基因检测在社区卫生服务中应用的可行性研究-社会医学与卫生事业管理专业论文.docxVIP

Abstract Objective：This study aims at understanding the community residents’awareness and intention of gene testing services, its influence factors, also, exploring the health organizations’attitudes towards promoting gene testing services, and the current situation of gene testing services. This program evaluates the feasibility and necessity of applying gene testing services to community healthcare in order to create well circumstances for the development of gene testing services in China. Method：Typical survey methods are uesd in this study, combined with qualitative and quantitative methods. We carried out a questionnaire survey on 1647 residents in Hangzhou communities, and did interview survey with 8 selected health organizations in Hangzhou. Via Internet search, we also interviewed gene testing agencies both in Shanghai and Hangzhou. We choose software SPSS15.0 and Epidata3.02 to do data analysis, including Chi-square analysis and logistic regression. Results：1.Residents’awareness on gene testing is 21.8%, the demanding rate of gene testing is 12.7%, intention of gene testing is 61.9%; Impact factors of intention on gene testing included: illness of family members (OR=1.619,95%CI:1.279-2.049), awareness of gene testing services (OR=2.368,95%CI: 1.782-3.146), family genetic history (OR=2.784,95%CI:1.685-4.600), age (χ2=27.210, P0.001), attitude on premarital gene testing (χ2=23.185, P 0.001) .This five factors have a significant effect on community residents’ intention; The top three diseases which residents concern are: cancer (47.1%), cardiovascular disease (37.7%), cerebrovascular disease (29.3%); The first three testing organizations which residents trust are: Hospital/CDC (77.7%), Medical Centers (26.4%), Scientific Research Institutions (13.2%); Easily accepted test methods are: Blood Test ( 49.95%) ,Detection of Oral Mucosa (27.28%), Fingertip Blood Assay (22.77%). 2. Interviewed Health organizat