新冠肺炎流行期间学龄前儿童家庭结构与健康素养关联分析  

Association analysis of family structure and health literacy level of preschool children during epidemic of novel coronavirus pneumonia

作　　者：孙蕾 王磊[2] 金丹 金武 姚庆兵 周信 SUN Lei;WANG Lei;JIN Dan;JIN Wu;YAO Qingbing;ZHOU Xin(Center for Disease Control and Prevention of Yangzhou,Jiangsu 225100,China)

机构地区：[1]江苏省扬州市疾病预防控制中心儿童青少年健康促进科 [2]江苏省扬州市妇幼保健院儿童保健科,225100

出　　处：《淮海医药》2021年第6期553-558,共6页Journal of Huaihai Medicine

摘　　要：目的:了解新冠肺炎流行期间扬州市学龄前儿童家庭健康观念、行为素养的影响因素,分析不同家庭结构与健康素养间的关系。方法:共招募扬州市49390名学龄前儿童作为研究对象,采用在线问卷调查收集信息,分析学龄前儿童家庭结构与健康素养间的关系。结果:不同特征调查对象间家庭健康观念、行为素养比较差异有统计学意义(P<0.05)。逻辑回归结果显示,与单胎家庭相比,二胎家庭每日关注疫情(OR调整=1.131,95%CI=1.072~1.194)、主动获取疫情相关信息(OR调整=1.271,95%CI=1.123~1.437)、特别关注疫情对儿童影响(OR调整=1.272,95%CI=1.067~1.515)发生率更高,而完全相信官方防疫知识(OR调整=0.895,95%CI=0.863~0.929)发生率更低;二胎家庭避免接触活体市场(OR调整=1.219,95%CI=1.142~1.302)、减少孩子与外界接触(OR调整=1.169,95%CI=1.084~1.260)发生率更高,保持手卫生(OR调整=0.883,95%CI=0.830~0.940)、外出归来注意卫生(OR调整=0.921,95%CI=0.870~0.976)发生率更低。结论:新冠肺炎流行期间学龄前儿童家长的健康素养水平较高,家庭结构影响健康观念及行为素养水平。Objective:To understand the factors affecting the family health concept and behaviorial literacy of preschool children in Yangzhou during the epidemic of novel coronavirus pneumonia,and to analyze the relationship between different family structures and health literacy levels.Methods:A total of 49,390 preschool children were recruited in the investigation.Their information was collected,and the relationship between family structure and health literacy was analyzed.Results:There was statistically significant differences in family health concepts and behaviors among subjects with different characteristics(P<0.05).Logistic regression results showed that compared with one-child families,the rates were higher in two-child families in terms of attention paid to the epidemic every day(ORadj=1.131,95%CI:1.072~1.194),information actively obtained about the epidemic(ORadj=1.271,95%CI:1.123,1.437),and special attention attached to the impact of the epidemic on children(ORadj=1.272,95%CI:1.067,1.515),while the rate was lower in fully believing in the official epidemic prevention knowledge(ORadj=0.895,95%CI:0.863,0.929).Compared with one-child families,the rates were higher in two-child families in avoiding contact with live animal market(ORadj=1.219,95%CI:1.142,1.302)and reduction of children's exposure to the outside world(ORadj=1.169,95%CI:1.084,1.260),and the rates was lower in maintaining hand hygiene at all times(ORadj=0.883,95%CI:0.830,0.940)and paying attention to hygiene after going out(ORadj=0.921,95%CI:0.870,0.976).Conclusion:During the epidemic of novel coronarvirus pneumonia,parents of preschool children have higher health concepts and behavioral literacy levels,and family structure affects family health concepts and behavioral literacy levels.

关 键 词：新型冠状病毒肺炎 家庭结构 家庭健康素养 儿童 学龄前 

分 类 号：R563.12[医药卫生—呼吸系统]