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郑州市大型社区常住居民健康体检意愿的影响因素

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目的 分析郑州市社区常住居民健康体检意愿的影响因素,为制定增强居民健康体检意愿的干预策略提供参考依据.方法 采用现况调查研究方法于2023年1-6月在郑州市各区抽取1个社区,随机选取社区内常住居民1 500名,发放调查问卷,统计居民健康体检意愿,分析居民健康体检意愿的影响因素.结果 发放1 500份调查问卷,回收有效问卷1 425份,有效回收率为95.00%.对1 425份有效问卷的调查结果进行分析,1 182名居民有健康体检意愿,占82.95%,243名居民无健康体检意愿,占17.05%.单因素分析结果显示,年龄、户籍、受教育程度、个人月收入、工作类型、慢性病、既往体检史、对健康体检的认知程度、主动获取健康体检知识、自我认为身体健康、认为体检收费不合理、参与医保、医保类型、新型冠状病毒感染史是居民健康体检意愿的影响因素(P<0.05);LASSO回归分析筛选出了 10个因素,分别为年龄、受教育程度、个人月收入、慢性病、既往体检史、对健康体检的认知程度、主动获取健康体检知识、自我认为身体健康、认为体检收费不合理、参与医保;logistic回归分析,受教育程度、个人月收入、既往体检史、对健康体检的认知程度、主动获取健康体检知识、参与医保是居民健康体检意愿的独立保护因素,年龄、慢性病、自我认为身体健康、认为体检收费不合理是居民健康体检意愿的独立危险因素(P<0.05).结论 居民健康体检意愿的影响因素较多,需加强健康体检知识的宣教工作,以提高居民健康体检意愿.
Influencing Factors of Health Examination Willingness of Permanent Residents in Large Community of Zhengzhou City
Objective To analyze the influencing factors of health examination willingness of permanent residents in Zhengzhou large community,and to provide reference for formulating intervention strategies to enhance the health examination willingness of residents.Methods A cross-sectional survey was conducted from January to June 2023 in each district of Zhengzhou to select one community.And 1 500 permanent residents in the community were randomly selected,and a survey questionnaire was distributed to collect residents'willingness to undergo health examinations.The influencing factors of residents'willingness to undergo health examinations were analyzed.Results A total of 1 500 questionnaires were sent out and 1 425 valid questionnaires were collected with effective recovery rate of 95.00%.The results of 1 425 valid questionnaires were analyzed.And 1 182 residents had the intention of physical examination,accounting for 82.95%,and 243 residents had no intention of physical examination,accounting for 17.05%.Single factor analysis showed that,age,household registration,education level,monthly income,job type,chronic disease,previous physical examination history,cognition of physical examination,taking the initiative to acquire knowledge of physical examination,self-belief in good health,unreasonable physical examination fee,participation in medical insurance,type of medical insurance and history of novel coronavirus pneumonia infection were the influencing factors of residents'willingness to physical examination(P<0.05).LASSO regression analysis screened out 10 factors,namely age,educational level,personal monthly income,chronic disease,previous physical examination history,awareness of physical examination,taking the initiative to acquire knowledge of physical examination,thinking that physical examination was healthy,thinking that physical examination charges were unreasonable,participating in medical insurance.Logistic regression analysis showed that,education level,personal monthly income,previous physical examination history,cognition degree of physical examination,actively obtain health examination knowledge,participate in medical insurance were independent protective factors for the intention of health examination,age,chronic disease,self-perceived good health,and the unreasonable charge for physical examination were independent risk factors for residents'willingness to physical examination(P<0.05).Conclusion There are many factors influencing residents'willingness to take physical examination.It is necessary to strengthen the education of health examination knowledge in order to improve residents'willingness to take physical examination.

large communityresidenthealth examination willingnessinfluencing factor

张进、李律、王娇

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河南省第二人民医院健康管理中心,河南郑州 450000

大型社区 居民 健康体检意愿 影响因素 干预策略

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(16)