), education level (), marital status (), prestige and respect (), being seen as “doctor” in community (), job aids (), training location (), and supervision by community (). To increase and maintain the work performance of CHVs, commitment from the government, policy makers, stakeholders, and the communities is required.">
沙捞越古晋区社区卫生志愿者的角色表现及其影响因素据/title>
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<p>Melvin Hsien Liang Chung, Helmy Hazmi, Whye Lian Cheah据!-- -->那据!-- -->
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<h1 class="sc-iRbamj jZOxOO sc-iSDuPN cTnPQL article_title adjust-article-svg-size heading-title">沙捞越古晋区社区卫生志愿者的角色表现及其影响因素据/h1>
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<div class="sc-jrIrqw eHMFfo article_authors">
<hr class="sc-cEvuZC XkrFe hr__author">
<span class="">Melvin Hsien Liang Chung据!-- -->那据sup>1据/sup></span>
<span class="">Helmy Hazmi据!-- -->那据sup>1据/sup>
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<span class=""><b>Whye Lian Cheah.据/b><a class="sc-htpNat bUhGXt link" href="mailto:" aria-label="Mail Option"><span class="sc-htoDjs kNoiZu sc-hjRWVT irNWJI icon-colored _2zt-1j0LmaF8UjTQAM413G icon-themeable" title="" font-size="16"></span></a><a class="sc-htpNat bUhGXt link" href="http://orcid.org/0000-0001-5963-0881" aria-label="Redirect to Doi" target="_blank"><img alt="" class="sc-EHOje iiusBg sc-iybRtq iQSObO" title="" role="presentation" src="data:image/svg+xml;base64,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" height="16"></a><sup>1据/sup></span>
<div class="sc-fHxwqH dMuGGA isHide">
<p><sup>1据/sup><span>马来西亚沙捞越大学医学和健康科学学院社区医学和公共卫生系，马来西亚沙捞越哥打撒马拉汗94300据/span></p>
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<b>学术编辑：据/b>Linda M. Gerber.据/div>
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<span class="articleContent__PublicationValue-sc-2yl9jy-7 khHUcu">2016年11月15日据/span>
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<span class="articleContent__PublicationField-sc-2yl9jy-6 cIribm">修改据/span>
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<span class="articleContent__PublicationField-sc-2yl9jy-6 cIribm">公认据/span>
<span class="articleContent__PublicationValue-sc-2yl9jy-7 khHUcu">2017年1月19日据/span>
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<span class="articleContent__PublicationField-sc-2yl9jy-6 cIribm">发表据/span>
<span class="articleContent__PublicationValue-sc-2yl9jy-7 khHUcu">2017年2月13日据/span>
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<h4 class="header" id="abstract">抽象的据/h4>
<p>本研究的目的是评估Kuching区Kopen社区健康志愿者的角色表现及其相关因素。这是横断面研究，在古晋的21个地方进行，共210名受访者。使用验证的面试官管理的调查问卷收集数据，并使用SPSS版本22.0进行分析。受访者组成了55.2％的女性，已婚81.9％，41.4％以上，45岁以上，72.4％完成了他们的教育到中学。结果表明，59.0％的受访者同意并理解其角色表现。多重物流分析显示与角色表现相关的因素是年龄组（据svg height="11.7782pt" id="M1" style="vertical-align:-3.42938pt" version="1.1" viewbox="-0.0498162 -8.34882 50.7895 11.7782" width="50.7895pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">
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</svg>)、婚姻状况(据svg height="11.7782pt" id="M3" style="vertical-align:-3.42938pt" version="1.1" viewbox="-0.0498162 -8.34882 50.7895 11.7782" width="50.7895pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">
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</svg>)、威望及尊重(据svg height="11.7782pt" id="M4" style="vertical-align:-3.42938pt" version="1.1" viewbox="-0.0498162 -8.34882 50.7895 11.7782" width="50.7895pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">
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</g>
<g transform="matrix(.013,0,0,-0.013,44.289,0)">
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</svg>），被视为社区中的“医生”（据svg height="11.7782pt" id="M5" style="vertical-align:-3.42938pt" version="1.1" viewbox="-0.0498162 -8.34882 50.7895 11.7782" width="50.7895pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">
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<g transform="matrix(.013,0,0,-0.013,38.049,0)">
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</g>
<g transform="matrix(.013,0,0,-0.013,44.289,0)">
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</g>
</svg>)、就业辅导(据svg height="11.7782pt" id="M6" style="vertical-align:-3.42938pt" version="1.1" viewbox="-0.0498162 -8.34882 50.7895 11.7782" width="50.7895pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">
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</svg>），培训地点（据svg height="11.7782pt" id="M7" style="vertical-align:-3.42938pt" version="1.1" viewbox="-0.0498162 -8.34882 50.7895 11.7782" width="50.7895pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">
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</g>
<g transform="matrix(.013,0,0,-0.013,44.289,0)">
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</g>
</svg>)，以及社区监督(据svg height="11.7782pt" id="M8" style="vertical-align:-3.42938pt" version="1.1" viewbox="-0.0498162 -8.34882 50.7895 11.7782" width="50.7895pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">
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<g transform="matrix(.013,0,0,-0.013,31.809,0)">
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</g>
<g transform="matrix(.013,0,0,-0.013,44.289,0)">
<use xlink:href="#g113-50"></use>
</g>
</svg>）.增加并维持CHV的工作表现，需要政府，政策制定者，利益攸关方和社区的承诺。据/p>
<span class="end-abs"></span>
<h4 id="introduction">1.介绍据/h4>
<p>社区卫生志愿者系统的概念在发展中国家得到普及，以克服对卫生保健服务日益增长的需求和正规卫生保健提供者的短缺[据a href="#B1">1据/a>］.根据《阿拉木图初级保健概念宣言》，制定的所有社区保健战略都必须解决地方一级的社区需求，并由社区成员自己领导，认为卫生问题不能通过远程决策者和卫生规划者来解决，而需要社区的参与来调动当地资源以实现最佳卫生[据a href="#B2">2据/a>］.据/p>
<p>世卫组织已经证明了卫生目标在实现千年发展目标(千年发展目标)中与卫生指标有关的目标方面的重要作用，例如千年发展目标4中降低儿童死亡率、千年发展目标5中改善产妇保健以及千年发展目标6中防治艾滋病毒/艾滋病、疟疾和其他疾病。研究表明，CHVs倾向于积极参与传染病控制规划，如艾滋病毒认识运动、登革热控制、疟疾、腹泻导致的脱水，以及增加免疫覆盖率[据a href="#B3">3.据/a>那据a href="#B4">4.据/a>］.在低收入和中等收入国家，已发现CHVS有效减少新生儿死亡率[据a href="#B5">5.据/a>]患有肺炎和疟疾引起的死亡率的儿童死亡率[据a href="#B6a">6.据/a>那据a href="#B6b">7.据/a>］.同时，在乌干达东部，CHV曾在纵向方案执行得相当好目标单一的疾病，主要用于治疗疟疾[据a href="#B7">8.据/a>那据a href="#B8">9.据/a>]并在试点研究治疗儿童疾病的肺炎[据a href="#B9">10.据/a>那据a href="#B10">11.据/a>］.同样在南非，CHVS积极参与靶向艾滋病毒/艾滋病和结核病（TB）以及母婴健康等传染病的方案。根据辛格的说法，他们在这些方案中的角色明确定义，并根据说明福利和成功的证据确定[据a href="#B11">12.据/a>］.据/p>
<p>在马来西亚，卫生部最近推出了一项名为Kopen（Komuniti Sihat，Perkasa Negara）的卫生计划，这意味着健康的社区是一个国家的力量，2013年。该计划具有通过激进的方法改变公共卫生服务的目标建立由来自全国各地社区的志愿者组成的功能单位，该公司将作为卫生变革的卫生代理商。该计划的主要策略是提高个体和社区对非传染性疾病（NCD）的认识及其风险因素，基本预防措施和风险的检测;将健康知识转变为健康行为和生活方式;并创造健康的生活方式环境。KOPEN由5种主要成分组成，可通过健康筛查饮食健康，积极的生活方式，禁止吸烟，体重管理和NCD检测。志愿者来自自己的村庄，他们没有支付或给予任何激励或津贴。整个概念是自愿的。他们宁愿为15岁及以上，能够充分承诺作为健康志愿者，能够阅读和写作，以及村庄的永久居民，没有个人，政治和宗教利益。他们将接受一段健康培训，并将提供营养工具，如血糖监测套件，称重尺度和用于常规健康筛查的测量胶带。 Since 2013, there are a total of 45 villages proposed in the health programme KOSPEN in Kuching division; however, to date, only 21 villages had launched the programme. Each of the localities consists of ten community health volunteers (CHVs).据/p>
<p>关于CHVS性能的现有文献很少。在全球范围内，标准的政府监测和评估是基于每月报告率，健康知识和家庭覆盖的百分比，这些覆盖范围是在工作本身上关注过多的家庭覆盖范围，导致遗漏了整体绩效的其他重要组成部分[据a href="#B12">13.据/a>］.因此，乳太色和博德劳[据a href="#B13">14.据/a>建议使用“角色”来代替“工作”。根据角色理论，个体的角色期望既受其个人属性的影响，也受其所处环境的影响[据a href="#B14">15.据/a>］.据/p>
<p>像任何社区为基础的计划，该计划的成功取决于影响CHVs自己的角色表现的因素。如社会人口状况，动机（外在和内在动力，利他主义，技能和表演），以及组织输入（选择和招聘流程，培训和监督）因素在确保CHVs在促进整体性能发挥重要作用该组织的[据a href="#B15">16.据/a>-据a href="#B21">22.据/a>］.除此之外，知识是与角色绩效相关的另一个重要因素。一般情况下，具有良好知识的chv往往具有良好的作用表现。例如，在备灾计划中，由于洪水、干旱、地震等自然灾害的发生越来越普遍，它已经成为每个人都必须参与的重要问题。因此，chv已成为在紧急阶段帮助社区防止生命损失的前线人员[据a href="#B22">23.据/a>］.然而，DeSimore回顾了从CHVs灾难事件中的援助，由于其有限的知识和技能[限制据a href="#B23">24.据/a>］.因此，chv应准备并具备批判性思考和相应回应所需的基本知识[据a href="#B24">25.据/a>］.作为结论，在影响CHV的角色表现方面，所获得的知识很重要。未能解决任何这些因素可能导致性能不佳，高辍学率和提交计划报告的差，这最终会扰乱计划的连续性[据a href="#B18">19.据/a>那据a href="#B25">26.据/a>那据a href="#B26">27.据/a>］.据/p>
<p>KOSPEN已实施两年。为了在2016年之前招募5万名健康志愿者，现在是时候了解我们CHVs的角色表现并确定其相关因素了。本研究旨在探讨古晋区社区卫生服务志愿者的角色表现及其相关因素。据/p>
<h4 id="materials-and-methods">2.材料和方法据/h4>
<p>本研究为横断面研究，于2016年1月至6月在古晋区市区进行。古晋是马来西亚沙捞越的首都和人口最多的城市。它位于婆罗洲岛，人口约为325132人。它有40多个民族组成，包括伊班族、华人、马来族、比达尤族、奥朗乌族和黑拉瑙族。在这个地区，有一个区卫生办公室，称为古晋区卫生办公室和城市中很少类型的卫生服务，如主要的公立医院、公共卫生诊所、流动诊所、飞行医生服务、乡村诊所和1Malaysia诊所。主要医院是沙捞越综合医院，这是自1923年以来最古老的医院。另一家医院是拉贾查尔斯布鲁克纪念医院和圣淘沙医院。有四家私立医院。佩特拉查亚的Normah医疗专家中心是沙捞越最大的私人医院，有130个床位。此外，另外三个大型私人保健设施是婆罗洲医疗中心(120张床位)、天伯伦医疗中心(100张床位)和KPJ保健中心(75张床位)。 The Kuching Divisional Health Office are responsible for managing the Community Health Volunteer who are responsible for each catchment area.据/p>
