摘要目的:了解超大社区居民健康体检现状及检后异常值管理意愿情况，探讨影响检后异常值健康管理需求的因素。方法:采用横断面研究，将贵阳市花果园社区居民作为本次调查对象，分层系统抽样对居民进行问卷调查；利用二元logistic回归对检后异常值健康管理需求影响因素进行分析。结果:有404例居民参与本次调查，其中男182例（45.05%），女222例（54.95%）；年龄（39.64±15.03）岁；城镇户籍179例（44.31%），农村户籍225例（55.69%）；流动人口162例（40.10%），非流动人口242例（59.90%）；34.2%的居民由于身体原因自主参加体检；年龄（ χ2=16.227）、户籍（ χ2=16.117）和职业（ χ 2=36.454）对居民参与健康体检比较差异均具有统计学意义；户籍（ χ2=18.726， P<0.001）和职业（ χ 2=18.094， P=0.034）对体检结果异常值处理方式比较差异具有统计学意义；年龄（ OR=7.00， P=0.032）和收入（ OR=0.33， P=0.047）是检后异常值健康管理需求的影响因素。 结论:超大社区居民主动体检意识较薄弱，建议加强健康教育与健康促进；居民检后异常值健康管理需求意愿较高，可作为提升体检相关机构服务质量的重要补充。

abstractsObjective:To investigate the current status of health checkups and the management willingness of post-test abnormal values in residents of mega communities, and to explore the factors affecting the demand for health management of abnormal values after examination.Methods:A cross-sectional study. The residents of Huaguoyuan Community in Guiyang City were enrolled as the objects of this surveywith stratified systematic sampling method and questionnaire survey. The binary logistic regression was used to analyze the influencing factors of health management demand for abnormal values after examination.Results:There were 404 residents participating in this survey, and 182 cases were male (45.05%) and 222 cases were female (54.95%); the mean age was (39.64±15.03) years. There were 179 (44.31%) urban residents and 225 (55.69%) rural residents. There were 162 (40.10%) floating population and 242 (59.90%) non-floating population. Of the residents, 34.2% participated in the physical examination independently due to physical reasons. The age ( χ 2=16.227), household registration ( χ 2=16.117) and occupation ( χ 2=36.454) had statistically significant differences in residents′ participation in physical examination; the household registration ( χ 2=18.726, P<0.001) and occupation ( χ 2=18.094, P=0.034) had significant differences in the handling methods of abnormal values of physical examination. The age ( OR=7.00, P=0.032) and income ( OR=0.33, P=0.047) were the influencing factors of health management needs of abnormal values after health checkup. Conclusion:The awareness of active physical examination of residents in mega community is weak, and it is recommended to strengthen health education and health promotion; residents have a high willingness to the management of abnormal values after health checkup, it can be an important supplement to improve the service quality of physical examination related institutions.