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  • 居民健康状况调查报告 调查报告格式

    分类:农村总结 时间:2019-04-07 本文已影响

      加强社会建设要以保障和改善民生为重点,着力解决好居民最关心最直接最现实的利益问题。下面是小编为你精心整理的居民健康状况调查报告,希望对你有帮助!

    居民健康状况调查报告

      居民健康状况调查报告篇1

      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。

      居民健康状况调查报告篇2

      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、2007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、2008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。

    >>>下一页更多精彩“居民健康状况调查报告”

    相关热词搜索:其它健康常识 居民健康状况调查报告 居民健康状况调查问卷 居民健康状况调查论文

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