2014—2018年湖北省15~69岁居民传染病防治素养变化趋势及影响因素  

Changing trend in infectious disease prevention-related health literacy and its influencing factors among 15–69 years old residents in Hubei province,2014–2018

作　　者：罗彦[1] 马丽娜[1] 周亮 黄希骥[1] 卞晨阳 余惠红[1] 徐静东[1] LUO Yan;MA Li-na;ZHOU Liang(Hubei Provincial Center for Disease Control and Prevention,Wuhan,Hubei Province 430079,China)

机构地区：[1]湖北省疾病预防控制中心,武汉430079

出　　处：《中国公共卫生》2021年第6期921-925,共5页Chinese Journal of Public Health

摘　　要：目的分析湖北省居民传染病防治素养现况及其变化趋势,为制定相关卫生政策提供依据。方法采用多阶段分层整群抽样方法,2014—2018年对湖北省15~69岁常住居民进行抽样调查,对调查问卷中传染病防治素养进行分析。结果2014—2018年湖北省15~69岁居民传染病防治素养水平分别为11.3%、14.8%、17.7%、15.4%和20.5%。多元回归分析显示,年份、城乡、年龄和文化程度是居民传染病防治素养水平的影响因素。年份每上升一年,居民具备传染病防治素养的概率提升为原来的1.049倍(95%CI=1.015~1.084);与64~69岁居民比较,25~34岁、35~44岁居民具备传染病防治素养的概率更高[OR(95%CI)分别为1.417(1.129~1.778)、1.498(1.207~1.860)];与文化程度较低(文盲)者比较,文化程度较高者,具备传染病防治素养的概率较高,大专及以上学历者具备传染病防治素养的概率是文盲人群的6.422倍。结论湖北省15~69岁居民传染病防治素养缓慢上升,但仍处于较低水平,年份、城乡、年龄、文化程度是其传染病防治素养水平的影响因素。Objective To investigate changing trend in infectious disease prevention-related health literacy and its influencing factors among residents in Hubei province from 2014 to 2018 and to provide evidences for making policies on infectious disease prevention.Methods We conducted yearly surveys among 15–69 years old permanent residents(n=14708)selected with stratified multistage random cluster sampling in 12 counties/prefectures/districts across Hubei province between 2014 and 2018.A questionnaire compiled by National Health and Family Planning Commission for health literacy survey among Chinese residents was adopted and the collected information on infectious disease prevention-related health literacy were analyzed statistically.Results For the five waves of the yearly survey,the proportion of the participants with infectious disease prevention-related health literacy(scored 80 and above in a full scale of 100 for knowledge about infectious diseases)were 11.3%,14.8%,17.7%,15.4%and 20.5%,respectively.The results of multivariate logistic regression analysis revealed following significant promotion factors of infectious disease prevention-related health literacy of the participants:being surveyed in the later year(odd ratio[OR]=1.049,95%confidence interval[95%CI]:1.015–1.084),at younger ages(25–34 vs.64–69:OR=1.417,95%CI:1.129–1.778;35–44 vs.64–69:OR=1.498,95%CI:1.207–1.860)and with higher education(college and above vs.being illiterate:OR=6.422,95%CI:4.912–8.396).Conclusion The infectious disease prevention-related health literacy was increased slowly but still at a low level and significantly influenced by years,age and education among 15–69 years old residents in Hubei province.

关 键 词：传染病 健康素养 变化趋势 影响因素 

分 类 号：R193[医药卫生—卫生事业管理]