目的了解韶关市居民主要健康问题、基本健康知识水平、自我保健意识、卫生服务需求与利用,为社区开展慢性病综合防控和效果评价提供本底资料。方法按三阶段分层随机抽样的方法,在全市10个县(市、区)中选取3个县(市、区),每个县(市、区)抽取2个乡镇/街道,每个乡镇/街道抽取2个村(居)委,每个村(居)委随机抽取70个家庭户,对15岁及以上的常住居民进行入户面对面问卷调查,调查问卷内容包括家庭基本情况、调查对象基本情况、15岁及以上居民的健康相关因素(包括患病情况、健康危险行为发生情况、饮食情况、自我保健情况、基本健康知识、社区卫生服务中心/站或乡镇卫生院知晓与利用等)等内容。结果共调查778户2 014名调查对象,其中15岁及以上居民1 794人,占调查人数的89.1%。15岁及以上居民以男性(51.5%)、职业为农业生产人员(66.78%)、婚姻状况为在婚(77.15%)、文化程度为初中、高中或中专(51.17%)为主;15岁及以上居民慢性病患病率为18.4%,患病率居前2位的为高血压(9.7%)和骨质增生(2.6%),不同性别、年龄和婚姻状况人群的慢性病患病率差异均有统计学意义(均P<0.01);健康危险行为发生率及基本健康知识合格率分别为44.1%、38.7%,两者在不同县区、性别、年龄、婚姻状况、文化程度和职业人群的差异均有统计学意义(P<0.05或P<0.01)。结论韶关市居民基本健康知识知晓率普遍较低,健康危险行为发生率高,自我保健意识薄弱,慢性病防控形势严峻,因此应针对不同人群分别采用相应的干预策略改善居民的健康状态。 Objective To understand the main health problems, basic health knowledge, self-care awareness, health service needs and utilization of residents in Shaoguan City, and to provide background information for comprehensive community prevention and control of chronic diseases and evaluation of their effects. Methods According to three-stage stratified random sampling method, three counties (cities and districts) were selected from 10 counties (cities and districts) in the city. Two townships / streets were selected in each county (city and district), and each township / Street 2 village (neighborhood) committees, each village (neighborhood) committee randomly selected 70 households, 15-year-old and above residents to face a face-to-face questionnaire survey, the questionnaire includes the basic information of the family, the survey respondents Basic information, health-related factors of residents aged 15 and above (including prevalence, occurrence of health risk behaviors, diet, self-care status, basic health knowledge, community health service center / station or township hospitals, etc.) And so on. Results A total of 2 014 respondents from 778 households were surveyed, of whom 1 794 were residents aged 15 and over, accounting for 89.1% of the surveyed population. The population aged 15 and above is mainly male (51.5%), agricultural production staff (66.78%), marital status is married (77.15%) and junior high school, high school or secondary school (51.17%). The age of 15 The prevalence rate of chronic diseases was 18.4% and the top two were hypertension (9.7%) and bone hyperplasia (2.6%). The prevalence rates of chronic diseases in different gender, age and marital status (All P <0.01). The incidence of health risk behaviors and the basic health knowledge pass rate were 44.1% and 38.7% respectively. There was significant difference between the two groups in different counties, sex, age, marital status, educational level and occupational population The differences were statistically significant (P <0.05 or P <0.01). Conclusion The residents of Shaoguan City, the awareness rate of basic health is generally low, the incidence of health risk behaviors is high, the awareness of self-care is weak, the situation of prevention and control of chronic diseases is grim, so different populations should adopt appropriate intervention strategies to improve residents’ health status.