<p>本研究的目标人群为古晋区公共卫生服务计划的社区卫生志愿者。样本框架为21个村庄，每个村庄有10个chv。本研究只招募经各区卫生局培训并在古晋区卫生局登记的人员。没有进行抽样。210家chv全部受邀参加。在收集数据之前，研究人员向村长申请进入并在该村开展研究的许可。该研究的目的是简短的，并向所有受访者解释。数据通过面对面访谈收集，采用Chatio [据a href="#B26">27.据/a>]及Adisa [据a href="#B27">28.据/a>］.调查问卷由五个部分组成：社会血统概况（7个问题）;动机（5个问题）;组织输入（9个问题）;知识（10个问题）;和角色表现（7个问题）。对于知识组成部分，问题的总和正确回答了CHVS对该计划知识的分数。同样，每个关于角色表现问题的分数的总和将决定其性能的水平。分析所有数据，以相应地查看每个因素的频率和相对频率，并查看其与角色性能的相关性。在另一个区30的样本中进行了预先测试。 The feedback received indicated the questions were easily understood with no ambiguities. A minor modification was done to improve the phrasing of some questions.据/p>
<p>使用社会科学统计软件包(SPSS) 22.0版本进行数据分析。在分析之前，所有数据都被清理并检查是否正常。描述性统计和推理统计用据svg height="11.7782pt" id="M9" style="vertical-align:-3.42938pt" version="1.1" viewbox="-0.0498162 -8.34882 44.5261 11.7782" width="44.5261pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">
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</svg>的意义。因此，从结果来看，考虑到角色表现得分被扭曲，因此，它被分为高绩效和低绩效两个水平，使用其中位数作为分界点。义工其作用表现得分高于中位数将被归类为高性能，反之亦然。据/p>
<p>从马来西亚萨拉瓦克大学医学和伦理研究委员会获得道德批准。所有受访者都是简短的，并获得了同意。从本研究中获得的任何信息都将保持保密，不会披露。据/p>
<h4 id="results">3.结果据/h4>
<p>共有210名受访者参与本研究，平均年龄42.6岁(SD 12.85)。以35岁及以上(72.4%)、已婚(81.9%)、中等及以上文化程度88.1%、从事健康志愿者工作3个月以上(95.2%)为主。社会人口统计资料的详细资料见下表据a href="//www.newsama.com/journals/jeph/2017/9610928/tab1/" target="_blank">1据/a>。据/p>
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<td class="align_left">社会渗目变量据/td>
<td class="align_center">
<svg height="6.1673pt" id="M11" style="vertical-align:-0.2063904pt" version="1.1" viewbox="-0.0498162 -5.96091 6.6501 6.1673" width="6.6501pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">
<g transform="matrix(.013,0,0,-0.013,0,0)">
<path d="M495 86L479 114C446 82 419 66 409 66C401 66 401 72 406 97C420 166 436 231 453 297C489 435 454 448 428 448C406 448 384 439 354 422C305 394 222 327 161 247H159L183 345C200 415 194 448 173 448C143 448 82 410 23 351L38 325C64 349 95 371 105 371C111 371 116 365 109 336L25 -4L31 -12C50 -4 77 3 107 9C119 69 132 122 145 168C197 254 321 381 370 381C387 381 393 374 378 305L329 95C309 17 320 -12 345 -12C372 -12 430 19 495 86Z" id="g113-111"></path>
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<td class="align_left">年龄组（年）据br></td>
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<td class="align_left"> 24 and lower据/td>
<td class="align_center">14（6.7）据/td>
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<td class="align_left"> 25–34据/td>
<td class="align_center">44 (21.0)据/td>
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<td class="align_left"> 35–44据/td>
<td class="align_center">65（31.0）据/td>
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<td class="align_left"> 45 and above据/td>
<td class="align_center">87 (41.4)据/td>
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<td class="align_left">平均值= 42.61，min = 15，max = 71，和sd = 12.85据/td>
<td class="align_center"></td>
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<td class="align_center" colspan="2">
<hr></td>
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<td class="align_left">性别据/td>
<td class="align_center"></td>
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<td class="align_left">男性据/td>
<td class="align_center">94（44.8）据/td>
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<td class="align_left"> Female据/td>
<td class="align_center">116（55.2）据/td>
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<td class="align_left">教育水平（完成为）据/td>
<td class="align_center"></td>
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<td class="align_left"> Primary据/td>
<td class="align_center">25（11.9）据/td>
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<td class="align_left">二次据/td>
<td class="align_center">152（72.4）据/td>
</tr>
<tr>
<td class="align_left"> Tertiary据/td>
<td class="align_center">33（15.7）据/td>
</tr>
<tr>
<td class="align_left">婚姻状况据/td>
<td class="align_center"></td>
</tr>
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<td class="align_left">单据/td>
<td class="align_center">38 (18.1)据/td>
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<td class="align_left"> Married据/td>
<td class="align_center">172（81.9）据/td>
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<td class="align_left">工作职位据/td>
<td class="align_center"></td>
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<td class="align_left">全职带薪健康志愿者据/td>
<td class="align_center">47（22.4）据/td>
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<td class="align_left"> Business据/td>
<td class="align_center">15 (7.1)据/td>
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<td class="align_left"> Housewife据/td>
<td class="align_center">66（31.4）据/td>
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<td class="align_left">公务员据/td>
<td class="align_center">47（22.4）据/td>
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<td class="align_left">全职农民据/td>
<td class="align_center">35 (16.7)据/td>
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<td class="align_left">持续时间作为健康志愿者据/td>
<td class="align_center"></td>
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<td class="align_left">少于3个月据/td>
<td class="align_center">10 (4.8)据/td>
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<tr>
<td class="align_left"> 3–6 months据/td>
<td class="align_center">154 (73.3)据/td>
</tr>
<tr>
<td class="align_left"> More than 6 months据/td>
<td class="align_center">46（21.9）据/td>
</tr>
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<td class="align_left">平均值= 5.83，min = 1，最大= 14据/td>
<td class="align_center"></td>
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<span class="caption-text">表格1据/span>
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义工的社会人口特征(据svg height="8.55521pt" id="M10" style="vertical-align:-0.2063904pt" version="1.1" viewbox="-0.0498162 -8.34882 40.3636 8.55521" width="40.3636pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">
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<g transform="matrix(.013,0,0,-0.013,21.421,0)">
<path d="M412 140C382 77 369 73 315 73H129L270 222C362 320 402 379 402 466C402 571 322 635 234 635C177 635 130 609 99 576L42 495L64 475C90 514 133 568 201 568C274 568 318 519 318 435C318 349 255 267 193 193C144 135 87 78 32 23V0H405C417 45 427 89 440 131L412 140Z" id="g113-51"></path>
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<g transform="matrix(.013,0,0,-0.013,33.901,0)">
<path d="M241 635C89 635 35 457 35 312C35 153 89 -12 240 -12C390 -12 443 166 443 312C443 466 390 635 241 635ZM238 602C329 602 354 454 354 312C354 172 330 22 240 22C152 22 124 173 124 313S148 602 238 602Z" id="g113-49"></path>
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<p>桌子据a href="//www.newsama.com/journals/jeph/2017/9610928/tab2/" target="_blank">2据/a>显示有关接听“是”作为答案的受访者之间的动机和磨损因素，知识和组织输入的简介。在激励因素中，具有最高评级的前三个因素是据i>改善他人的健康据/i>（97.1％），据i>帮助会员/生病的人据/i>（96.7％），和据i>获得知识和练习技能了解据/i>（90％）。在磨损因素下，据i>没有时间据/i>（72.4％），据i>交通问题据/i>（65.2％），和据i>艾滋病工作据/i>（54.3％）为额定前三名。对于因素如知识，大部分受访者正确回答（79-99％），对于除问题据i>经常进行体育锻炼使你中风，糖尿病和高血压病据/i>（58.6％）。村长选择了大约40％的受访者。超过70％的受访者报告说，他们有足够的培训，通常是持续时间1-2天。然而，53.3％的人发现培训是可以接受的。超过60％的人受到社区成员或村长监督，并由其主管访问一次（70.5％）。其中大约83-85％的感觉监督有助于他们更具动力和致力于该计划。据/p>
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<td class="align_left">变量据/td>
<td class="align_center">
<svg height="6.1673pt" id="M13" style="vertical-align:-0.2063904pt" version="1.1" viewbox="-0.0498162 -5.96091 6.6501 6.1673" width="6.6501pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">
<g transform="matrix(.013,0,0,-0.013,0,0)">
<path d="M495 86L479 114C446 82 419 66 409 66C401 66 401 72 406 97C420 166 436 231 453 297C489 435 454 448 428 448C406 448 384 439 354 422C305 394 222 327 161 247H159L183 345C200 415 194 448 173 448C143 448 82 410 23 351L38 325C64 349 95 371 105 371C111 371 116 365 109 336L25 -4L31 -12C50 -4 77 3 107 9C119 69 132 122 145 168C197 254 321 381 370 381C387 381 393 374 378 305L329 95C309 17 320 -12 345 -12C372 -12 430 19 495 86Z" id="g113-111"></path>
<glyph.data ascent="3473" descent="-2876" horiz-adv-x="502" vert-adv-y="502"></glyph.data>
</g>
</svg>（％）据/td>
</tr>
<tr>
<td class="thead-hr" colspan="2">
<hr></td>
</tr>
<tr>
<td class="align_left"><i>激励因素（是）据/i></td>
<td class="align_center"></td>
</tr>
<tr>
<td class="align_left">为了改善他人的健康据/td>
<td class="align_center">204（97.1）据/td>
</tr>
<tr>
<td class="align_left">帮助会员/生病的人据/td>
<td class="align_center">203（96.7）据/td>
</tr>
<tr>
<td class="align_left">获得知识和练习技能了解到据/td>
<td class="align_center">189 (90.0)据/td>
</tr>
<tr>
<td class="align_left">为这个项目感到自豪据/td>
<td class="align_center">184 (87.6)据/td>
</tr>
<tr>
<td class="align_left">让自己的社区变得更好据/td>
<td class="align_center">184 (87.6)据/td>
</tr>
<tr>
<td class="align_left">激励措施据/td>
