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目的 了解广东省中山市古镇农村社区人群心脑血管病 (CVD)相关知识、态度及行为(KAB)水平的现状 ,为CVD的社区健康教育及综合防治提供指导。方法 利用根据WHO行为危险因素检测调查问卷修订的调查表 ,采用三阶段整群随机抽样法 ,对中山古镇社区 1 5~ 5 9岁人群的CVD相关KAB进行抽样调查。结果 人群对吸烟危害健康、正常血压参考值的知晓率分别为72 4 0 %和 4 8 0 7% ;4 5 77%的人认为饮食与慢性病的关系很大 ,75 2 9%的人认为 35岁以上每年应测量血压 ,5 8 94 %的人认为 4 0岁以上每年应测量血脂 ;人群吸烟、戒烟、饮酒、定期测血压、定期测血脂、规律锻炼的比例分别为 2 6 4 4 %、2 3 2 7%、2 6 73%、2 3 4 4 %、1 2 79%和 1 8 76 % ;不愿意参加体育锻炼的主要原因是没有时间。结论 农村社区人群CVD相关KAB仍处于低水平 ,加大CVD健康教育力度是农村社区CVD综合防治的关键
Objective To understand the current status of cardiovascular related knowledge, attitude and behavior (KAB) in rural community of Guzhen, Zhongshan City, Guangdong Province, and to provide guidance for CVD community health education and comprehensive prevention and treatment. Methods A questionnaire was used to revise the questionnaire according to the WHO behavioral risk factors and a three-stage cluster random sampling method was used to sample the CVD-related KAB in a population aged from 15 to 59 in Zhongshan Guzhen Community. Results The population awareness rate of health risk of smoking and reference value of normotensive blood pressure were 72 4 0% and 48 0 7% respectively; 4 5 77% of people thought that the relationship between diet and chronic diseases was very high, 75 2 9% Blood pressure should be measured every year over the age of 5 years, 5 94% of the people think that 40 years of age should be measured lipid per year; smoking, smoking cessation, alcohol consumption, regular blood pressure, regular blood fat, regular exercise ratio were 2644% 2 3 2 7%, 2 6 73%, 2 3 4 4%, 1 2 79% and 1 8 76% respectively. The main reason for not participating in physical activity is lack of time. Conclusion CVD-related KAB in rural community population is still low, and increasing CVD health education is the key to comprehensive CVD prevention and treatment in rural communities