目的:研究北京市某社区知识分子人群健康状况及相关影响因素.方法:采用整群分层抽样方法,按照辖区人口5％的比例,抽取2467名该社区的知识分子人群进行问卷调查,并对该人群进行为期2年的健康行为干预研究.结果:干预前,该社区知识分子人群的两周患病率为28.62％,两周就诊率为18.71％,慢性病患病率为31.26％；慢性病前5位分别是高血压(25.01％)、高脂血症(19.90％)、肥胖症(10.99％)、糖尿病(8.23％)和冠心病(7.13％)；32.18％的知识份子存在各类心理健康问题,26.47％的知识份子需要心理康复与干预治疗.干预后,两周患病率下降至23.28％,吸烟、酗酒、久坐、饮食不均衡,三餐无规律、超负荷工作等不良生活和工作方式有所改善,健康意识明显增强.结论:社区知识份子人群健康状况较差,慢性病危险因素与饮食习惯、生活环境和健康行为形成等相关;通过健康教育与健康促进行为干预能有效降低慢性病患病率.%Objective: To study the health status of a community of intellectuals in Beijing and its related factors.Methods:Using stratified cluster sampling method, in accordance with the ratio of 5% of the population of the area to extract the 2467 community high school or college degree or above residents conducted a questionnaire survey and the crowd for a period of two years of health behavior intervention research. Results Before the intervention, the intellectuals of the community population prevalence rate 28.62%, two weeks treatment was 18.71%, 31.26% of the prevalence of chronic diseases; chronic diseases, the top five were hypertension (22.32%), fat hyperlipidemia (19.90%), obesity (10.99%), diabetes (8.23%) and coronary heart disease (7.13%); 32.18% of the intellectuals, there are various types of mental health problems, 26.47% of the intellectuals in need of psychological rehabilitation and intervention. After the intervention, the prevalence rate dropped to 23.28%, smoking, alcohol, sedentary, unbalanced diet, irregular meals, work overload, bad living and working has improved significantly enhanced health awareness. Conclusions: the intellectuals population health status is poor in the community, chronic disease risk factors and their eating habits, living environment and health behaviors and other related; intervention can effectively reduce the prevalence of chronic diseases and mortality through health education and health-promoting behaviors.
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