<td class="align_center">149（71.0）据/td>
</tr>
<tr>
<td class="align_left">支付工资据/td>
<td class="align_center">80（38.1）据/td>
</tr>
<tr>
<td class="align_left">威信和尊重据/td>
<td class="align_center">79（37.6）据/td>
</tr>
<tr>
<td class="align_left">从政府工作机会据/td>
<td class="align_center">43（20.5）据/td>
</tr>
<tr>
<td class="align_left">被视为社区“医生”据/td>
<td class="align_center">17（8.1）据/td>
</tr>
<tr>
<td class="align_left"><i>磨损/退出（是）据/i></td>
<td class="align_center"></td>
</tr>
<tr>
<td class="align_left">没时间据/td>
<td class="align_center">152（72.4）据/td>
</tr>
<tr>
<td class="align_left">交通问题据/td>
<td class="align_center">137（65.2）据/td>
</tr>
<tr>
<td class="align_left">工作辅助用品(靴子、雨衣和医疗设备)据/td>
<td class="align_center">114 (54.3)据/td>
</tr>
<tr>
<td class="align_left">没有社区成员的支持据/td>
<td class="align_center">83 (39.5)据/td>
</tr>
<tr>
<td class="align_left">不尊重的社区成员据/td>
<td class="align_center">59 (28.1)据/td>
</tr>
<tr>
<td class="align_left"><i>知识(正确答案)据/i></td>
<td class="align_center"></td>
</tr>
<tr>
<td class="align_left">吸烟有害健康据/td>
<td class="align_center">208 (99.0)据/td>
</tr>
<tr>
<td class="align_left">如果有人吸烟，你附近，你会不会受到伤害据/td>
<td class="align_center">169 (80.5)据/td>
</tr>
<tr>
<td class="align_left">锻炼会帮助你失去体重据/td>
<td class="align_center">209（99.5）据/td>
</tr>
<tr>
<td class="align_left">有规律的体育锻炼会导致中风，糖尿病，高血压据/td>
<td class="align_center">123（58.6）据/td>
</tr>
<tr>
<td class="align_left">健康的饮食无法控制你的体重据/td>
<td class="align_center">166 (79.0)据/td>
</tr>
<tr>
<td class="align_left">健康饮食会导致癌症，DM，肥胖症据/td>
<td class="align_center">196 (93.3)据/td>
</tr>
<tr>
<td class="align_left">肥胖可以使用BMI确定据/td>
<td class="align_center">195 (92.9)据/td>
</tr>
<tr>
<td class="align_left">超重或肥胖不会损害我们的健康据/td>
<td class="align_center">193（91.9）据/td>
</tr>
<tr>
<td class="align_left">运动30分钟，戒烟可以减少高血压据/td>
<td class="align_center">198（94.3）据/td>
</tr>
<tr>
<td class="align_left">糖尿病可能导致失明据/td>
<td class="align_center">156 (74.3)据/td>
</tr>
<tr>
<td class="align_left"><i>组织投入据/i></td>
<td class="align_center"></td>
</tr>
<tr>
<td class="align_left">选择据/td>
<td class="align_center"></td>
</tr>
<tr>
<td class="align_left">民族领导者据/td>
<td class="align_center">56（26.7）据/td>
</tr>
<tr>
<td class="align_left">村长据/td>
<td class="align_center">89（42.4）据/td>
</tr>
<tr>
<td class="align_left">社区据/td>
<td class="align_center">50 (23.8)据/td>
</tr>
<tr>
<td class="align_left">相对与家庭据/td>
<td class="align_center">8 (3.8)据/td>
</tr>
<tr>
<td class="align_left">医务人员据/td>
<td class="align_center">7（3.3）据/td>
</tr>
<tr>
<td class="align_left">培训时间据/td>
<td class="align_center"></td>
</tr>
<tr>
<td class="align_left">少于1天据/td>
<td class="align_center">21（10.0）据/td>
</tr>
<tr>
<td class="align_left">1-2天据/td>
<td class="align_center">166 (79.0)据/td>
</tr>
<tr>
<td class="align_left">超过2天据/td>
<td class="align_center">23（11.0）据/td>
</tr>
<tr>
<td class="align_left">培训充足据/td>
<td class="align_center"></td>
</tr>
<tr>
<td class="align_left">是的据/td>
<td class="align_center">148 (70.5)据/td>
</tr>
<tr>
<td class="align_left">培训地点据/td>
<td class="align_center"></td>
</tr>
<tr>
<td class="align_left">社区环境据/td>
<td class="align_center">46（21.9）据/td>
</tr>
<tr>
<td class="align_left">政府设置据/td>
<td class="align_center">164（78.1）据/td>
</tr>
<tr>
<td class="align_left">监督频率据/td>
<td class="align_center"></td>
</tr>
<tr>
<td class="align_left">每周一次据/td>
<td class="align_center">20（9.5）据/td>
</tr>
<tr>
<td class="align_left">每2周一次据/td>
<td class="align_center">42 (20.0)据/td>
</tr>
<tr>
<td class="align_left">每月一次据/td>
<td class="align_center">148 (70.5)据/td>
</tr>
<tr>
<td class="align_left">监督据/td>
<td class="align_center"></td>
</tr>
<tr>
<td class="align_left">社区据/td>
<td class="align_center">141 (67.1)据/td>
</tr>
<tr>
<td class="align_left">医疗的据/td>
<td class="align_center">69（32.9）据/td>
</tr>
<tr>
<td class="align_left">培训的有效性据/td>
<td class="align_center"></td>
</tr>
<tr>
<td class="align_left">有效的据/td>
<td class="align_center">52（24.8）据/td>
</tr>
<tr>
<td class="align_left">可接受的据/td>
<td class="align_center">112（53.3）据/td>
</tr>
<tr>
<td class="align_left">无效据/td>
<td class="align_center">46（21.9）据/td>
</tr>
<tr>
<td class="align_left">监督激励我努力工作据/td>
<td class="align_center"></td>
</tr>
<tr>
<td class="align_left">是的据/td>
<td class="align_center">176 (83.8)据/td>
</tr>
<tr>
<td class="align_left">监督让我更致力于程序据/td>
<td class="align_center"></td>
</tr>
<tr>
<td class="align_left">是的据/td>
<td class="align_center">180（85.7）据/td>
</tr>
<tr class="table-tr">
<td colspan="2">
<hr class="tbody-hr"></td>
</tr>
</tbody>
</table></td>
</tr>
</tbody>
</table>
</div>
<div class="floats-partial-footer">
<div class="floats-partial-caption">
<span class="caption-text">表2.据/span>
<a aria-label="full view" class="caption-partial-url" href="//www.newsama.com/journals/jeph/2017/9610928/tab2/" title="" target="_blank"></a>
</div>
<div class="floats-partial-caption-text">
社区卫生志愿者的动机与耗损因素、知识与组织投入(据svg height="8.55521pt" id="M12" style="vertical-align:-0.2063904pt" version="1.1" viewbox="-0.0498162 -8.34882 40.3636 8.55521" width="40.3636pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">
<g transform="matrix(.013,0,0,-0.013,0,0)">
<path d="M495 86L479 114C446 82 419 66 409 66C401 66 401 72 406 97C420 166 436 231 453 297C489 435 454 448 428 448C406 448 384 439 354 422C305 394 222 327 161 247H159L183 345C200 415 194 448 173 448C143 448 82 410 23 351L38 325C64 349 95 371 105 371C111 371 116 365 109 336L25 -4L31 -12C50 -4 77 3 107 9C119 69 132 122 145 168C197 254 321 381 370 381C387 381 393 374 378 305L329 95C309 17 320 -12 345 -12C372 -12 430 19 495 86Z" id="g113-111"></path>
<glyph.data ascent="3473" descent="-2876" horiz-adv-x="502" vert-adv-y="502"></glyph.data>
</g>
<g transform="matrix(.013,0,0,-0.013,10.158,0)">
<path d="M535 323V373H52V323H535ZM535 138V188H52V138H535Z" id="g117-34"></path>
<glyph.data ascent="3473" descent="-2876" horiz-adv-x="587" vert-adv-y="587"></glyph.data>
</g>
<g transform="matrix(.013,0,0,-0.013,21.421,0)">
<path d="M412 140C382 77 369 73 315 73H129L270 222C362 320 402 379 402 466C402 571 322 635 234 635C177 635 130 609 99 576L42 495L64 475C90 514 133 568 201 568C274 568 318 519 318 435C318 349 255 267 193 193C144 135 87 78 32 23V0H405C417 45 427 89 440 131L412 140Z" id="g113-51"></path>
<glyph.data ascent="3473" descent="-2876" horiz-adv-x="480" vert-adv-y="480"></glyph.data>
</g>
<g transform="matrix(.013,0,0,-0.013,27.661,0)">
<path d="M384 0V27C293 34 287 42 287 114V635C232 613 172 594 109 583V559L157 557C201 555 205 550 205 499V114C205 42 199 34 109 27V0H384Z" id="g113-50"></path>
<glyph.data ascent="3473" descent="-2876" horiz-adv-x="480" vert-adv-y="480"></glyph.data>
</g>
<g transform="matrix(.013,0,0,-0.013,33.901,0)">
<path d="M241 635C89 635 35 457 35 312C35 153 89 -12 240 -12C390 -12 443 166 443 312C443 466 390 635 241 635ZM238 602C329 602 354 454 354 312C354 172 330 22 240 22C152 22 124 173 124 313S148 602 238 602Z" id="g113-49"></path>
<glyph.data ascent="3473" descent="-2876" horiz-adv-x="480" vert-adv-y="480"></glyph.data>
</g>
</svg>）.据/div>
</div>
</div>
<p>受访者多数是正面的关于与下作用绩效考核评级每个项目的89％以上，除了行政工作（53.3％），其作用表现。对于角色表现的总成绩获得了使用其位数作为分界点分为2级的性能高低。义工其作用表现得分高于中位数将被归类为高性能，反之亦然。他们（59％）的多数同意并理解在节目中的作用和责任（见表据a href="//www.newsama.com/journals/jeph/2017/9610928/tab3/" target="_blank">3.据/a>）.据/p>
<div class="floats-partial-section partial-other-wrapper" data-section="tab3">
<div class="floats-partial-content fig-content-tab3">
<table class="table-group" id="tab3">
<tbody>
<tr>
<td>
<table class="table">
<tbody>
<tr>
<td class="thead-hr" colspan="2">
<hr></td>
</tr>
<tr class="thead">
<td class="align_left">CHV的表现据/td>
<td class="align_center">
<svg height="6.1673pt" id="M15" style="vertical-align:-0.2063904pt" version="1.1" viewbox="-0.0498162 -5.96091 6.6501 6.1673" width="6.6501pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">
<g transform="matrix(.013,0,0,-0.013,0,0)">
<path d="M495 86L479 114C446 82 419 66 409 66C401 66 401 72 406 97C420 166 436 231 453 297C489 435 454 448 428 448C406 448 384 439 354 422C305 394 222 327 161 247H159L183 345C200 415 194 448 173 448C143 448 82 410 23 351L38 325C64 349 95 371 105 371C111 371 116 365 109 336L25 -4L31 -12C50 -4 77 3 107 9C119 69 132 122 145 168C197 254 321 381 370 381C387 381 393 374 378 305L329 95C309 17 320 -12 345 -12C372 -12 430 19 495 86Z" id="g113-111"></path>
<glyph.data ascent="3473" descent="-2876" horiz-adv-x="502" vert-adv-y="502"></glyph.data>
</g>
</svg>（％）据/td>
</tr>
<tr>
<td class="thead-hr" colspan="2">
<hr></td>
