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目的了解山区农村50岁以上中老年人慢性病相关知识、态度(信念)、行为现状,为开展中老年人健康管理提供科学依据。方法采用自行设计的调查问卷,在广州从化辖区随机抽取两个山区镇6个村的409位50岁以上中老年人进行面对面访谈。结果山区农村50岁以上中老年人的健康知识知晓率、健康信念认同率和健康行为形成率均较低,尤以高龄、低文化程度的中老年人为明显,女性健康行为形成率高于男性(P﹤0.05),有被调查者对某些危险因素有认知,但仍坚持固有的不利于健康的行为方式。结论山区农村卫生服务落后,中老年农民面临不健康生活方式的威胁,应高度重视,开展健康管理,将科学的健康生活方式传导给健康需求者。
Objective To understand the knowledge, attitude (belief) and behavior status of chronic diseases in rural areas over 50 years old in mountainous areas and to provide scientific basis for the health management of middle-aged and elderly people. Methods A self-designed questionnaire was used to interview 409 elderly people over the age of 50 in six villages in two mountain towns randomly from Guangzhou. Results The health awareness, the recognition rate of health belief and the rate of healthy behavior formation were lower in middle-aged and elderly people over 50 years old in rural areas of mountainous areas, especially in older and lower-middle-aged people, and the rate of female health behaviors was higher than that of men P <0.05). Some respondents had some knowledge of some risk factors, but still insisted on inherently unfavorable behaviors. Conclusion The rural health services in mountainous areas are backward and the middle-aged and elderly peasants are threatened with unhealthy lifestyles. Therefore, they should attach great importance to health management and transmit scientific and healthy lifestyles to those in need.