白血症7.4%。另有3.9%的人血胆固醇边缘升高。值得注意的是,血脂异常患病率中、老年人相近,城乡差别不大。

      5、膳食营养和体力活动与相关慢性病关系密切

      本次调查结果表明,膳食高能量、高脂肪和少体力活动与超重、肥胖、糖尿病和血脂异常的发生密切相关;高盐饮食与高血压的患病风险密切相关;饮酒与高血压和血脂异常的患病危险密切相关。特别应该指出的是脂肪摄入最多体力活动最少的人,患上述各种慢性病的机会最多.

      第三部分 拟采取的措施

      为实现全面建设小康社会的战略目标,根据本次调查结果,从国情出发,从急需入手,以不失时机和分类指导为原则,将从政策支持、市场指导和群众教育三方面加强居民营养改善和慢性病预防工作:第一,加强政府的宏观指导,尽快制定相关法规,将国民营养与健康改善工作纳入国家与地方政府的"十一.五"发展规划;第二,加强对农业、食品加工、销售流通等领域的科学指导,发挥其在改善营养与提高人民健康水平中的重要作用;第三,加强公众教育,倡导平衡膳食与健康生活方式,提高居民自我保健意识和能力。为充分利用本次调查信息,将组织有关部委和机构完成中国国民营养与健康状况白皮书、论文集和系列科普丛书,并尽快向社会公开调查数据库,实现信息共享。

      本次调查得到了世界卫生组织、联合国儿童基金会等部门的支持。


    看过“居民健康调查研究报告”的人还看了:

    1.关于社区居民健康调查报告

    2.社区居民健康状况调查报告

    3.农村居民健康状况调查研究报告

    4.身体健康调查报告

    5.居民健康知识调查问卷

    相关热词搜索:其它健康常识 居民健康调查研究报告 居民健康状况调查报告 居民健康素养调查报告

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