</tr>
<tr>
<td class="align_left">高于中位数据/td>
<td class="align_center">124（59）据/td>
</tr>
<tr>
<td class="align_left">低于中位数据/td>
<td class="align_center">86（41）据/td>
</tr>
<tr>
<td class="align_left">中值= 29，最小= 9，最大= 35，Q1 = 27，和Q3 = 32据/td>
<td class="align_center"></td>
</tr>
<tr class="table-tr">
<td colspan="2">
<hr class="tbody-hr"></td>
</tr>
</tbody>
</table></td>
</tr>
</tbody>
</table>
</div>
<div class="floats-partial-footer">
<div class="floats-partial-caption">
<span class="caption-text">表3据/span>
<a aria-label="full view" class="caption-partial-url" href="//www.newsama.com/journals/jeph/2017/9610928/tab3/" title="" target="_blank"></a>
</div>
<div class="floats-partial-caption-text">
角色表现归类志愿者的数量和百分比据svg height="11.5564pt" id="M14" style="vertical-align:-2.26807pt" version="1.1" viewbox="-0.0498162 -9.28833 49.3933 11.5564" width="49.3933pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">
<g transform="matrix(.013,0,0,-0.013,0,0)">
<path d="M300 -147C201 -63 143 98 143 270S200 602 300 686L282 710C136 610 70 450 70 271V270C70 89 136 -72 282 -170L300 -147Z" id="g113-41"></path>
<glyph.data ascent="3473" descent="-2876" horiz-adv-x="346" vert-adv-y="346"></glyph.data>
</g>
<g transform="matrix(.013,0,0,-0.013,4.498,0)">
<path d="M495 86L479 114C446 82 419 66 409 66C401 66 401 72 406 97C420 166 436 231 453 297C489 435 454 448 428 448C406 448 384 439 354 422C305 394 222 327 161 247H159L183 345C200 415 194 448 173 448C143 448 82 410 23 351L38 325C64 349 95 371 105 371C111 371 116 365 109 336L25 -4L31 -12C50 -4 77 3 107 9C119 69 132 122 145 168C197 254 321 381 370 381C387 381 393 374 378 305L329 95C309 17 320 -12 345 -12C372 -12 430 19 495 86Z" id="g113-111"></path>
<glyph.data ascent="3473" descent="-2876" horiz-adv-x="502" vert-adv-y="502"></glyph.data>
</g>
<g transform="matrix(.013,0,0,-0.013,14.656,0)">
<path d="M535 323V373H52V323H535ZM535 138V188H52V138H535Z" id="g117-34"></path>
<glyph.data ascent="3473" descent="-2876" horiz-adv-x="587" vert-adv-y="587"></glyph.data>
</g>
<g transform="matrix(.013,0,0,-0.013,25.919,0)">
<path d="M412 140C382 77 369 73 315 73H129L270 222C362 320 402 379 402 466C402 571 322 635 234 635C177 635 130 609 99 576L42 495L64 475C90 514 133 568 201 568C274 568 318 519 318 435C318 349 255 267 193 193C144 135 87 78 32 23V0H405C417 45 427 89 440 131L412 140Z" id="g113-51"></path>
<glyph.data ascent="3473" descent="-2876" horiz-adv-x="480" vert-adv-y="480"></glyph.data>
</g>
<g transform="matrix(.013,0,0,-0.013,32.159,0)">
<path d="M384 0V27C293 34 287 42 287 114V635C232 613 172 594 109 583V559L157 557C201 555 205 550 205 499V114C205 42 199 34 109 27V0H384Z" id="g113-50"></path>
<glyph.data ascent="3473" descent="-2876" horiz-adv-x="480" vert-adv-y="480"></glyph.data>
</g>
<g transform="matrix(.013,0,0,-0.013,38.399,0)">
<path d="M241 635C89 635 35 457 35 312C35 153 89 -12 240 -12C390 -12 443 166 443 312C443 466 390 635 241 635ZM238 602C329 602 354 454 354 312C354 172 330 22 240 22C152 22 124 173 124 313S148 602 238 602Z" id="g113-49"></path>
<glyph.data ascent="3473" descent="-2876" horiz-adv-x="480" vert-adv-y="480"></glyph.data>
</g>
<g transform="matrix(.013,0,0,-0.013,44.639,0)">
<path d="M275 270C275 450 212 609 64 710L45 686C145 604 203 442 203 270S147 -63 45 -147L64 -170C213 -68 275 89 275 270Z" id="g113-42"></path>
<glyph.data ascent="3473" descent="-2876" horiz-adv-x="346" vert-adv-y="346"></glyph.data>
</g>
</svg>。据/div>
</div>
</div>
<p>使用角色性能（高低）作为因变量和单变量分析筛选的选择独立变量进行多变量物流分析。调查结果表明，只有年龄组（据svg height="11.7782pt" id="M16" style="vertical-align:-3.42938pt" version="1.1" viewbox="-0.0498162 -8.34882 50.7895 11.7782" width="50.7895pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">
<g transform="matrix(.013,0,0,-0.013,0,0)">
<use xlink:href="#g113-113"></use>
</g>
<g transform="matrix(.013,0,0,-0.013,11.342,0)">
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</g>
<g transform="matrix(.013,0,0,-0.013,22.605,0)">
<use xlink:href="#g113-49"></use>
</g>
<g transform="matrix(.013,0,0,-0.013,28.845,0)">
<use xlink:href="#g113-47"></use>
</g>
<g transform="matrix(.013,0,0,-0.013,31.809,0)">
<use xlink:href="#g113-49"></use>
</g>
<g transform="matrix(.013,0,0,-0.013,38.049,0)">
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</g>
<g transform="matrix(.013,0,0,-0.013,44.289,0)">
<use xlink:href="#g113-52"></use>
</g>
</svg>）， 教育程度 （据svg height="11.7782pt" id="M17" style="vertical-align:-3.42938pt" version="1.1" viewbox="-0.0498162 -8.34882 50.7895 11.7782" width="50.7895pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">
<g transform="matrix(.013,0,0,-0.013,0,0)">
<use xlink:href="#g113-113"></use>
</g>
<g transform="matrix(.013,0,0,-0.013,11.342,0)">
<use xlink:href="#g117-91"></use>
</g>
<g transform="matrix(.013,0,0,-0.013,22.605,0)">
<use xlink:href="#g113-49"></use>
</g>
<g transform="matrix(.013,0,0,-0.013,28.845,0)">
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</g>
<g transform="matrix(.013,0,0,-0.013,31.809,0)">
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</g>
<g transform="matrix(.013,0,0,-0.013,38.049,0)">
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</g>
<g transform="matrix(.013,0,0,-0.013,44.289,0)">
<use xlink:href="#g113-50"></use>
</g>
</svg>）和婚姻状况（据svg height="11.7782pt" id="M18" style="vertical-align:-3.42938pt" version="1.1" viewbox="-0.0498162 -8.34882 50.7895 11.7782" width="50.7895pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">
<g transform="matrix(.013,0,0,-0.013,0,0)">
<use xlink:href="#g113-113"></use>
</g>
<g transform="matrix(.013,0,0,-0.013,11.342,0)">
<use xlink:href="#g117-34"></use>
</g>
<g transform="matrix(.013,0,0,-0.013,22.605,0)">
<use xlink:href="#g113-49"></use>
</g>
<g transform="matrix(.013,0,0,-0.013,28.845,0)">
<use xlink:href="#g113-47"></use>
</g>
<g transform="matrix(.013,0,0,-0.013,31.809,0)">
<use xlink:href="#g113-49"></use>
</g>
<g transform="matrix(.013,0,0,-0.013,38.049,0)">
<use xlink:href="#g113-51"></use>
</g>
<g transform="matrix(.013,0,0,-0.013,44.289,0)">
<use xlink:href="#g113-54"></use>
</g>
</svg>）是与角色表现相关的主要因素（表据a href="//www.newsama.com/journals/jeph/2017/9610928/tab4/" target="_blank">4.据/a>）.结果显示，35-44岁年龄组的受访者表现比45岁及以上年龄组高出4.93倍(95% CI = 1.784, 13.660)。另一方面，24岁以下组的表现是45岁及以上组的27.3倍(95% CI = 2.781, 267.945)。大多数接受高等教育的受访者的表现比接受初等教育的受访者高出4.292倍(95% CI = 1.038, 17.751)。在婚姻状况方面，研究结果还强调，已婚人士的表现是单身人士的4.656倍(95% CI = 1.006, 17.588)。据/p>
<div class="floats-partial-section partial-other-wrapper" data-section="tab4">
<div class="floats-partial-content fig-content-tab4">
<table class="table-group" id="tab4">
<tbody>
<tr>
<td>
<table class="table">
<tbody>
<tr>
<td class="thead-hr" colspan="7">
<hr></td>
</tr>
<tr class="thead">
<td class="align_left" rowspan="2">变量据/td>
<td class="align_center" colspan="2">性能据/td>
<td class="align_center" rowspan="2">原油据br>或者据/td>
<td class="align_center" rowspan="2">调整据br>或者据/td>
<td class="align_center" rowspan="2">95％CI.据/td>
<td class="align_center" rowspan="2"><span style="width: 45.9251ptpx;">
<svg height="13.7343pt" id="M20" style="vertical-align:-3.4295pt" version="1.1" viewbox="-0.0498162 -10.3048 45.9251 13.7343" width="45.9251pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">
<g transform="matrix(.013,0,0,-0.013,0,0)">
<path d="M570 304C570 398 525 448 414 448C385 448 343 445 312 434L329 511L321 518C297 504 262 482 244 460L233 411C195 397 159 381 128 358L135 332C160 347 189 360 224 373L111 -147C97 -210 84 -218 17 -231L13 -257L254 -247L259 -218L233 -216C183 -212 177 -202 189 -142L218 -1C238 -10 266 -12 283 -12C351 3 429 48 483 105C543 168 570 242 570 304ZM482 289C482 161 380 33 304 33C278 33 248 51 233 69L303 396C326 400 352 403 369 403C428 403 482 380 482 289Z" id="g113-113"></path>
<glyph.data ascent="3473" descent="-2876" horiz-adv-x="593" vert-adv-y="593"></glyph.data>
</g>
<g transform="matrix(.013,0,0,-0.013,12.068,0)">
<path d="M478 437H300V411C357 404 363 393 347 345C325 280 293 190 258 107C229 178 188 284 163 354C147 397 149 405 203 411V437H-2V411C52 403 59 396 82 339C130 222 176 109 220 -11H248C304 138 356 261 390 336C417 395 425 404 478 411V437Z" id="g121-116"></path>
<glyph.data ascent="989" descent="-360" horiz-adv-x="463" vert-adv-y="463"></glyph.data>
</g>
<g transform="matrix(.013,0,0,-0.013,18.283,0)">
