基于Anderson模型的突发公共卫生事件应急健康教育现状及影响因素研究--以日照市居民为例  

Study on the current situation and influencing factors of public health emergency health education based on Anderson model:a case study of residents in Rizhao city

作　　者：范成鑫 尹文强[1,3,4] 王相印 宋佳 艾旭峰 王婉晨 袁玫 刘馨璐 FAN Cheng-xin;YIN Wen-qiang;WANG Xiang-yin;SONG Jia;AI Xu-feng;WANG Wan-chen;YUAN Mei;LIU Xin-lu(School of Management,Weifang Medical University,Weifang,Shandong 261053,China;不详)

机构地区：[1]潍坊医学院管理学院,山东潍坊261053 [2]潍坊医学院公共卫生学院,山东潍坊261053 [3]“健康山东”重大社会风险预测与治理协同创新中心,山东潍坊261053 [4]健康相关重大社会风险预警协同创新中心,上海200032

出　　处：《现代预防医学》2021年第24期4487-4490,4509,共5页Modern Preventive Medicine

基　　金：山东省自然科学基金(ZR2019MG010)。

摘　　要：目的调查居民突发公共卫生事件应急健康教育接受现状,分析影响居民接受突发公共卫生事件应急健康教育的因素,为有效开展应急健康教育和提升居民突发公共卫生事件健康素养提供参考。方法于2020年5月采用分层随机抽样的方法抽取日照市三个县市区的城乡居民进行问卷调查,对不同人群接受突发公共卫生事件应急健康教育的现状进行描述性分析;以安德森模型为框架,利用分层logistic回归分析影响居民接受应急健康教育的影响因素。结果在被调查的303名日照市城乡居民中,87.50%的居民曾接受过突发公共卫生事件应急健康教育,接受方式以微信、微博等在线渠道为主;logistic回归分析结果显示,健康教育接受信念(OR=3.713,95%CI:1.981~6.961)、接受频率(OR=0.452,95%CI:0.314~0.651)、健康素养状况(OR=1.087,95%CI:1.030~1.147)、自评健康状况(OR=0.217,95%CI:0.103~0.457)是居民接受健康教育的影响因素。结论日照市居民接受突发公共卫生事件应急健康教育以微信、微博等网络渠道为主,应创新应急健康教育的方式与方法,做到各部门有效协同,以有效提升居民的突发公共卫生事件健康素养。Objective To investigate the status quo of emergency health education for residents in public health emergencies,analyze the factors affecting residents’ acceptance of emergency health education, and provide reference for effective emergency health education and improvement of residents’ health literacy. Methods A questionnaire survey was conducted in May 2020 using stratified random sampling among urban and rural residents in three counties and urban areas of Rizhao city, and a descriptive analysis was conducted on the current situation of the acceptance of emergency health education among different groups of people. A stratified logistic regression was used to analyze the influencing factors affecting the acceptance of emergency health education among residents using Anderson model. Results Among the 303 urban and rural residents in Rizhao city surveyed, 87.50% received emergency health education on public health emergencies mainly through online channels such as WeChat and microblogs. Logistic regression analysis showed that health education acceptance beliefs(OR=3.713, 95%CI: 1.981-6.961), acceptance frequency(OR=0.452, 95%CI: 0.314-0.651), health literacy status(OR=1.087,95% CI: 1.030-1.147), and self-rated health status(OR =0.217, 95% CI: 0.103-0.457) were the influencing factors.Conclusion In order to effectively improve the health literacy of residents in public health emergencies, we should innovate the ways and methods of emergency health education and achieve effective collaboration among various departments.

关 键 词：安德森模型 突发公共卫生事件 健康教育 影响因素 

分 类 号：R197.1[医药卫生—卫生事业管理]