Survey On Health Status And Demands Of Health Care Service Among Rural Family Heads In Laibang Town, Yuexi County.

Objectives:This study aims to describe the current health status and health service among family heads in rural area of LaiBang Town, YueXi County, Anhui, to understand the characteristic and related factors on the rural family heads with diseases, to explore the current demands of health service and changes brought by the implement of the rural cooperative medical care system among the rural family heads in this area, to supply the reference data for the relative department to design science health decision and deploy the health resource reasonable.Methods:A cluster sampling method was used to identify a representative sample of the rural family heads who are always living in the area and holding the power of economy in the family. The questionnaire include the sociological character, the current state of illness by 2 weeks, the current state of injury by 6 months, the status of NCDs'distribution, the behavior of medical seeking, and the demands of health service, and so on.To ensure the integrity and availability of the research date, before starting the study, all research objects were registered with the help of local government branch. Then we did the research by face to face interview and to measure the blood pressure with the help of local village cadre.According to the guidebook of preventing hypertension in China in 2005, the abnormal of blood pressure is defined as: SBP≥140mmHg(19kPa) and (or) DBP≥ 90mmHg(12kPa) and (or) having been diagnosed and treated and (or) having been cured, the knowledge of hypertension is defined as people who have known the result before measured account the proportion for people who could diagnose as hypertension, the prevalence of hypertension as people who were diagnosed as hypertension based the diagnose criterion account the proportion for all the study objects; diseases diagnosed based on the second-class or more hospital diagnosed, to provide that diagnosis within 1 year before the survey, or nearly 1 year before diagnosis of disease recurrence. We set up the quantitative database using Epi Data3.1 after checking and coding questionnaires. The database was analyzed using SPSS 10.0.Results:947(26.6%) household heads among our samples (3556 heads) had NCD, among which chronic gastrointestinal tract disease was the most prevalent (accounting for 14.1%), the prevalence of hypertension was 13.9%, it is almost twice as high as the rate of knowledge. The five most frequent NCDs are chronic gastrointestinal tract disease (14.1%), hypertension (the rate of knowledge) (6.7%), osteoarthritis (6.6%), chronic bronchitis (3.9%), coronary heart disease(1.6%).The average number of NCDs among the 947 rural family heads was 1.39±0.77.Multivariate analysis showed that household heads'age, family diseases, family drinking water, cooking by vegetable oil and the hospital where heads often going to were all related to NCDs in our samples. The analysis indicated that older age (OR=2.061,OR(95%C.I.)=1.815-2.341), have family diseases (OR=2.215,OR(95% C.I.)=1.888-2.598), cook by vegetable oil (OR=1.324,OR95%(C.I.)=1.040-1.684), the hospitals'ranking lower (OR=1.252,OR(95%C.I.)=1.098-1.427) are risk factors for NCDs.The prevalence rate within the latest 2 weeks among heads of families in rural areas was 4.7%, the rate of injury within the latest 6 months was 11.8%, and hospitalization rate in the latest 1 year was 9.8%. Only 7.6% of rural family heads have participated in overall health examination in the latest two years, people didn't know they need health examination was the primary reason for why not participation, which account for 45.1%.The heads have seriously demands for health services, among those who want to receive health consultation accounting for 64.2%, and who want to obtain overall health examination and dietetic guidance accounting for 59.3% and 45.9% respectively.Conclusions:NCDs were prevalent among rural heads of family in LaiBang Town of YueXi County, and they were affected by multiple-factors. Relevant people and departments should pay more attention, and carry out health education and chronic census to decrease the rate of NCDs. The status of health care service among the heads of rural family who lack of the notions of hygiene was serious.