目的为社区卫生服务改革和调整社区卫生服务方向提供证据,在重庆市某社区开展社区健康需求评估。方法问卷调查和专题小组讨论。结果社区的主要健康问题是慢性非传染性疾病,心脑血管疾病患者占70.3%。可能的健康影响因素:①不良行为、生活方式,54.0%的被调查者从不参加任何锻炼;喜油腻食物、过咸食物、甜食的人分别占为40.1%、46.5%、40.5%。②环境污染主要是噪音、灰尘和宠物粪便。卫生服务需求方面,74.5%和33.5%的被调查者需要健康体检和健康促进知识宣传。结论社区健康需求评估结果提示慢性非传染性疾病,特别是心脑血管疾病是社区卫生服务的疾病防治重点,常规的健康体检和健康促进成为社区居民急需的卫生服务。 Objective To provide evidence for community health service reform and adjustment of community health service direction and to conduct community health needs assessment in a certain community in Chongqing. Methodological questionnaires and panel discussions. Results The main health problems in the community were chronic non-communicable diseases, with 70.3% of patients with cardiovascular and cerebrovascular diseases. Possible health effects: ① bad behavior, lifestyle, 54.0% of the respondents never participate in any exercise; greasy food, salty food, sweets accounted for 40.1%, 46.5%, 40.5% respectively. ② Environmental pollution is mainly noise, dust and pet excrement. In terms of demand for health services, 74.5% and 33.5% of the respondents need health examination and health promotion knowledge. Conclusion The assessment of community health needs suggests that chronic non-communicable diseases, especially cardiovascular and cerebrovascular diseases, are the focus of disease prevention and control of community health services. Conventional health examination and health promotion have become urgently needed health services for community residents.