中文摘要：

目的 了解我国居民预防保健服务需求及其影响因素.方法 采用中国健康与营养调查（CHNS）2009年的数据,选取年龄在18岁及以上的居民,剔除无效数据后,共有9 988人纳入本研究.以是否接受过预防保健服务为因变量,以性别、年龄、城乡、婚姻状况、民族、受教育水平、年人均收入、医疗保险、自评健康情况以及高血压、糖尿病、心肌梗死、卒中疾病史为自变量.采用单因素分析和多因素Logistic回归分析对我国居民预防保健服务需求的影响因素进行分析.结果 9 988中有421人接受了预防保健服务,接受预防保健服务率为4.2％.单因素分析显示,不同性别、年龄、城乡、受教育水平、医疗保险、年人均收入水平、高血压及糖尿病疾病史的居民预防保健服务需求率间差异有统计学意义（P＜0.05）.多因素Logistic回归分析显示：性别[OR=1.252,95％ CI（1.023,1.531）]、年龄[OR=1.386,95％CI （1.013,1.897）]、受教育水平[OR=1.702,95％CI （1.258,2.303）; OR=1.696,95％CI （1.283,2.242）]、医疗保险[OR=1.572,95％ CI（1.105,2.236）]、收入水平[OR=1.696,95％CI （1.338,2.149）; OR=1.391,95％ CI（1.090,1.774）]及糖尿病病史[OR=2.137,95％ CI（1.235,3.697）]对居民预防保健服务需求的影响有统计学意义（P＜0.05）.结论 我国居民的预防保健服务需求不足,而且居民预防保健服务需求受到性别、年龄、受教育水平、医疗保险、收入及糖尿病病史诸多因素的影响;应采取有针对性的措施提高居民预防保健服务需求.

英文摘要：

Objective To understand the demand for preventive care services residents in China and its influencing factors. Methods Using the data of 2009 China Health and Nutrition Surveys （CHNS） to select residents over 18 and after rejecting the invalid data, 9 988 were finally involved in the study. Whether receiving the preventive care service or not was supposed to the dependent variable and gender, age, urban or suburban, marital condition, nationality, educational level, annual income per person, medical insurance, self - evaluation health condition and the history of hypertension, diabetes, myocardial infarction and stroke as the independent variables. Single and multiple logistic regression analysis were used for the influencing factors analysis. Results 421 out of 9 988 had received the preventive care service and the proportion was 4. 2%. The results of single logistic regression analysis showed that the differences of residents＇ preventive care service demand in gender, age, urban or suburban, educational level, annual income per person, medical insurance and the history of hypertension and diabetes were significant （P 〈 0. 05） . Multiple logistic regression analysis showed that age [ OR = 1. 386, 95% CI （1. 013, 1.897）], gender [OR =1.252, 95%CI （1.023, 1. 531）], education level [0R=1.702, 95%CI （1.258, 2. 303）; OR = 1. 696, 95% CI （1. 283, 2. 242） ], medical insurance [ OR = 1. 572, 95% CI （ 1. 105, 2. 236） ], income level [ OR =1.696, 95%CI （1.338, 2. 149）; OR = 1.391, 95% C1 （1.090, 1.774）], the history of diabetes [OR =2.137, 95% CI （1. 235, 3. 697） ] all had statistical influence on residents＇ demand for preventive care service in China （P 〈 0.05） .Conclusion Residents in China have low demand for preventive care services, which are affected by many factors such as gender, age, educational level, medical insurance, income and history of diabetes. Related measures should be taken to improve the residents＇ demand.