摘要：目的：了解义乌市社区居民对健康管理的认知和需求状况，向社区居民宣传健康管理的概念。了解基层开展健康管理中存在的问题。探究进一步完善基层开展健康管理服务的方法。方法：采用分层随机抽样方法，在义乌市抽取6个行政区划展开调查，共发问卷400份，有效问卷385份，有效率96.25%。结果：义乌市被调查对象中，两周内身体不适或患病人数81人（21.0%），半年内慢性病患病率按人数52人（13.5%），共62例（15.1%）。在385位被调查对象中，215人（55.8%）表示不曾去本地区的社区卫生服务中心或服务站就医，223人（57.9%）半年内造访最频繁的为大型综合性医院。需要健康管理服务的331位被调查对象对于健康管理服务最关心“专业技术”和“管理方法”；对健康管理有需求的285位被调查对象最可能尝试健康体检、饮食营养指导、运动指导等健康管理服务项目；385名被调查者对中医预防保健技术（治未病）最可能尝试的为中药制剂、中成药、推拿等。文化程度（P=0.001）和对“健康”认识是否正确（P=0.000）为是否了解“健康管理”的独立影响因素；对“健康”的认识是否正确（P=0.010）和家庭月均收入水平（P=0.044）健康管理需要的独立影响因素；是否了解“健康管理”（P=0.000）和“健康”认识*是否需要“健康管理”（P=0.000）是健康管理需求的独立影响因素。结论:义乌市被调查地区社区居民身体健康状况总体优于全国水平;义乌市被调查地区社区居民对卫生服务的选择不均衡；义乌市被调查地区社区居民对健康管理服务认识不足；义乌市被调查地区对健康管理的宣传力度不佳；义乌市被调查地区社区居民对健康管理服务具有不同偏好；义乌市被调查地区社区居民的潜在健康管理需求高。

关键词：健康管理； 认知； 需求； 社区居民

Abstract：Objectives: To understand the awareness and needs of community residents in health management in Yiwu, and to promote the concept of health management to community residents. Understand the problems existing in health management at the grassroots level. Explore ways to further improve health management services at the grassroots level. Methods: Using stratified random sampling method, six administrative pisions were selected to investigate in Yiwu City. A total of 400 questionnaires were sent out, 385 valid questionnaires were available, and the effective rate was 96.25%. Results: Of the respondents in Yiwu, 81 (21.0%) experienced physical discomfort or suffering within two weeks. The prevalence of chronic diseases was 52 (13.5%) in the first half of the year, and a total of 62 patients (15.1%). Of the 385 respondents, 215 (55.8%) said they did not go to a community health service center or service station in the region, and 223 (57.9%) visited a large general hospital most frequently in six months. 331 respondents who needed health management services were most concerned about “professional technology” and “management methods” for health management services; 285 respondents who had a need for health management were most likely to try health checkups, dietary nutrition guidance, exercise guidance, etc. Health management service projects; 385 respondents were most likely to try TCM preventive and health care technologies (to cure diseases) for traditional Chinese medicine preparations, proprietary Chinese medicines, and massage. The degree of education (P=0.001) and the correct understanding of “health” (P=0.000) are independent factors in understanding “health management”; whether the understanding of “health” is correct (P=0.010) and family average monthly income Level (P=0.044) Independent Influencing Factors for Health Management Needs; Whether Understanding “Health Management” (P=0.000) and “Health” Awareness* Requires “Health Management” (P=0.000) is an Independent Determinant of Health Management Needs . Conclusion: The health status of the community residents in the surveyed areas in Yiwu City is generally better than the national level; The residents of the surveyed area in Yiwu have unbalanced choice of health services; the residents of the surveyed areas in Yiwu have insufficient knowledge of health management services; Yiwu City was investigated Regional awareness of health management is poor; community residents in the surveyed areas of Yiwu City have different preferences for health management services; community residents in Yiwu have high potential health management needs.