<path d="M433 39L423 65C413 59 399 54 387 54C370 54 352 69 352 114V299C352 352 342 392 307 422C285 440 255 449 225 449C168 437 102 399 75 379C56 365 44 353 44 339C44 315 69 296 87 296C101 296 111 303 116 319C124 349 133 371 145 385C156 397 171 404 190 404C241 404 275 364 275 291V274C253 256 180 229 120 209C65 190 39 159 39 110C39 47 88 -12 159 -12C189 -12 237 25 277 52C282 35 288 21 301 8C312 -3 333 -12 348 -12L433 39ZM275 84C256 65 221 48 195 48C164 48 124 73 124 124C124 161 146 180 185 198C206 208 254 229 275 240V84Z" id="g121-95"></path>
<glyph.data ascent="989" descent="-360" horiz-adv-x="439" vert-adv-y="439"></glyph.data>
</g>
<g transform="matrix(.013,0,0,-0.013,24.055,0)">
<path d="M238 0V26C174 32 166 38 166 104V712C132 700 70 683 18 677V653C81 647 87 645 87 577V104C87 38 78 32 15 26V0H238Z" id="g121-106"></path>
<glyph.data ascent="989" descent="-360" horiz-adv-x="253" vert-adv-y="253"></glyph.data>
</g>
<g transform="matrix(.013,0,0,-0.013,27.188,0)">
<path d="M518 50L491 51C452 54 444 60 444 110V444C429 441 405 437 377 434C348 430 314 427 287 426V403L323 397C356 392 365 386 365 333V99C331 66 293 51 257 51C212 51 169 75 169 164V299C169 366 169 413 172 444C156 441 128 437 101 433C75 430 50 427 29 426V403L57 397C82 391 90 386 90 333V137C90 29 147 -12 214 -12C241 -12 262 -4 291 13S342 48 365 65V-6L371 -12C390 -7 415 1 441 8C468 15 496 21 518 24V50Z" id="g121-115"></path>
<glyph.data ascent="989" descent="-360" horiz-adv-x="531" vert-adv-y="531"></glyph.data>
</g>
<g transform="matrix(.013,0,0,-0.013,34.091,0)">
<path d="M380 106C343 72 306 56 265 56C195 56 116 112 115 248C235 252 361 262 377 265C396 269 400 277 400 297C400 374 333 449 250 449H249C198 449 144 421 103 376S37 269 37 201C37 88 109 -12 232 -12C263 -12 332 6 395 84L380 106ZM225 412C281 412 315 364 314 312C314 297 308 292 290 292C232 290 176 289 120 289C135 370 180 412 225 412Z" id="g121-99"></path>
<glyph.data ascent="989" descent="-360" horiz-adv-x="425" vert-adv-y="425"></glyph.data>
</g>
<g transform="matrix(.0091,0,0,-0.0091,39.719,-5.944)">
<path d="M486 158C486 177 478 202 466 220C413 228 386 236 336 262C386 288 413 297 466 304C478 323 486 347 485 366C470 376 444 381 422 380C389 338 368 319 321 288C323 345 329 372 349 422C339 442 322 461 305 470C289 461 271 442 262 422C281 372 287 345 290 288C243 319 222 338 189 380C167 381 142 376 125 366C125 347 133 322 145 304C198 296 225 288 275 262C225 236 198 227 145 220C133 201 125 177 126 158C141 148 167 143 189 144C222 186 243 205 290 236C288 179 282 152 262 102C272 82 289 63 306 54C322 63 340 82 350 102C330 152 324 179 321 236C368 205 390 186 422 144C444 143 470 148 486 158Z" id="g50-43"></path>
<glyph.data ascent="3443" descent="-2856" horiz-adv-x="611" vert-adv-y="611"></glyph.data>
</g>
</svg></span></td>
</tr>
<tr class="thead">
<td class="align_center">
<svg height="13.474pt" id="M21" style="vertical-align:-3.3838pt" version="1.1" viewbox="-0.0498162 -10.0902 31.1488 13.474" width="31.1488pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">
<g transform="matrix(.013,0,0,-0.013,0,0)">
<path d="M729 650H468V622C546 615 554 610 554 527V365H213V527C213 610 221 616 297 622V650H38V622C120 616 128 611 128 527V123C128 39 120 34 40 28V0H303V28C221 34 213 40 213 123V322H554V123C554 39 546 34 460 28V0H728V28C647 34 639 39 639 123V527C639 610 647 615 729 622V650Z" id="g121-70"></path>
<glyph.data ascent="989" descent="-360" horiz-adv-x="766" vert-adv-y="766"></glyph.data>
</g>
<g transform="matrix(.013,0,0,-0.013,9.749,0)">
<path d="M135 536C164 536 186 560 186 587C186 617 164 639 136 639C109 639 85 617 85 587C85 560 109 536 135 536ZM252 0V26C188 32 181 38 181 106V451C138 433 90 420 39 412V388C99 379 102 374 102 312V106C102 38 95 32 32 26V0H252Z" id="g121-103"></path>
<glyph.data ascent="989" descent="-360" horiz-adv-x="268" vert-adv-y="268"></glyph.data>
</g>
<g transform="matrix(.013,0,0,-0.013,13.233,0)">
<path d="M463 437C426 431 375 425 327 422C297 440 264 449 231 449H230C153 449 51 396 51 283C51 215 94 168 139 149C123 129 91 103 51 88C50 78 53 60 62 46C75 25 100 2 136 -9C112 -28 73 -59 53 -79C38 -94 29 -113 29 -135C30 -192 91 -257 203 -257C336 -257 452 -160 452 -59C452 39 371 59 309 59C275 59 240 58 203 58C158 58 140 77 140 96C140 110 157 129 170 138C186 135 205 133 221 133C306 133 396 185 396 293C396 328 384 360 366 381L423 378C439 387 459 413 468 429L463 437ZM219 418C277 418 314 362 314 284C314 205 275 166 231 165C176 165 137 221 137 299C137 376 177 418 219 418ZM241 -11C285 -11 314 -14 339 -24C367 -36 384 -61 384 -95C384 -157 335 -206 240 -206C166 -206 108 -165 108 -110C108 -82 128 -54 154 -32C172 -17 195 -11 241 -11Z" id="g121-101"></path>
<glyph.data ascent="989" descent="-360" horiz-adv-x="468" vert-adv-y="468"></glyph.data>
</g>
<g transform="matrix(.013,0,0,-0.013,19.409,0)">
<path d="M513 0V26C455 31 447 37 447 103V278C447 398 390 449 309 449C255 449 202 412 166 376V712C127 700 67 684 19 677V653C85 647 87 643 87 580V103C87 37 79 31 19 26L18 0H231V26C171 32 166 39 166 103V341C194 373 232 392 270 392C337 392 368 351 368 269V103C368 38 360 32 302 26V0H513Z" id="g121-102"></path>
<glyph.data ascent="989" descent="-360" horiz-adv-x="534" vert-adv-y="534"></glyph.data>
</g>
<g transform="matrix(.0091,0,0,-0.0091,26.45,-5.944)">
<path d="M442 39L431 68C420 63 406 57 394 57C377 57 359 71 359 118V301C359 353 349 393 314 424C291 443 261 451 230 451C171 438 107 401 79 381C59 366 46 355 46 340C46 316 72 295 91 295C106 295 117 303 122 319C131 350 139 371 152 384C163 397 178 404 197 404C246 404 281 365 281 293V278C260 262 186 232 124 213C69 194 41 161 41 112C41 47 92 -12 163 -12C195 -12 243 25 283 51C288 35 293 22 308 7C319 -4 339 -12 354 -12L442 39ZM281 87C262 68 226 51 199 51C169 51 129 74 129 126C129 162 151 181 190 198C211 208 259 229 281 240V87Z" id="g58-95"></path>
<glyph.data ascent="1007" descent="-369" horiz-adv-x="449" vert-adv-y="449"></glyph.data>
</g>
</svg><br>
<svg height="6.1673pt" id="M22" style="vertical-align:-0.2063904pt" version="1.1" viewbox="-0.0498162 -5.96091 6.6501 6.1673" width="6.6501pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">
<g transform="matrix(.013,0,0,-0.013,0,0)">
<path d="M495 86L479 114C446 82 419 66 409 66C401 66 401 72 406 97C420 166 436 231 453 297C489 435 454 448 428 448C406 448 384 439 354 422C305 394 222 327 161 247H159L183 345C200 415 194 448 173 448C143 448 82 410 23 351L38 325C64 349 95 371 105 371C111 371 116 365 109 336L25 -4L31 -12C50 -4 77 3 107 9C119 69 132 122 145 168C197 254 321 381 370 381C387 381 393 374 378 305L329 95C309 17 320 -12 345 -12C372 -12 430 19 495 86Z" id="g113-111"></path>
<glyph.data ascent="3473" descent="-2876" horiz-adv-x="502" vert-adv-y="502"></glyph.data>
</g>
</svg>（％）据/td>
<td class="align_center">
<svg height="12.4033pt" id="M23" style="vertical-align:-0.2456007pt" version="1.1" viewbox="-0.0498162 -12.1577 27.9858 12.4033" width="27.9858pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">
<g transform="matrix(.013,0,0,-0.013,0,0)">
<path d="M495 163C480 117 462 85 444 65C421 39 387 34 332 34C290 34 256 36 236 47C218 57 213 77 213 131V526C213 612 222 616 301 622V650H40V622C122 616 128 611 128 526V126C128 41 120 34 36 28V0H489C498 31 519 126 525 157L495 163Z" id="g121-74"></path>
<glyph.data ascent="989" descent="-360" horiz-adv-x="538" vert-adv-y="538"></glyph.data>
</g>
<g transform="matrix(.013,0,0,-0.013,7.111,0)">
<path d="M257 449C165 449 37 374 37 209C37 98 119 -12 256 -12C355 -12 473 65 473 226C473 349 381 449 257 449ZM244 416C333 416 380 320 380 204C380 67 329 21 267 21C184 21 130 115 130 241C130 354 184 416 244 416Z" id="g121-109"></path>
<glyph.data ascent="989" descent="-360" horiz-adv-x="510" vert-adv-y="510"></glyph.data>
</g>
<g transform="matrix(.013,0,0,-0.013,13.533,0)">
<path d="M696 437H516V411C580 402 587 397 574 345C555 271 527 183 505 114H503C461 222 420 328 383 432H357C315 316 278 214 241 118H239C214 195 189 274 165 350C151 396 156 402 216 411V437H9V411C57 405 65 398 83 346C125 226 162 108 199 -11H227C267 100 308 199 346 300C387 195 428 97 468 -11H497C542 124 587 257 617 337C637 392 646 404 696 411V437Z" id="g121-117"></path>
<glyph.data ascent="989" descent="-360" horiz-adv-x="685" vert-adv-y="685"></glyph.data>
</g>
<g transform="matrix(.0091,0,0,-0.0091,22.666,-5.741)">
<path d="M156 406V710C117 695 54 682 9 675V647C73 642 75 635 75 573V25C131 -2 180 -12 223 -12C359 -12 478 92 478 240C478 357 387 451 278 451C265 451 251 447 236 440L156 406ZM156 373C175 384 208 392 235 392C315 392 387 328 387 214C387 97 332 30 251 31C197 31 170 66 162 84C158 93 156 104 156 118V373Z" id="g58-96"></path>
<glyph.data ascent="1007" descent="-369" horiz-adv-x="517" vert-adv-y="517"></glyph.data>
</g>
</svg><br>
