457例孕妇PM_(2.5)风险感知与防护行为个体差异和关联分析  

Individual differences and association analysis of PM_(2.5) risk perception and protective behavior in 457 pregnant women

作　　者：叶子雯 黄蕾[1] 方强 龙海平 YE Ziwen;HUANG Lei;FANG Qiang;LONG Haiping(State key Laboratory of Pollution Control&Resource Reuse School of the Environment,Nanjing University,Nanjing 210023,Jiangsu,China;Pollution Control Department,Changshou District Ecology and Environment Bureau,Chongqing 401220,China)

机构地区：[1]南京大学环境学院污染控制与资源化研究国家重点实验室,江苏南京210023 [2]重庆市长寿经济技术开发区生态环境局污染防治科,重庆401220

出　　处：《山东大学学报（医学版）》2021年第12期96-100,109,共6页Journal of Shandong University:Health Sciences

基　　金：国家自然科学基金优青资助项目(41822709);江苏省自然科学基金面上项目(BK20201186)。

摘　　要：目的探讨孕妇对PM_(2.5)风险感知和防护行为的个体差异及感知与防护行为的关联性。方法选取457名妊娠期女性。采用自编问卷调研孕妇对PM_(2.5)的感知和防护情况,采用χ^(2)检验、Kruskal-Wallis H检验和有序多分类Logistic回归分析对数据进行统计分析。结果孕妇年龄越大,教育水平和收入水平越高,其对PM_(2.5)关注度越高(χ^(2)=14.19,P=0.007;χ^(2)=19.61,P<0.001;χ^(2)=8.93,P=0.030)。同时,对PM_(2.5)完全不关注的孕妇和低收入(<4 000元/月)孕妇在应对PM_(2.5)污染时的措施采取度更低(OR=0.30,95%CI 0.15~0.60,P=0.001;OR=0.37,95%CI:0.20~0.69,P=0.002)。结论低收入孕妇更容易受到PM_(2.5)的影响,需要提高这类群体对PM_(2.5)的关注度,增强其抵御PM_(2.5)风险的能力。Objective To explore the individual differences and analyze the association of PM_(2.5) risk perception with protection behavior in pregnant women. Methods A total of 457 pregnant women were recruited from Nanjing Maternal and Child Health Care Hospital. Their risk perception of PM_(2.5) and protective behavior were surveyed with a self-made questionnaire. The data were analyzed with χ^(2)test, Kruskal Wallis H test, and polytomous ordinal Logistic regression. Results Older age, higher education level and higher income level were associated with more attention to PM_(2.5)(χ^(2)=14.19, P=0.007;χ^(2)=19.61, P<0.001;χ^(2)=8.93, P=0.030). Pregnant women with low concern of PM_(2.5) and low income(<4,000 yuan per month) took fewer measures to deal with PM_(2.5)pollution(OR=0.30, 95%CI: 0.15-0.60, P=0.001;OR=0.37, 95%CI: 0.20-0.69, P=0.002). Conclusion Pregnant women with low income are more vulnerable to PM_(2.5). It is necessary to increase the concern of these groups to PM_(2.5)and enhance their ability to avoid PM_(2.5)risk.

关 键 词：孕妇 PM_(2.5)风险感知 防护行为 个体差异 

分 类 号：R122[医药卫生—环境卫生学]