中国人群2002年慢性非传染性疾病二级预防措施的执行情况

来源 :中华流行病学杂志 | 被引量 : 0次 | 上传用户:tananhua251
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
目的描述2002年调查样本人群中肿瘤、心脑血管疾病二级预防措施(血压、血脂、乳腺和宫颈细胞的定期检测)情况。方法使用8个指标,利用2002年普查人口进行加权计算不同类别人群高血压、高血脂对健康的影响,对目标人群定期每年测量血压、血脂及临床乳腺检查和宫颈细胞涂片检查的情况。结果调查人群对高血压、高血脂对健康影响的正确认识比例很低,仅占22%和5%。虽然知道应该定期测量血压、血脂,但实际得到测量的比例低于人们的认识。对乳腺癌筛查的目标人群应该是50岁以上人群,但是不同年龄女性乳腺临床检查的比例显示,50岁以上女性临床乳腺检查的比例低于年轻女性。结果还显示教育水平高、白领阶层、东部地区人群接受这些筛查试验的比例高于教育水平低、蓝领阶层以及在西部地区的人群。同时是否享受医疗保险,以及享受的医疗保险类别都与调查人群得到的二级预防服务的比例有关。结论筛查是重要的二级预防措施,在降低疾病的严重性和并发症方面有重要的作用,通过对样本人群接受四类筛查的现状描述,表明除血压测量外,接受筛查的比例都不高,不同地区、教育、职业和享受医疗保险的类别的人群,在接受筛查的比例有明显的差异。其次调查还显示有关筛查的目标人群定位不清,需要改进筛查政策,以指导筛查工作的执行。 Objective To describe secondary prevention measures of tumor, cardiovascular and cerebrovascular diseases (blood pressure, blood lipids, regular detection of breast and cervical cells) in the 2002 sample population. Methods Eight indicators were used to calculate the effects of hypertension and hyperlipidemia on the health of different categories of population by using the 2002 census population. Blood pressure, blood lipids, clinical breast examination and cervical smears were regularly measured in the target population. Results The proportion of correct understanding of the health effects of hypertension and hyperlipemia among the surveyed population was very low, accounting for only 22% and 5%. Although we should regularly measure blood pressure, blood lipids, but the actual measurement of the proportion lower than people’s understanding. The target population for breast cancer screening should be people over 50 years of age, but the proportion of women undergoing breast screening at different ages shows that the proportion of women with clinical mammography over the age of 50 is lower than younger women. The results also showed a high level of education. White-collar workers and eastern people were more likely to receive these screening tests than those with low education levels, blue-collar workers and people in the western region. At the same time whether to enjoy medical insurance, as well as enjoy the type of medical insurance are related to the proportion of secondary prevention services obtained by the survey population. Conclusion Screening is an important secondary prevention measure and plays an important role in reducing the severity and complications of the disease. By describing the status quo of the four groups of patients undergoing screening, it shows that apart from blood pressure measurement, the proportion of patients undergoing screening There is a clear difference in the proportion of people who are not high, in different regions, in education, in occupation and in the category of medical insurance. Second, the survey also showed that the target population for screening is not clear, and screening policies need to be improved to guide the implementation of the screening.
其他文献
药物最终由护士给与病人,因此护理药学在合理用药中举足轻重.因为护理工作者只有本着严谨的工作作风,正确无误的执行医嘱,严格配伍药物操作规范,把好给药的每一个环节,对于保
1确立突发卫生公共危机的应对思路多年来,以色列卫生部、国防军医疗部队和后方司令部一直共同致力于应对平战时各种疾病暴发的准备工作,制定针对各种病原体的防治方案,不断加
目的 比较经皮穿刺椎弓根途径椎体成形术与传统保守治疗方法对胸腰椎椎体转移肿瘤的临床治疗效果.方法 选取自2006年以来情况大致相同的脊柱转移性骨肿瘤患者30例.分别采取药
目的:探讨粟粒型肺结核合并结核性脑膜炎患儿的护理方法,从而提高治愈率.方法:回顾性分析和总结我院收治的37例粟粒型肺结核合并结核性脑膜炎患儿的护理经过.结果:本组37例,
小便病诸候,历代医家多从肾论治,每获良效.但临床上也有单纯从肾论治,收效甚微者.李日庆教授受"中气不足,溲便为之变"启发,从中气不足论治,以"因其衰而彰之""气虚宜掣引之"为
目的评价无保护左冠状动脉主干(LMCA)支架治疗的安全性和有效性。方法对126例无保护LMCA病变接受介入治疗患者进行回顾性分析。结果共植入151枚支架。所有LMCA支架植入均获完
结合地板送风系统的设计特点和地铁车站设备管理用房通风空调系统的设计情况,分析了在地铁车站设计中采用地板送风方式的可行性,为地铁通风空调系统设计提供了一种思路.
通过采样分析,对崂山绿茶水溶性氟含量及其主要影响因素进行了研究.结果表明,崂山绿茶水溶性氟含量与茶园土壤水溶性氟含量、土壤pH值和土壤速效磷含量的相关性达到极显著水
目的探讨手术减压对慢性脊髓损伤的治疗分子机制.方法采用大鼠后路渐进性脊髓压迫模型,然后行手术减压.经观察行为评分(BBB),常规病理及胆碱乙酰转移酶(ChAT)和脑源性神经营
目的评价低剂量顺铂(DDP)+5-氟尿嘧啶(5-FU)周疗同步放疗治疗中晚期宫颈癌的疗效和不良反应。方法73例中晚期宫颈癌患者随机分为化放组(37例)和单放组(36例)。化放组放疗同期每周接受1