<svg height="6.1673pt" id="M24" style="vertical-align:-0.2063904pt" version="1.1" viewbox="-0.0498162 -5.96091 6.6501 6.1673" width="6.6501pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">
<g transform="matrix(.013,0,0,-0.013,0,0)">
<path d="M495 86L479 114C446 82 419 66 409 66C401 66 401 72 406 97C420 166 436 231 453 297C489 435 454 448 428 448C406 448 384 439 354 422C305 394 222 327 161 247H159L183 345C200 415 194 448 173 448C143 448 82 410 23 351L38 325C64 349 95 371 105 371C111 371 116 365 109 336L25 -4L31 -12C50 -4 77 3 107 9C119 69 132 122 145 168C197 254 321 381 370 381C387 381 393 374 378 305L329 95C309 17 320 -12 345 -12C372 -12 430 19 495 86Z" id="g113-111"></path>
<glyph.data ascent="3473" descent="-2876" horiz-adv-x="502" vert-adv-y="502"></glyph.data>
</g>
</svg>（％）据/td>
</tr>
<tr>
<td class="thead-hr" colspan="7">
<hr></td>
</tr>
<tr>
<td class="align_left">年龄组（年）据/td>
<td class="align_center"></td>
<td class="align_center"></td>
<td class="align_center"></td>
<td class="align_center"></td>
<td class="align_center"></td>
<td class="align_center"><b>0.003据/b></td>
</tr>
<tr>
<td class="align_left"> 24 and lower据/td>
<td class="align_center">7（50.0）据/td>
<td class="align_center">7（50.0）据/td>
<td class="align_center">18.52据/td>
<td class="align_center">27.29据/td>
<td class="align_center">2.781-267.945据/td>
<td class="align_center"><b>0.002据/b></td>
</tr>
<tr>
<td class="align_left"> 25–34据/td>
<td class="align_center">26（59.1）据/td>
<td class="align_center">18（40.9）据/td>
<td class="align_center">2.35据/td>
<td class="align_center">3.50据/td>
<td class="align_center">1.127-10.878.据/td>
<td class="align_center">0.078据/td>
</tr>
<tr>
<td class="align_left"> 35–44据/td>
<td class="align_center">47（72.3）据/td>
<td class="align_center">18（27.7）据/td>
<td class="align_center">3.20据/td>
<td class="align_center">4.93据/td>
<td class="align_center">1.784-13.660.据/td>
<td class="align_center"><b>0.007据/b></td>
</tr>
<tr>
<td class="align_left"> 45 and above (ref)据/td>
<td class="align_center">44（50.6）据/td>
<td class="align_center">43 (49.4)据/td>
<td class="align_center">1.00据/td>
<td class="align_center"></td>
<td class="align_center"></td>
<td class="align_center"></td>
</tr>
<tr>
<td class="align_left">教育程度据/td>
<td class="align_center"></td>
<td class="align_center"></td>
<td class="align_center"></td>
<td class="align_center"></td>
<td class="align_center"></td>
<td class="align_center">据据b>0.001据/b></td>
</tr>
<tr>
<td class="align_left">初级(ref)据/td>
<td class="align_center">16 (64.0)据/td>
<td class="align_center">9 (36.0)据/td>
<td class="align_center">1.00据/td>
<td class="align_center"></td>
<td class="align_center"></td>
<td class="align_center"></td>
</tr>
<tr>
<td class="align_left">二次据/td>
<td class="align_center">82（53.9）据/td>
<td class="align_center">70（46.1）据/td>
<td class="align_center">0.41据/td>
<td class="align_center">0．20据/td>
<td class="align_center">0.059-0.679据/td>
<td class="align_center">0.053据/td>
</tr>
<tr>
<td class="align_left"> Tertiary据/td>
<td class="align_center">26（78.8）据/td>
<td class="align_center">7 (21.2)据/td>
<td class="align_center">6.54据/td>
<td class="align_center">4.29据/td>
<td class="align_center">1.038-17.751据/td>
<td class="align_center"><b>0.044据/b></td>
</tr>
<tr>
<td class="align_left">婚姻状况据/td>
<td class="align_center"></td>
<td class="align_center"></td>
<td class="align_center"></td>
<td class="align_center"></td>
<td class="align_center"></td>
<td class="align_center"></td>
</tr>
<tr>
<td class="align_left">单(ref)据/td>
<td class="align_center">18 (47.4)据/td>
<td class="align_center">106（61.6）据/td>
<td class="align_center">1.00据/td>
<td class="align_center"></td>
<td class="align_center"></td>
<td class="align_center"></td>
</tr>
<tr>
<td class="align_left"> Married据/td>
<td class="align_center">106（61.6）据/td>
<td class="align_center">66（38.4）据/td>
<td class="align_center">4.08据/td>
<td class="align_center">4.65据/td>
<td class="align_center">1.006 - -17.588据/td>
<td class="align_center"><b>0.025据/b></td>
</tr>
<tr>
<td class="align_left">威信和尊重据/td>
<td class="align_center"></td>
<td class="align_center"></td>
<td class="align_center"></td>
<td class="align_center"></td>
<td class="align_center"></td>
<td class="align_center"></td>
</tr>
<tr>
<td class="align_left"> Yes据/td>
<td class="align_center">54（68.4）据/td>
<td class="align_center">25 (31.6)据/td>
<td class="align_center">3.24据/td>
<td class="align_center">2.76据/td>
<td class="align_center">1.244-6.120.据/td>
<td class="align_center"><b>0.012据/b></td>
</tr>
<tr>
<td class="align_left"> No (ref)据/td>
<td class="align_center">70（53.4）据/td>
<td class="align_center">61 (46.6)据/td>
<td class="align_center">1.00据/td>
<td class="align_center"></td>
<td class="align_center"></td>
<td class="align_center"></td>
</tr>
<tr>
<td class="align_left">被视为社区“医生”据/td>
<td class="align_center"></td>
<td class="align_center"></td>
<td class="align_center"></td>
<td class="align_center"></td>
<td class="align_center"></td>
<td class="align_center"></td>
</tr>
<tr>
<td class="align_left"> Yes据/td>
<td class="align_center">15 (88.2)据/td>
<td class="align_center">2 (11.8)据/td>
<td class="align_center">5.31据/td>
<td class="align_center">8.64据/td>
<td class="align_center">2.044-36.577据/td>
<td class="align_center"><b>0.003据/b></td>
</tr>
<tr>
<td class="align_left"> No (ref)据/td>
<td class="align_center">109（56.5）据/td>
<td class="align_center">84（43.5）据/td>
<td class="align_center">1.00据/td>
<td class="align_center"></td>
<td class="align_center"></td>
<td class="align_center"></td>
</tr>
<tr>
<td class="align_left">工作辅助用品(靴子、雨衣和医疗设备)据/td>
<td class="align_center"></td>
<td class="align_center"></td>
<td class="align_center"></td>
<td class="align_center"></td>
<td class="align_center"></td>
<td class="align_center"></td>
</tr>
<tr>
<td class="align_left"> Yes据/td>
<td class="align_center">72（63.2）据/td>
<td class="align_center">42 (36.8)据/td>
<td class="align_center">1.75据/td>
<td class="align_center">3.04据/td>
<td class="align_center">1.324-7.008据/td>
<td class="align_center"><b>0.009据/b></td>
</tr>
<tr>
<td class="align_left"> No (ref)据/td>
<td class="align_center">52 (54.2)据/td>
<td class="align_center">44（45.8）据/td>
<td class="align_center">1.00据/td>
<td class="align_center"></td>
<td class="align_center"></td>
<td class="align_center"></td>
</tr>
<tr>
<td class="align_left">培训地点据/td>
<td class="align_center"></td>
<td class="align_center"></td>
<td class="align_center"></td>
<td class="align_center"></td>
<td class="align_center"></td>
<td class="align_center"></td>
</tr>
<tr>
<td class="align_left">社区设置据/td>
<td class="align_center">26（56.5）据/td>
<td class="align_center">20（43.5）据/td>
<td class="align_center">4.03据/td>
<td class="align_center">4.75据/td>
<td class="align_center">1.930 - -11.725据/td>
<td class="align_center"><b>0.001据/b></td>
</tr>
<tr>
<td class="align_left"> Government setting (ref)据/td>
<td class="align_center">69 (42.1)据/td>
<td class="align_center">95 (57.9)据/td>
<td class="align_center">1.00据/td>
<td class="align_center"></td>
<td class="align_center"></td>
<td class="align_center"></td>
</tr>
<tr>
<td class="align_left">监督据/td>
<td class="align_center"></td>
<td class="align_center"></td>
<td class="align_center"></td>
<td class="align_center"></td>
<td class="align_center"></td>
<td class="align_center"></td>
</tr>
<tr>
<td class="align_left">社区据/td>
<td class="align_center">70（49.6）据/td>
<td class="align_center">71（50.4）据/td>
<td class="align_center">4.18据/td>
<td class="align_center">7.15据/td>
<td class="align_center">2.832 - -18.055据/td>
<td class="align_center">据据b>0.001据/b></td>
</tr>
<tr>
<td class="align_left">医学(ref)据/td>
<td class="align_center">25（36.2）据/td>
<td class="align_center">44（63.8）据/td>
<td class="align_center">1.00据/td>
<td class="align_center"></td>
<td class="align_center"></td>
<td class="align_center"></td>
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<td colspan="7">
<hr class="tbody-hr"></td>
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<td>Hosmer和Lemeshow测试据svg height="10.2124pt" id="M25" style="vertical-align:-3.42943pt" version="1.1" viewbox="-0.0498162 -6.78297 7.83752 10.2124" width="7.83752pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">
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</svg>价值= 0.088> 0.05;ci =置信区间;或= odds比率。据br>
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<g transform="matrix(.013,0,0,-0.013,27.332,0)">
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<g transform="matrix(.013,0,0,-0.013,31.362,0)">
