重庆南川市1068例人工流产的案例调查与分析

以重庆南川市市区三所医院１９９８ 年度１０６８ 例人工流产手术记录为样本,作者进行了调查和统计,并在分析结果的基础上提出了相应的对策     

3167名离退休老年人健康体检患病情况分析

目的了解老年人身体健康状况,探讨影响老年人健康的主要疾病及预防策略,有针对性的进行健康教育指导。方法针对老年人常见病进行健康体检,收集体检资料,采用顺位及构成比法进行统计分析。结果老年人所患疾病处于前几位的分别是脑动脉硬化、白内障、高血压、高脂血症、高血糖、冠心病、脂肪肝、前列腺增生。其中脑动脉硬化、前列腺增生、白内障随年龄增加而增加,各年龄组问差异有统计学意义（P〈0．01）。各种疾病除高血压病检出率男性高于女性有统计学意义外（P〈0．05）,其它疾病不存在性别差异。结论高血压、脑动脉硬化、高脂血症、高血糖、前列腺增生是老年入主要所患疾病,需要加强相关疾病保健知识的宣教和预防干预。     

中西部地区生殖健康家庭保健服务能力建设项目调查报告

利用定量与定性调查法,在国家计生委＂中西部项目＂试点中的江西省吉安县、重庆市永川区和海南省澄迈县,对服务对象的健康知识与行为以及他们对家庭保健服务的评价进行了调查研究。调查结果显示：群众健康知识的普及及健康行为基本形成 家庭保健服务拓展了人口计生部门的服务内容和范围 干群关系更加融洽,有利于和谐社会的构建。     

村民是如何化解环境健康风险的?

污染—疾病科学关系不清及制度安排问题等因素致信息不全,加之村民相关科学知识的缺乏,是村民环境健康风险认知的根本性障碍,但村民并没有如简单预设的那样处于"束手待毙"的状态。在乡村社区,村民利用"熟人社会"的社会结构和文化机制把有限的信息无限利用,有效地应对了信息不全的困境。面对外源性污染,并且无法改变污染现状的格局下,村民根据生活经验和常识策略性地化解健康风险。村落社会中的亲缘、地缘关系结构以及精英—大众结构也影响了村民对环境健康风险的规避。村民化解环境健康风险虽然缺乏成熟的科学指导,却有其独特的实践逻辑。     

Use of concurrent mixed methods combining concept mapping and focus groups to adapt a health equity tool in Canada

The aim of this project was to identify and prioritize a set of conditions to be considered for incorporating a health equity tool into public health practice. Concept mapping and focus groups were implemented as complementary methods to investigate the conditions of use of a health equity tool by public health organizations in Quebec. Using a hybrid integrated research design is a richer way to address the complexity of questions emerging from intervention and planning settings. This approach provides a deeper, operational, and contextualized understanding of research results involving different professional and organizational cultures, and thereby supports the decision-making process. Concept mapping served to identify and prioritize in a limited timeframe the conditions to be considered for incorporation into a health equity tool into public health practices. Focus groups then provided a more refined understanding of the barriers, issues, and facilitating factors surrounding the tools adoption, helped distinguish among participants’ perspectives based on functional roles and organizational contexts, and clarified some apparently contradictory results from the concept map. The combined use of these two techniques brought the strengths of each approach to bear, thereby overcoming some of the respective limitations of concept mapping and focus groups. This design is appropriate for investigating targets with multiple levels of complexity.     

Concept mapping as an approach for expert-guided model building: The example of health literacy

Concept mapping served as the starting point for the aim of capturing the comprehensive structure of the construct of ‘health literacy.’ Ideas about health literacy were generated by 99 experts and resulted in 105 statements that were subsequently organized by 27 experts in an unstructured card sorting. Multidimensional scaling was applied to the sorting data and a two and three-dimensional solution was computed. The three dimensional solution was used in subsequent cluster analysis and resulted in a concept map of nine “clusters”: (1) self-regulation, (2) self-perception, (3) proactive approach to health, (4) basic literacy and numeracy skills, (5) information appraisal, (6) information search, (7) health care system knowledge and acting, (8) communication and cooperation, and (9) beneficial personality traits. Subsequently, this concept map served as a starting point for developing a “qualitative” structural model of health literacy and a questionnaire for the measurement of health literacy. On the basis of questionnaire data, a “quantitative” structural model was created by first applying exploratory factor analyses (EFA) and then cross-validating the model with confirmatory factor analyses (CFA). Concept mapping proved to be a highly valuable tool for the process of model building up to translational research in the “real world”.     

Sick building syndrome and perceived indoor environmental quality: A survey of apartment buildings in Hong Kong

The outbreak of a highly communicable disease, SARS, in Asia in 2003 has revealed the health risk of living in a high-density environment. To show the important connection between human health and environmental quality, this study surveys the prevalence of sick building syndrome (SBS) among apartment residents and their evaluation of indoor environmental quality (IEQ). Based on a sample of 748 households living in Hong Kong, two interesting findings are revealed: (1) nasal discomfort was the commonest home-related SBS symptom despite the absence of any central ventilation system in apartment buildings; (2) noise, rather than ventilation, was the major IEQ problem perceived by residents. Our statistical analysis further showed that residents with SBS symptoms were less satisfied with their IEQ than those without. That is, despite a positive evaluation of specific IEQ criteria with respect to the building residents lived in, if they reported feeling SBS related symptoms, the overall IEQ evaluation of their building could still be negative. This perception bias gives rise to a sample selection problem in measuring perceived IEQ, which has implications on housing management practices and the formulation of a healthy housing policy.     

Assessing participants’ perceptions on group-based principles for action in community-based health enhancing physical activity programmes: The APEF tool

In community-based health enhancing physical activity (CBHEPA) programmes, group-based principles for action such as active participation, enjoyment, and fostering group processes are widely advocated. However, not much is known about participants’ perceptions of these principles as there are no assessment tools available. Therefore, this article describes the development of the APEF (Active Participation, Enjoyment, and Fostering group processes) tool and reports on its implementation in a Dutch CBHEPA programme. Indicators for the principles have been identified from literature research, interviews with professionals, and secondary analysis of three group interviews with 11 practitioners. To address the identified indicators, the APEF tool was developed, pretested, and used in 10 focus groups with 76 participants.The APEF tool consists of eight statements about group-based principles for action, on which CBHEPA participants vote, followed by in-depth discussion. The voting procedure engages participants. Spider diagrams visualise participants’ perceptions of group-based principles.The APEF tool addresses the challenge of relating group level outcomes to individual outcomes such as physical activity behaviour. The tool facilitates as well as evaluates group-based principles for action, it stimulates dialogue and is culturally sensitive, but it needs strong facilitating skills to manage group dynamics.     

Changes in the structure of health complaints as related to shiftwork exposure

Abstract

Factor analyses of health complaints in groups with different length of shiftwork exposure show that the structure of these complaints changes with increasing shift experience, indicating the emergence of a shift-specific pattern of health complaints. After about 15 years of shiftwork, complaints related to disturbances of circadian-controlled functions can be found in the first factor whereas other complaints have their dominant loadings on a separate factor, representing general, non-shift-specific impairments. The results indicate that in this way shift-specific components of health impairment can be separated from other non-shift related components.     

高校心理辅导站建立的初步探析

高校心理辅导站的建立为心理健康教育提供了新的平台,它的优势是显而易见的。本文阐述了心理辅导站建立的意义、定位及作用,并对辅导站的发展瓶颈及对策进行了初步探究。