宝鸡市已婚育龄妇女慢性病患病现况、防治素养及影响因素  

Prevalence of chronic diseases,prevention and control literacy and its influencing factors among married women of childbearing age in Baoji City

作　　者：邢麟[1] 景钰 曾莉[1] 景兴科[1] 沙乖凤[1] 解晓曦[1] XING Lin;JING Yu;ZENG Li;JING Xing-ke;SHA Guai-feng;XIE Xiao-xi(Medical School,Baoji Vocational & Technology College,Baoji Shaanxi,721013,China;School of Finance and Statistics,Hunan University,Changsha Hunan,410006,China)

机构地区：[1]宝鸡职业技术学院医学院,陕西宝鸡721013 [2]湖南大学金融与统计学院,湖南长沙410006

出　　处：《职业与健康》2019年第14期1960-1964,共5页Occupation and Health

基　　金：宝鸡市2018年度哲学社会科学专项课题(BJSKZX-201813)

摘　　要：目的了解宝鸡市已婚育龄妇女慢性病患病现况和慢性病防治素养及影响因素,为制定针对性干预措施提供科学依据。方法 2018年2-3月,采用四阶分层整群随机抽样和KISH表法,抽取宝鸡市576名已婚育龄妇女进行问卷调查。结果(1)576名已婚育龄妇女慢性病患病率18.23%(105/576),确诊年限≤1年的占46.67%(49/105),2~5年的占44.76%(47/105),其中占比前3位的依次是高血压36.19%(38/105)、冠心病11.43%(12/105)和糖尿病7.62%(8/105)。(2)宝鸡市已婚育龄妇女慢性病防治素养为7.64%(44/576)。(3)单因素logistic回归分析显示,不同地域、不同文化程度、职业为农民、家庭人口数1~4人与≥5人者、不同生育意愿者、是否患慢性病的已婚育龄妇女慢性病防治素养水平差异均有统计学意义(均P<0.05)。(4)多因素logistic回归分析显示差异有统计学意义的影响因素有:以小学/不识字/识字很少为参考,硕士及以上学历的慢性病防治素养水平OR值及其95%CI为1.754(0.029~5.325);以公务员为参考,医务人员的慢性病防治素养水平OR值及其95%CI为5.937(0.826~42.683);以家庭月均纯收入<500元为参考,5 000~9 999和/或≥10 000元人群慢性病防治素养水平OR值及其95%CI为3.021(0.090~11.636);以家庭无医疗从业者为参考,家庭有医疗从业者慢性病防治素养水平OR值及其95%CI为4.140(1.348~12.716);以已生育二胎为参考,打算生育二胎人群的慢性病防治素养水平OR值及其95%CI为2.073(0.824~11.462);以自觉健康状况好为参考,自觉健康状况一般人群慢性病防治素养水平OR值及其95%CI为4.860(1.067~22.131)。结论宝鸡市已婚育龄妇女慢性病患病率较高且进入高发阶段,且该人群的慢性病防治素养低,建议以宣传普及慢性病防治知识,践行健康生活方式为重点,开展针对性干预。Objective To understand the Prevalence of chronic diseases, prevention and control literacy and its influencing factors among married women of childbearing age in Baoji City, provide scientific basis for formulating targeted intervention measures. Methods Using fourth-order stratified cluster random sampling and KISH table method, 576 married women of childbearing age in Baoji City were surveyed from February to March in 2018. Results ①The prevalence of chronic disease among 576 married women of child-bearing age was 18.23%(105/576). The women who were diagnosed within one year accounted for 46.67%(49/105), and those who had been diagnosed for 2-5 years accounted for 44.76%(47/105). The first three diseases were hypertension 36.19%(38/105), coronary heart disease 11.43%(12/105) and diabetes 7.62%(8/105).②7.64%(44/576) of married women of child-bearing age in Baoji City had the chronic disease prevention literacy.③Univariate logistic regression analysis showed that there were statistically significant differences in chronic disease prevention literacy level among women in different groups of area, educational level, occupation of farmer, family population of 1-4 people and more than 5 people, fertility intentions, and whether they suffer from chronic diseases (all P<0.05 ).④Multivariate logistic regression analysis showed that the influencing factors with statistical significance were: OR value and 95%CI of chronic disease prevention literacy level for master's and above was 1.754(0.029-5.325) when taking primary school/illiterate as reference , OR value and 95%CI for medical staff was 5.937 (0.826-42.683) when taking civil servant as reference, OR value and 95%CI for average monthly households income of 5 000-9 999 and/or ≥10 000 yuan was 3.021(0.090-11.636) when taking average monthly households income <500 yuan as reference ,OR value and 95% CI for families have medical practitioners was 4.140 (1.348-12.716) when taking families without medical practitioners as reference, OR value and 95%CI for person

关 键 词：慢性病 防治 素养 患病率 影响因素 已婚育龄妇女 

分 类 号：R181.31[医药卫生—流行病学]