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[目的]了解武汉市居民卫生服务需求及利用的现状,初步分析居民健康素养与卫生服务利用的关系以及影响卫生服务利用的因素。[方法]采用多阶段分层抽样方法,入户调查5600人。[结果]调查对象中两周患病673例(12.2%),两周就诊958人次(16.1%),年住院240例(4.4%),应住院未住院223人(48.2%)。随着健康素养得分的升高未住院率逐渐降低,同时公共卫生服务利用如孕产妇产前检查率、儿童计划免疫建卡率升高。住院服务用Logistic回归分析发现城乡分布、年龄、健康素养水平、两周患病情况是主要影响因素。[结论]武汉市居民的卫生服务利用不足,尤其是低健康素养人群。
[Objective] To understand the current situation of residents ’health service needs and utilization in Wuhan, and to analyze the relationship between residents’ health literacy and the utilization of health services and the factors influencing the utilization of health services. [Method] The multi-stage stratified sampling method was used to investigate 5,600 households. [Results] The survey included 673 cases (12.2%) in two weeks, 958 cases (16.1%) in two weeks, 240 cases (4.4%) in hospital and 223 cases (48.2%) in hospital without hospitalization. As the score of health literacy increased, the non-hospitalization rate decreased gradually. At the same time, public health service utilization such as prenatal checkup rate of maternal and childbirth increased. Logistic regression analysis of hospital services found that the distribution of urban and rural areas, age, level of health literacy, prevalence of two weeks are the main influencing factors. [Conclusion] The residents of Wuhan City, lack of health services, especially low health literacy crowd.