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目的了解农村居民对健康档案的知晓情况及建档意愿,为社区卫生服务工作提供参考。方法 2011年1—11月选择14个行政村的农村居民1 579名,采用多阶段、分层随机抽样的方法选择调查对象,问卷内容包括农村居民的一般情况:性别、年龄、婚姻状况、职业、文化程度、月收入、健康状况等;健康档案认知情况、建档意愿。采用二分类Logistic回归分析来研究离散响应变量(因变量)与一组解释变量(自变量)之间的关系,P<0.05为差异有统计学意义。结果汕头市某区农村居民对健康档案知晓度低,仅约11%的人有所了解;建档意愿低,仅约20%的人愿意建档;年龄和健康状况是主要的影响因素(均P<0.05)。其中,21～30岁组、31～40岁组与51～60岁组年龄段的人群建档意愿差异均有统计学意义(均P<0.05);健康状况好的人群与健康状况差(有慢性病)的人群建档意愿差异有统计学意义。41%的人认为自己身体健康,建档无意义;17%的人看病到大医院,在社区建档无用;15%的人害怕上当;有3.3%的人认为建档是不好的兆头,因而拒绝。结论应当加强对农村居民的健康教育和宣传,提高农民对健康档案的了解程度。
Objective To understand the rural residents’ awareness of the health records and their willingness to file their files, and provide reference for community health services. Methods From January to November 2011, 1 579 rural residents in 14 administrative villages were selected. The subjects were selected by multi-stage and stratified random sampling. The questionnaire included the general situation of rural residents: gender, age, marital status, occupation , Educational level, monthly income, health status, etc .; health awareness of the file, the file will. Binary Logistic regression analysis was used to study the relationship between discrete response variables (dependent variables) and a set of explanatory variables (independent variables), P <0.05 for the difference was statistically significant. Results Only about 11% of rural residents in Shantou City knew about health records as low level of awareness. Low willingness to file a document meant that only about 20% of people would like to establish a file. Age and health status were the main influential factors P <0.05). Among them, there was significant difference in willingness to file between 21 ~ 30 years old group, 31 ~ 40 years old group and 51 ~ 60 years old group (all P <0.05); poor health status Chronic disease) the willingness of the people to file a file has statistical significance. 41% of people think they are in good health and have no meaning in creating a file; 17% of them visit a large hospital and useless files in the community; 15% are afraid of being fooled; 3.3% think that filing is a bad sign, Thus refusing. Conclusion Health education and publicity for rural residents should be strengthened and farmers’ understanding of health records should be enhanced.