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目的 评价慢病综合防治知信行模型的实施效果。方法 流行病学调查与典型相关分析。内容 评价健康宣传、慢病防治知识知晓水平、健康促进效果、疾病防治效果等。结果 全人群健康教育覆盖率 10 0 % ,对人群健康监测、慢病监测、测血压 ,高血压知识知晓率 6 2 %。对慢病病种、高危因素构成正确认识率 38%。对健康教育、健康促进认同比率 4 0 %。参加体育锻炼比率 55% ,社区人群平均吸烟率下降 0 9%。人群少饮酒率 32 % ,居民膳食脂肪摄入总热量 2 5% ,35岁以上人群A型行为者减少 15%。高危人群高血压、糖尿病、脑卒中、精神病 (复发 )、龋齿发生率下降 18%。肿瘤生命质量指数提升 9% ,寿命年增加 6 %。古镇居民期望寿命平均提高 12 71岁。总体上达到或超过预计阶段国家标准水平。典型相关系数都为 1 0。典型冗余分析 ,各方第二、三典则变量解释的方差比例累计为 0 90 93～ 0 994 8。健康宣传产出—健康教育覆盖率—社区居民慢病知识知晓率—心理、行为变化的相关关系显著。结论 中山古镇慢病综合防治知信行模型的实施效果显著
Objective To evaluate the implementation effects of the model of knowledge and behavior of the integrated prevention and treatment of chronic diseases. Methods Epidemiological investigation and canonical correlation analysis. Contents Evaluation of health promotion, awareness of chronic disease prevention and control, health promotion effects, and disease control effects. Results The coverage rate of health education for the whole population was 10%. The awareness rate of population health monitoring, chronic disease monitoring, blood pressure measurement and hypertension knowledge was 62%. The correct recognition rate for chronic diseases and high-risk factors constitutes 38%. The recognition rate for health education and health promotion was 40%. The percentage of people participating in physical exercise was 55%, and the average smoking rate in the community fell by 09%. The percentage of people who drink less alcohol is 32%, and the total calorie intake of the residents with dietary fat is 25%. There is a 15% decrease in type A behavior among people over 35 years of age. In high-risk groups, the incidence of hypertension, diabetes, stroke, psychosis (recurrence), and caries decreased by 18%. The tumor quality of life index increased by 9% and life expectancy increased by 6%. The average life expectancy of urban residents has increased by 12 71 years. Overall meet or exceed the level of national standards for the expected period. The typical correlation coefficient is 1 0. For the typical redundancy analysis, the variance ratios of the variables explained by the second and third codes are 0 90 93 to 0 994 8 . Health publicity output—health education coverage—Community residents’ knowledge of chronic disease knowledge—Psychological and behavioral changes are significantly related. Conclusion The results of the implementation of the model of knowledge, belief and practice in the integrated prevention and treatment of chronic diseases in Guzhen Town, Zhongshan City are significant.