2019年濮阳市居民慢性病防治健康素养及影响因素分析  

Analysis of Health Literacy and Influencing Factors of Chronic Disease Prevention and Treatment of Residents in Puyang City 2019

作　　者：张社芹[1] 张玉华[1] ZHANG Sheqin;ZHANG Yuhua(Puyang City Center for Disease Control and Prevention, Puyang Henan 457000, China)

机构地区：[1]濮阳市疾病预防控制中心健康教育科,河南濮阳457000

出　　处：《河南医学高等专科学校学报》2021年第4期446-450,共5页Journal of Henan Medical College

摘　　要：目的分析2019年濮阳市居民慢性病防治健康素养水平及其影响因素,为开展慢性病防治健康教育提供科学依据。方法采用多阶段分层整群随机抽样的方法,对濮阳市城乡15~69岁常住人口(非集体居住)进行抽样。调查问卷为全国健康素养监测统一调查问卷。单因素比较采用χ^(2)检验,影响因素分析采用多重线性回归,检验水准α=0.05。结果2019年全市共调查15~69岁常住人口3736人,有效问卷3552份,有效问卷回收率为95.08%。经过加权,2019年濮阳市居民慢性病防治健康素养水平为23.53%。单因素分析显示,城乡分布、年龄、文化程度、职业不同的人群慢性病防治健康素养比较,差异有统计学意义(P<0.05);多因素线性回归分析结果显示,城乡、年龄和文化程度是濮阳市居民慢性病防治健康素养的独立影响因素(P<0.05)。城市居民(32.75%)高于农村居民(18.86%);与年龄大小成反比,25~34岁年龄组最高(29.67%);55~64岁、65~69岁最低(分别为17.96%、17.11%);与文化程度高低呈正比,小学及以下最低(16.77%),大专及以上最高(38.04%)。结论居民慢性病防治健康素养水平需要进一步提升,针对农村地区、低文化程度、高年龄段的重点人群,选择差异化、贴近认知水平的健康传播及健康干预措施更能获得较好效果。Objective This study is to analyze the health literacy and influencing factors of the prevention and treatment of chronic disease among residents of Puyang City in 2019,and to provide scientific basis for health intervention on chronic disease.Methods The stratified multi-stage cluster random sampling method was used to select the non-collective residents aged 15-69 from urban and rural areas in Puyang city.National Health Literacy Monitoring Questionnaire was used to conduct the survey.2 test was used for single factor comparison,and multiple linear regression was used for influencing factors analysis,and the test levelα=0.05.Results A total of 3736 permanent residents aged 15-69 were surveyed in 2019,and 3552 valid questionnaires were collected,with a recovery rate of 95.08%.After weighting,the health literacy level of the prevention and treatment of chronic disease among residents of Puyang city in 2019 was 23.53%.Univariate analysis showed that there were significant differences in the level of chronic health literacy among people with different urban and rural distributions,ages,degrees of education and occupations(P<0.05).Multivariate linear regression analysis showed that urban and rural areas,ages and degrees of education were independent influencing factors of health literacy of prevention and treatment of chronic disease among residents in Puyang city(P<0.05).Urban residents accounted for 32.75%,higher than rural residents 18.86%.The highest value was 29.67%in 25-34 age group.The lowest values in age 55-64 and in age 65~69 were 17.96%and 17.11%,respectively.The lowest rate was 16.77%for the primary school group and below while the highest rate was 38.04%for college students and above.The level of chronic health literacy of residents in Puyang is inversely proportional to their ages and positively proportional to their degrees of educational.Conclusion The health literacy of prevention and treatment of chronic disease among residents in Puyang City needs to be further improved.Targeted at rural areas,lo

关 键 词：慢性病防治 健康素养 居民 影响因素 

分 类 号：R193[医药卫生—卫生事业管理]