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<g transform="matrix(.013,0,0,-0.013,44.699,0)">
<path d="M380 106C343 72 306 56 265 56C195 56 116 112 115 248C235 252 361 262 377 265C396 269 400 277 400 297C400 374 333 449 250 449H249C198 449 144 421 103 376S37 269 37 201C37 88 109 -12 232 -12C263 -12 332 6 395 84L380 106ZM225 412C281 412 315 364 314 312C314 297 308 292 290 292C232 290 176 289 120 289C135 370 180 412 225 412Z" id="g121-99"></path>
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</svg>Logistic回归(无多重共线性，假设均满足)据br>因变量=角色性能（高性能与低性能的CHV）据br>
<svg height="13.7218pt" id="M27" style="vertical-align:-3.83391pt" version="1.1" viewbox="-0.0498162 -9.88789 31.1488 13.7218" width="31.1488pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">
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<g transform="matrix(.013,0,0,-0.013,14.349,0)">
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<g transform="matrix(.013,0,0,-0.013,17.833,0)">
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<g transform="matrix(.013,0,0,-0.013,24.008,0)">
<path d="M513 0V26C455 31 447 37 447 103V278C447 398 390 449 309 449C255 449 202 412 166 376V712C127 700 67 684 19 677V653C85 647 87 643 87 580V103C87 37 79 31 19 26L18 0H231V26C171 32 166 39 166 103V341C194 373 232 392 270 392C337 392 368 351 368 269V103C368 38 360 32 302 26V0H513Z" id="g121-102"></path>
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</svg>= 29的中位数;据svg height="15.9917pt" id="M28" style="vertical-align:-3.834001pt" version="1.1" viewbox="-0.0498162 -12.1577 27.9858 15.9917" width="27.9858pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">
<g transform="matrix(.0091,0,0,-0.0091,0,-5.741)">
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<g transform="matrix(.013,0,0,-0.013,5.22,0)">
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<g transform="matrix(.013,0,0,-0.013,12.332,0)">
<path d="M257 449C165 449 37 374 37 209C37 98 119 -12 256 -12C355 -12 473 65 473 226C473 349 381 449 257 449ZM244 416C333 416 380 320 380 204C380 67 329 21 267 21C184 21 130 115 130 241C130 354 184 416 244 416Z" id="g121-109"></path>
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<g transform="matrix(.013,0,0,-0.013,18.753,0)">
<path d="M696 437H516V411C580 402 587 397 574 345C555 271 527 183 505 114H503C461 222 420 328 383 432H357C315 316 278 214 241 118H239C214 195 189 274 165 350C151 396 156 402 216 411V437H9V411C57 405 65 398 83 346C125 226 162 108 199 -11H227C267 100 308 199 346 300C387 195 428 97 468 -11H497C542 124 587 257 617 337C637 392 646 404 696 411V437Z" id="g121-117"></path>
<glyph.data ascent="989" descent="-360" horiz-adv-x="685" vert-adv-y="685"></glyph.data>
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</svg>=低于29的中位数。据br></td>
</tr>
</tbody>
</table>
</div>
<div class="floats-partial-footer">
<div class="floats-partial-caption">
<span class="caption-text">表4.据/span>
<a aria-label="full view" class="caption-partial-url" href="//www.newsama.com/journals/jeph/2017/9610928/tab4/" title="" target="_blank"></a>
</div>
<div class="floats-partial-caption-text">
影响健康志愿者的作用表现（因素据svg height="8.55521pt" id="M19" style="vertical-align:-0.2063904pt" version="1.1" viewbox="-0.0498162 -8.34882 40.3636 8.55521" width="40.3636pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">
<g transform="matrix(.013,0,0,-0.013,0,0)">
<path d="M495 86L479 114C446 82 419 66 409 66C401 66 401 72 406 97C420 166 436 231 453 297C489 435 454 448 428 448C406 448 384 439 354 422C305 394 222 327 161 247H159L183 345C200 415 194 448 173 448C143 448 82 410 23 351L38 325C64 349 95 371 105 371C111 371 116 365 109 336L25 -4L31 -12C50 -4 77 3 107 9C119 69 132 122 145 168C197 254 321 381 370 381C387 381 393 374 378 305L329 95C309 17 320 -12 345 -12C372 -12 430 19 495 86Z" id="g113-111"></path>
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<g transform="matrix(.013,0,0,-0.013,10.158,0)">
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<g transform="matrix(.013,0,0,-0.013,21.421,0)">
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<g transform="matrix(.013,0,0,-0.013,27.661,0)">
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</g>
<g transform="matrix(.013,0,0,-0.013,33.901,0)">
<path d="M241 635C89 635 35 457 35 312C35 153 89 -12 240 -12C390 -12 443 166 443 312C443 466 390 635 241 635ZM238 602C329 602 354 454 354 312C354 172 330 22 240 22C152 22 124 173 124 313S148 602 238 602Z" id="g113-49"></path>
<glyph.data ascent="3473" descent="-2876" horiz-adv-x="480" vert-adv-y="480"></glyph.data>
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</svg>）.据/div>
</div>
</div>
<p>对于外在的动机因素，数据显示，威胁和尊重因素的激励受访者比没有（95％CI = 1.244,6.120）更好地表现2.76倍（95％CI = 1.244,6.120）。与“医生”的认可也有动力，与那些不同意这项的人相比，他们的激励他们继续表现得更好，高达8.65倍（95％CI = 2.044,36.577）。此外，与靴子，雨衣和医疗设备等足够的求助性效果提供的效果含量，与不认为工作艾滋病可以影响其工作的人（95％CI = 1.324,7.008）相比，受访者的表现较高的8.65倍。受访者还透露，培训地点对于影响他们的服务很重要，特别是那些在社区环境中进行的培训，比性能高4.76倍，而不是政府环境（95％CI = 1.930,11.725）。在这项研究中，社区成员/领导者在CHV的现场监督中发挥了比医学培训的人的人的职员更有效（或= 7.15,95％CI = 2.832,18.055）。据/p>
<h4 id="discussion">4.讨论据/h4>
<p>本研究表明，CHVS在社区中的作用可能会影响CHV性能。这一发现与其他研究一致，表明缺乏对角色责任的理解，这导致性能差和高磨损率[据a href="#B28">29.据/a>那据a href="#B29">30.据/a>］.只有通过他们的理解和承诺，才能实现高绩效。据/p>
<p>该年龄组的最好的角色性能范围从35至44岁和24岁及以下。年龄已在老年志愿者往往会被更多的利他动机主要是出于一些文献中被发现，否则被称为values函数[据a href="#B30">31.据/a>]，而年轻的志愿者似乎主要容易受到同龄人或配偶的影响和鼓励，而且更多的是职业，社会和理解价值观的更多驱动[据a href="#B31">32.据/a>］.Finkelstein和同事们还发现，与价值函数相比，这些职业功能具有更高的激励冲击[据a href="#B30">31.据/a>］.此外，诸如利他价值的价值函数根据个人而变化，而职业功能是一个目标或一种让年轻志愿者更加努力工作并表现更好的目标。据/p>
<p>这项研究还指出，受过高等教育的受访者比受过小学或中学教育的受访者表现更佳(据svg height="11.7782pt" id="M29" style="vertical-align:-3.42938pt" version="1.1" viewbox="-0.0498162 -8.34882 50.7895 11.7782" width="50.7895pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">
<g transform="matrix(.013,0,0,-0.013,0,0)">
<use xlink:href="#g113-113"></use>
</g>
<g transform="matrix(.013,0,0,-0.013,11.342,0)">
<use xlink:href="#g117-34"></use>
</g>
<g transform="matrix(.013,0,0,-0.013,22.605,0)">
<use xlink:href="#g113-49"></use>
</g>
<g transform="matrix(.013,0,0,-0.013,28.845,0)">
<use xlink:href="#g113-47"></use>
</g>
<g transform="matrix(.013,0,0,-0.013,31.809,0)">
<use xlink:href="#g113-49"></use>
</g>
<g transform="matrix(.013,0,0,-0.013,38.049,0)">
<use xlink:href="#g113-51"></use>
</g>
<g transform="matrix(.013,0,0,-0.013,44.289,0)">
<use xlink:href="#g113-51"></use>
</g>
</svg>）.换句话说，高等教育背景是一个积极的因素，使chv能够更好地做工作，提高他们的表现。高水平的教育将有助于他们更多地了解健康知识，这是本研究的绩效指标之一。此外，受教育程度较高的chv更容易理解如何撰写和提交月度报告。Kok et al.(2014)也认同chv的教育状况，包括文化水平，对保持其高绩效的重要性。因此，一定的教育程度应该是选择chv的标准之一。据/p>
<p>结果表明，婚姻状况是影响角色表现的另一个因素。其他研究发现，已婚chv在家务管理方面比未婚chv得到更好的支持，这也解释了为什么退出率较低[据a href="#B15">16.据/a>那据a href="#B18">19.据/a>那据a href="#B32">33.据/a>］.不过，也有研究认为另有说明，其中发现已婚和未婚CHVs没有区别[据a href="#B33">34.据/a>］.也许这些差异可能是由于文化看法对已婚人士在劳动力的作用。据/p>
<p>该研究揭示，识别为“医生”在社区一级和信誉和尊重社区成员给出激励他们更好地执行[OR = 2.76（95％CI 1.244，6.120）。这些发现由Rowe等人的支持。（2005年），whete是激励因素和健康志愿者的直接影响，保留和流失率都尊不仅来自卫生工作者也从社区获得[据a href="#B34">35.据/a>］.另一方面，Rahman et al.(2010)也发现了类似的结论，即社区层面的认可和尊重以及作为一名健康志愿者所附加的地位促使志愿者参与社区卫生干预[据a href="#B18">19.据/a>］.据/p>
<p>缺乏运输工具和求职者的手段是影响CHVS的动机并随后影响其表现的因素。供应，材料和设备的旅行和补充成本是他们应考虑的重要性的重要决定因素。例如，在马拉维，缺乏运输阻碍了一些CHV在他们的集水区中覆盖了一些村庄，并从各自的健康中心获得药物和其他所需的供应[据a href="#B36">36.据/a>］.当任何资源或供应所需材料被扰乱时，它不仅会降低其生产率，而且导致失去社区的尊重的后果，没有哪个CHV很少能够生产。换句话说，CHV需要对社区的信任。当这被损害时，CHV也变得无效。据/p>
<p>结果显示，在社区环境中进行培训对学习过程和动机有更大的影响，有助于更好地理解社区中当前的问题并随后进行干预。与在政府环境下接受训练的人相比，这可以提高他们的表现4.76倍(95% CI = 1.930, 11.725)。在当地社区设立的培训中心比在政府设施设立的培训中心要好，这可能对农村社区卫生服务人员的后勤构成挑战。偏爱当地培训中心可能反映出，尽管作为州首府城市和chv的财政负担，chv在古金分部面临的后勤挑战。大多数受访者没有固定收入。据/p>
<p>结果也强调了监督是表现出更好表现的重要因素。然而，在CHV计划中往往忽略了监督。无效的监督导致低寒士气汇率低，生产率差。例如，赞比亚的KALABO区共和国的CHVS监督对表现没有积极影响，因为质量差，几乎一半的CHVS没有从监督访问中受益[据a href="#B37">37.据/a>］.研究还表明，由社区服务的监督效果比由受过医疗培训的人员更好，为7.15倍(95% CI = 2.832, 18.055)。这主要是因为社区更了解自己的需求;因此，更容易直接向志愿者提供反馈和建议。正如Meyer-Capps等人提出的[据a href="#B38">38.据/a>]传统上由医务人员提供的监督，因为他们在患者护理和其他行政问题方面的优先事项而言过于常见。据/p>
<p>重要的是要注意这项研究的局限性。本研究使用采访在数据收集中管理问卷;因此，响应偏差是不可避免的。此外，它是一个横截面研究，结果不建立变量之间的因果关系。正如本研究的那样，在古晋区的CHV中进行，结果的概括只能在另一个具有类似背景的样本中进行。据/p>
<h4 id="conclusion">结论据/h4>
<p>然而，尽管有局限性，这项研究提供了对KOSPEN的chv角色绩效评估的初步发现，这将有助于政府审查和改进其在社区健康方面的策略。年龄、教育水平、婚姻状况、威望和尊重、被视为“社区医生”、工作辅助、培训地点和社区成员的监督等因素是可以在实施KOSPEN中进一步探索的重要因素。为了增加和维持chv目前的工作人员以及良好的业绩，需要政府、政策制定者、利益相关者和社区等各方的承诺。根据Alma Atta《初级卫生保健概念宣言》，所有基于社区的卫生战略必须解决社区的需求，由社区成员自己领导，并为社区服务。据/p>
<h4 id="recommendation">6.建议书据/h4>
<p>随着越来越多的国家寻找扩展CHV程序或将额外的任务转移到CHV，重要的是要注意影响设计阶段的CHV生产力的元素以及整个程序的实施。启用工作环境至关重要，以最大限度地提高CHV的生产率。政策制定者，计划经理和其他利益相关者需要仔细考虑工作负荷，支持，供应和设备的有效性，以及尊重的如何定义和涉及整体CHV策略。据/p>
