目的 了解银川市城区家庭健康相关行为及健康投资的现状.方法 于2013年6-8月采用问卷调查法对分层整群随机抽取的银川市3个社区830户家庭进行调查,内容包括家庭一般情况、家庭健康相关行为及家庭健康投资状况等.结果 大多数家庭对家庭成员健康状况(70.4%,584/830)和家族遗传史(86.2%,715/830)全面了解较少,困扰家庭成员的健康问题居前3位的是消化系统问题(38.3%,318/830)、运动系统问题(36.4%,302/830)和心血管系统问题(32.0%,266/830).许多家庭存在危害健康的行为,如不吃早餐(12.6%,104/830),偶尔或经常、长期食用隔夜菜(93.6%,777/830),饮食口味偏油重、高盐或辛辣(53.9%,447/830),缺乏运动(81.0%,672/830),吸烟(57.6%,478/830)和酗酒(54.9%,456/830)等.69.0% (573/830)的家庭没有家庭健康档案.在家庭健康投资方面,97.8% (812/830)的家庭过去一年健康投资开支占家庭总支出费用比例不足30%;健康投资较多的项目居前4位的依次是定期体检(55.9%,464/830)、运动健身(51.1%,424/830)、购买健康保险(32.4%,269/830)、购买营养保健品(32.2%,267/830).结论 银川市城区家庭对家庭成员及家族遗传史知晓程度较差,困扰家庭成员健康的问题主要是消化系统、运动系统和心血管系统的问题,在社区卫生服务中应针对这三大系统的问题进行管理.此外,大多数家庭存在不吃早餐、口味偏重、缺乏运动、吸烟和酗酒等危害健康行为,在社区卫生服务中应开展有针对性的健康教育.
Objective To study the status of health - related behavior and health investment of families in Yinehuan city. Methods From June to August, 2013, 830 families in 3 communities of Yinehuan City selected by stratified cluster random sampling were investigated by questionnaires regarding family general condition, the status of family health - related behavior and family health investment. Results Many families didn't comprehensively know their family members' health status (70.4%, 584/830) and family genetic history (86. 2%, 715/830), and the top 3 health problems puzzling family members were the problem of the digestive system (38.3%, 318/830) , motor system (36.4%, 302/830) and cardiovascular system (32. 0%, 266/830) . There were many health- risky behaviors in many families, such as skipping breakfast (12. 6%, 104/ 830), sometimes or often eating overnight food (93.6%, 777/830), partial heavy oil, salty or spicy taste (53.9%, 447/ 830) , lacking of exercise (81.0% , 672/830) , smoking (57.6% , 478/830) and drinking alcohol (54. 9% , 456/830) , etc. 69. 0% (573/830) of families didn't have family health records. In terms of family health investment, the health investment proportion of total household expenditure of 97.8% (812/830) families was no more than 30% in the past year. The top four health investment projects were regular physical examination (55.9%, 464/830), sports fitness (51.1%, 424/830), health insurance (32.4%, 269/830), buying nutritional health products (32. 2%, 267/830) . Conclusion Many families don't know much about their family members' health status, and the top 3 health problems are mainly the health problem of the digestive system, sports system and cardiovascular system. In addition, there are many health - risky behaviors in many families, such as skipping breakfast, sometimes or often eating overnight food, partial heavy oil, salty or spicy taste, lacking of exercise, smoking and drinking alcohol, etc. So the ta