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目的阐述我国慢性病综合防控示范区(简称慢病示范区)健康促进工作的基本情况,对我国东、中、西部以及农村和城市地区慢病示范区健康促进工作情况进行分析,并评价人群健康知识知晓和行为危险因素现状。方法收集慢病示范区项目启动至今被命名为国家慢病示范区的2批次共计140个县(市或区)的慢病示范区工作报告、社区诊断报告及示范区工作相关政策和技术文件。通过数据采集问卷,对于示范区工作资料和数据进行文献分析和二手数据分析。结果 140个示范区中,有97.1%的示范区选择在电视台开设专栏,78.1%的示范区选择报刊,68.1%的示范区选择门户网站。示范区共计创建示范单位1 100家,示范食堂756家,示范餐厅676家,示范社区887家,每类示范创建的中位数均为5家。34.3%的示范区超过半数的成年人每日运动量达到6 000步以上,23.6%的示范区超过半数的居民知晓食物营养标签。人均每日食盐摄入量达到标准推荐摄入量(每人≤6g/d)的示范区占5.8%。9.7%的东部示范区人均每日食盐摄入量达标,高于中部(0%)和西部示范区(2.6%)。76.6%的示范区成年男性吸烟率低于全国平均水平,农村示范区成年男性吸烟情况较城市示范区严重。结论我国慢病示范区的健康促进工作策略多元化、面向基层人群、广泛覆盖各种场所。今后,慢病示范区健康促进工作应重点加强农村、中部和西部地区示范区的工作,强调多部门合作机制,保障示范区可持续发展。
Objective To describe the basic situation of health promotion in China’s comprehensive prevention and control of chronic diseases (referred to as chronic disease demonstration area), analyze the health promotion work in chronic disease demonstration areas in eastern, central and western China as well as rural and urban areas, and evaluate the population health Knowledge awareness and behavioral risk factors. Methods A total of 140 counties (cities or districts) chronic disease demonstration area work report, community diagnosis report and relevant policies and technical documents of the demonstration area were collected in 2 batches of chronic disease demonstration area . Through the data collection questionnaire, for the demonstration area work data and data for the literature analysis and second-hand data analysis. Results Of the 140 demonstration areas, 97.1% of the demonstration areas chose to set up special columns on television, 78.1% of the demonstration areas chose newspapers and 68.1% of the demonstration areas chose portals. A total of 1 100 demonstration units, 756 demonstration dining halls, 676 demonstration dining halls and 887 demonstration communities were set up in the demonstration area with a median of 5 for each type of demonstration. More than half of the adults in 34.3% of the demonstration areas had more than 6000 daily exercises, and more than half of the residents in 23.6% of the demonstration areas knew about food nutrition labels. Per capita daily salt intake reached the standard recommended intake (per person ≤ 6g / d) demonstration area accounted for 5.8%. 9.7% of the eastern demonstration area per capita daily salt intake standards, higher than the central (0%) and western demonstration zone (2.6%). 76.6% of the male smoking rate in the demonstration area is lower than the national average, and the male smoking in the rural demonstration area is more serious than the urban demonstration area. Conclusion Our country chronic disease demonstration area health promotion work strategy is diversified, facing the grass-roots population, covering a wide range of places. In the future, the health promotion of chronic disease demonstration area should focus on strengthening the work of the demonstration areas in the rural, central and western regions, emphasizing the multi-sectoral cooperation mechanism and ensuring the sustainable development of demonstration areas.