Investigation On Health Status,the Demand And Utilization Of Health Service Of Military Personnel In High Altitude Area

Objective It aims to investigate the status of the self-rated health and associatedfactors of military personnel in high altitude area，to provide guidance for improving theself-rated health level of military personnel in high altitude area．Method By random and group sampling method，550male military personnel with amean age of24.35years in Lhasa and Gangba area were investigated using questionnairessurvey from September to October in the year of2010. Among550collectedquestionnaires，544were effective with an effective rate of98.91%．The main content ofquestionnaires including basic information investigation, two weeks prevalence, sufferedchronic illnesses over the past year, satisfaction survey on medical service, and SymptomChecklist-90(SCL-90). All data were input into computer to establish a database usingEpiDATA3.1and processed using SPSS15.0software package．The statistical methods weredescriptive statistic, chi-square test and t-test et al.Result Two weeks prevalence rates which reflect the intensity of disease is36.4%.Owing to special ecological environment of plateau, the respiratory system and theskeleton-muscular system in the two weeks disease occupies the most percentage. Thedetectable rate of chronic diseases in officers and soldiers were58.5%. The respiratorysystem and the autoimmune systems system in the chronic illness disease occupy the mostpercentage (23.2%and22.5%, respectively). In addition, the incidence of dental is higherin military personnel in high altitude area than in the general population. Using SCL-90questionnaire to investigate mental health status of recruits in plateau，the scores in aspectof depression anxiety and fear factors were significantly higher than that of the inland ones(P<0.01).Conclusion The results have shown good situation of the health level of the militarypersonnel stationed in high altitude area, however the health level were significantly lower than those of common inhabitants．The problems disturbing the state of self-rated healthamong military personnel in high altitude area include respiratory system andgastrointestinal symptoms， symptoms of anxiety and depression in subscale ofpsychological health， The effect of altitude environment on the physiological andpsychological of plateau officers and soldiers is complex. We should make progress tointensify the health level of the soldiers.In current circumstance, highland troops adopted many relative reasonable measures tohealth safeguard ability. However, the pertinence of these measures was not very effective.In the further, we should intensify the systematical research on health safeguard ability,attach importance to the significance of health safeguard ability, and put forward scientificand effective measures to guarantee plateau officers and soldier’s health, in order toimprove the battle efficiency of the stationed troops in the plateau region.