中文摘要：

目的通过家庭健康促进模式,探索对家庭成员,尤其是容易忽视自身健康的男性进行的家庭健康管理。方法项目组在广州市南沙区某镇6个村居开展了以家庭为单位的中老年男性生殖健康促进工作,采用整群抽样方法选取40岁以上中老年男性1 134人,建立家庭健康档案,开展生殖健康问卷调查、专科体检,对家庭成员进行健康评估、诊疗指导以及家庭成员日常护理等方面的健康教育。结果 ①40岁以上中老年男性中吸烟、饮酒、高嘌呤饮食人群比例较高,健康意识较差,缺乏对自我健康状况的正确评价及认识。②肥胖症、高血压、高血脂、尿酸异常人数比例较高。③通过培训基层工作人员,根据体检发现的疾病针对其家庭成员进行健康教育,普及家庭饮食健康理念,戒除危害生殖健康的不良生活习惯,家庭健康观念及相关知识知晓率均得到了提高。结论开展家庭生殖健康促进项目过程中应重视对家庭成员的健康教育。提高家庭成员间相互健康状况的了解和协作能力,对促进男性的健康管理具有重要的意义。

英文摘要：

Objective To explore the family health control of family members, especially males who usually ignored their own health by family health promotion pattern. Methods Project team carried out reproductive health promotion work based on the family unit in six pilot villages of Nansha District in Guangzhou, 1 134 medium-elderly men over 40 years old were selected by cluster sampling method. The family health archives were established, the questionnaire survey of reproductive health and specialized physical examination were conducted as well as health education such as health assessment, diagnosis guidance, and daily care for family members. Results ①The proportion of smoking, drinking, high purine diet in medium-elderly men were high, with poor health awareness and lack of correct recognition to self-health status. ②The proportion of obesity, hypertension, hyperlipemia and hyperuricemia were high. ③According to the diseases found in examination, the family members were given health education to popularize family diet health concepts and drop unhealthy living habits, and the awareness rate of family health concepts and related knowledge were improved. Conclusions The health education of family members should be paid adequate attention in family reproductive health promotion project. The improvement of understanding and cooperation ability of health conditions between family members is important for promotion of male health control.