<p>基于该发现，没有许多年轻一代的CHV，而其中大多数属于中长组。如果这种情况继续发生，将来会导致CHVS人力的短缺。因此，应在较年轻的年龄群体中扩大和实施健康志愿者的概念。需要在选择CHV中设定最少的年龄要求。除此之外，结果表明，教育背景在影响其表演方面发挥着重要作用。高等教育背景将具有更好的理解和知识，因此表现较高。政策制定者或计划经理应决定教育程度最小的要求。据/p>
<p>本研究还强调，培训也是影响CHVS服务的重要因素。培训应该是能力和实践为基础，并且靠近CHVS的工作环境。应专门为CHV制定培训材料和活动，而不是使用为基于设施的工人开发的培训包。此外，继续或复习培训与初始培训一样重要。如果不可用常规进修培训，所获取的技能和知识迅速丢失，这将影响其性能。据/p>
<p>基于结果，显示在健康自愿计划中往往忽视监督。因此，监督需要明确的策略和程序。需要定义所需的工作范围和技能，以便卫生人员，CHV和社区卫生委员会成员知道他们被选为主管时的预期。监督准则应包括监管活动清单。监督最重要的要素是确保主管和健康志愿者之间的双向信息流。据/p>
<p>提供适当的工作辅助设备、设备、健康日记和其他资料已被确定为有效应对埃博拉病毒的关键。为了留住保健志愿人员，地区一级志愿人员方案的管理人员应为志愿人员提供适当的交通工具和工作辅助工具。这将有助于提高他们作为健康志愿者的表现。负责地区应向健康志愿者提供雨衣、手电灯和靴子等非金钱奖励。这将激励志愿者更加致力于他们的角色，为他们自己的社区成员提供保健服务。据/p>
<h4 id="competing-interests">相互竞争的利益据/h4>
<p>提交人声明没有利益冲突。本研究未收到公众，商业或非营销部门的任何资助机构的特定授权。据/p>
<h4 id="acknowledgments">致谢据/h4>
<p>笔者想感谢那些曾在研究协助村。据/p>
</div>
<div class="xml-content">
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<li id="B22">C. Flint和M. Brennan，“社区应急小组:从灾难应对者到社区建设者”，据i>农村现实据/i>，卷。1，不。3，pp。1-9,2006。据span class="reflinks">查看在：据a href="https://scholar.google.com/scholar_lookup?title=Community%20emergency%20response%20teams:%20from%20disaster%20responders%20to%20community%20builders&author=C. Flint &author=M. Brennan&publication_year=2006" target="_blank">谷歌学术据/a></span></li>
<li id="B23">C. L. Desimone，“公共卫生工作者对各种紧急情况的反应”，据i>Aaohn Journal.据/i>(第57卷)1，第17-23页，2009。据span class="reflinks">查看在：据a href="https://doi.org/10.3928/08910162-20090101-04">出版商网站据/a><span class="sep">|据/span><a href="https://scholar.google.com/scholar_lookup?title=Response%20of%20public%20health%20workers%20to%20various%20emergencies&author=C. L. DeSimone&publication_year=2009" target="_blank">谷歌学术据/a></span></li>
<li id="B24">R. M. Merchant，S. Elmer和N. Lurie，“将社交媒体整合到紧急准备工作中，”据i>新英格兰医学杂志据/i>，卷。365，没有。4，pp。289-291,2011。据span class="reflinks">查看在：据a href="https://doi.org/10.1056/NEJMp1103591">出版商网站据/a><span class="sep">|据/span><a href="https://scholar.google.com/scholar_lookup?title=Integrating%20social%20media%20into%20emergency-preparedness%20efforts&author=R. M. Merchant&author=S. Elmer&author=&author=N. Lurie&publication_year=2011" target="_blank">谷歌学术据/a></span></li>
<li id="B25">K.Bhattacharyya，P. Winch，K.Leban等，据i>社区卫生工作者激励和抑制剂：如何影响动力，保留和可持续性据/i>，美国国际开发署，弗吉尼亚州阿灵顿，美国，2001年。据span class="reflinks"></span></li>
<li id="B26">T. A. Chatio，据i>在加纳北部的Kassena-Nankana东部和西部地区影响的社区卫生志愿者活动的可持续性[M.S.因素论文]据/i>，加纳，2012年大学。据span class="reflinks"></span></li>
<li id="B27">A. B. Olalere，“动机对尼日利亚奥松州社区发展工作者工作绩效的影响”，据i>国际社区发展杂志据/i>，卷。1，不。2，2013。据span class="reflinks">查看在：据a href="https://doi.org/10.11634/233028791301386">出版商网站据/a><span class="sep">|据/span><a href="https://scholar.google.com/scholar_lookup?title=Effect%20of%20motivation%20on%20job%20performance%20by%20community%20development%20workers%20in%20osun%20state,%20Nigeria&author=A. B. Olalere&publication_year=2013" target="_blank">谷歌学术据/a></span></li>
<li id="B28">D. K. Srivastava, S. Prakash, V. Adhish, K. S. Nair, S. Gupta，和D. Nandan，“ASHA与北方邦东部社区和服务提供者的接口研究”，据i>印度公共卫生杂志据/i>，卷。53，不。3，pp。133-136,2009。据span class="reflinks">查看在：据a href="https://scholar.google.com/scholar_lookup?title=A%20study%20of%20interface%20of%20ASHA%20with%20the%20community%20and%20the%20service%20providers%20in%20Eastern%20Uttar%20Pradesh&author=D. K. Srivastava&author=S. Prakash&author=V. Adhish&author=K. S. Nair&author=S. Gupta&author=&author=D. Nandan&publication_year=2009" target="_blank">谷歌学术据/a></span></li>
<li id="B29">A. Bartos，A. Genorio，R. Saunero等，据i>通过基于社区的方法和提供卫生服务的玻利维亚在El Alto中延长了专属母乳喂养的持续时间据/i>儿童健康和营养研究计划（CHNRI），2009年，据a target="_blank" href="http://www.eldis.org/go/country-profiles&id=62298&type=Document">http://www.eldis.org/go/country-profiles&id=62298&type=Document#.V_2ZNlR94dW据/a>。据span class="reflinks"></span></li>
<li id="B30">M. A. Finkelstein, L. A. Penner，和M. T. Brannick，“动机、角色认同和亲社会人格作为志愿者活动的预测因素”，据i>社会行为和人格据/i>，卷。33，不。4，pp。403-418,2005。据span class="reflinks">查看在：据a href="https://doi.org/10.2224/sbp.2005.33.4.403">出版商网站据/a><span class="sep">|据/span><a href="https://scholar.google.com/scholar_lookup?title=Motive,%20role%20identity,%20and%20prosocial%20personality%20as%20predictors%20of%20volunteer%20activity&author=M. A. Finkelstein&author=L. A. Penner&author=&author=M. T. Brannick&publication_year=2005" target="_blank">谷歌学术据/a></span></li>
<li id="B31">E. G. Clary和M. Snyder，“志愿者的动机:理论和实践考虑，”据i>心理科学的当前方向据/i>，卷。8，不。5，PP。156-159,1999。据span class="reflinks">查看在：据a href="https://doi.org/10.1111/1467-8721.00037">出版商网站据/a><span class="sep">|据/span><a href="https://scholar.google.com/scholar_lookup?title=The%20motivations%20to%20volunteer:%20theoretical%20and%20practical%20considerations&author=E. G. Clary &author=M. Snyder&publication_year=1999" target="_blank">谷歌学术据/a></span></li>
<li id="B32">M. C.角，M. Dieleman，M. Taegtmeyer等人，“哪个干预的设计因素影响在低收入和中等收入国家的社区卫生工作者的表现呢？有系统的审查，”据i>卫生政策和规划据/i>，卷。30，不。9，pp。1207-1227,2015。据span class="reflinks">查看在：据a href="https://doi.org/10.1093/heapol/czu126">出版商网站据/a><span class="sep">|据/span><a href="https://scholar.google.com/scholar_lookup?title=Which%20intervention%20design%20factors%20influence%20performance%20of%20community%20health%20workers%20in%20low-%20and%20middle-income%20countries?%20A%20systematic%20review&author=M. C. Kok&author=M. Dieleman&author=M. Taegtmeyer et al.&publication_year=2015" target="_blank">谷歌学术据/a></span></li>
<li id="B33">A. Kebriaei和M. S. Moteghedi，“伊朗伊斯兰共和国Zahedan区的社区卫生工作者的工作满意度”据i>东地中海健康杂志据/i>，卷。15，不。5，第1156至1163年，2009年。据span class="reflinks">查看在：据a href="https://scholar.google.com/scholar_lookup?title=Job%20satisfaction%20among%20community%20health%20workers%20in%20Zahedan%20District,%20Islamic%20Republic%20of%20Iran&author=A. Kebriaei &author=M. S. Moteghedi&publication_year=2009" target="_blank">谷歌学术据/a></span></li>
<li id="B34">A. K. Rowe、D. De Savigny、C. F. Lanata和C. G. Victora，“我们如何在资源不足的环境中实现和保持卫生工作者的高质量绩效?”据i>兰蔻据/i>，第366期。第2页，2005。据span class="reflinks">查看在：据a href="https://doi.org/10.1016/S0140-6736(05)67028-6">出版商网站据/a><span class="sep">|据/span><a href="https://scholar.google.com/scholar_lookup?title=How%20can%20we%20achieve%20and%20maintain%20high-quality%20performance%20of%20health%20workers%20in%20low-resource%20settings?&author=A. K. Rowe&author=D. De Savigny&author=C. F. Lanata&author=&author=C. G. Victora&publication_year=2005" target="_blank">谷歌学术据/a></span></li>
<li id="B36">J. M. Kadzandira和W. R. Chilowa，据i>卫生监测助理在马拉维提供卫生服务和免疫接种方面的作用据/i>，2001年，据a target="_blank" href="http://www.unicef.org/evaldatabase/index_14066.html">http://www.unicef.org/evaldatabase/index_14066.html.据/a>。据span class="reflinks"></span></li>
<li id="B37">J. Stekelenburg，S.S. Kyanamina和I. Wolffers，“霍拉博区的社区卫生工作者表现不佳”，赞比亚，“据i>健康政策据/i>，第65卷，第5期2，页109-118,2003。据span class="reflinks">查看在：据a href="https://doi.org/10.1016/s0168-8510(02)00207-5">出版商网站据/a><span class="sep">|据/span><a href="https://scholar.google.com/scholar_lookup?title=Poor%20performance%20of%20community%20health%20workers%20in%20Kalabo%20District,%20Zambia&author=J. Stekelenburg&author=S. S. Kyanamina&author=&author=I. Wolffers&publication_year=2003" target="_blank">谷歌学术据/a></span></li>
<li id="B38">J. Meyer-Capps，M.Carth，T. Nitkin等人。，据i>Grand Cape Mount Child Surival计划：通过IMCI改善过渡状态的儿童健康据/i>，国际医疗队和美国国际开发署，华盛顿特区，美国，2008，据a target="_blank" href="http://pdf.usaid.gov/pdf_docs/Pnadn459.pdf">http://pdf.usaid.gov/pdf_docs/pnadn459.pdf.据/a>。据span class="reflinks"></span></li>
</ol>
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<p>版权所有©2017 Melvin Hsien Liang Et Al。这是分布下的开放式访问文章据a rel="license" href="http://creativecommons.org/licenses/by/4.0/">创意公共归因许可证据/a>如果正确引用了原始工作，则允许在任何媒体中的不受限制使用，分发和再现。据/p>
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ePub据/div><img alt="" class="sc-EHOje jOLhQl sc-bfYoXt cGuwDn" title="" role="presentation" src="data:image/svg+xml;base64,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" height="24"></a>
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XML据/div><img alt="" class="sc-EHOje jOLhQl sc-bfYoXt cGuwDn" title="" role="presentation" src="data:image/svg+xml;base64,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" height="24"></a>
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<div class="sc-hBbWxd kdRRST">
<div class="sc-dyGzUR cHatnS">
<div>
意见据span>11512.据/span>
</div>
<div>
下载据span>1911年据/span>
</div>
</div>
<div>
<div class="sc-drKuOJ kxdGAZ">
<span class="__dimensions_badge_embed__" data-doi="10.1155/2017/9610928" data-style="small_circle"></span>引用据/div>
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