Objective To investigate the health demand of community elders, explore the relation among different items of demand and analyze the common characters of different items of demand, in order to provide scientific references for the health management, health evaluation and health intervention of community elders. Methods From March to June, 2011, using multi-stage sampling method, we enrolled 642 community elders and conducted questionnaire survey on them. The content of the survey included the general information and health demand of community elders, and cluster analysis was undertaken on the 39 items of health demand. Results We distributed 642 questionnaire and recovered 611 questionnaire, with an effective returning rate of 95. 2%. The health demand rates of community elders for various health services were between 1. 3% -69. 7%, and the three services with the highest rates were regular physical examination ( 69. 7%, 426/611 ) , daytime care center ( 67. 4%, 412/611), the establishment of community household first -aid calling system (66. 1%, 404/611) . The health demand of community seniors was divided into three categories: basic demand (24 items), health education (13 items) and first-aid (2 items) . Conclusion Community elders have different health demands for various services, and there are similarities among health demand items. Classified management should be carried out, so as to improve the efficiency of health intervention and the health level of community elders.%目的：了解社区老年人健康需求状况,探讨健康需求项目彼此间的相互关系,分析健康需求项目间的共性,为社区老年人健康管理、健康评价及健康干预提供科学参考。方法于2011年3—6月,采用多级抽样方法,抽取锦州市642名社区老年人进行问卷调查,问卷主要内容包括社区老年人的一般情况和健康需求。并对39项健康需求进行聚类分析。结果发放问卷642份,有效回收611份,有效回收率为95．2%。社区老年人对各项健康服务的健康需求率为1．3%~69．7%,其中排在前3位的分别为：定期组织体检(69．7%,426/611)、日间护理中心(67．4%,412/611)、建立社区家庭急救呼叫系统(66．1%,404/611)。社区老年人的健康需求分为3大类：基础需求类(24项)、健康教育类(13项)、急救类(2项)。结论社区老年人对各项服务的健康需求不一致,健康需求项目间具有相似性,应分类管理,有利于提高健康干预效率和社区老年人的健康水平。
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