泰安市居民电子健康素养与抑郁症状的关系  

Relationship between eHealth literacy and depressive symptoms in residents in Tai’an City

作　　者：刘晓雯 秦文哲[1,2,3] 徐凌忠 张娇 高兆溶[1,2,3] 胡芳芳 洪壮[1,2,3] 井玉荣 韩宛彤 LIU Xiaowen;QIN Wenzhe;XU Lingzhong;ZHANG Jiao;GAO Zhaorong;HU Fangfang;HONG Zhuang;JING Yurong;HAN Wantong(Centre for Health Management and Policy Research,School of Public Health,Cheeloo College of Medicine,Shandong University,Jinan 250012,China;Shandong University Center for Health Economics Experiment and Public Policy Research,Jinan 250012,China;NHC Key Laboratory of Health Economics and Policy Research(Shandong University),Jinan 250012,China)

机构地区：[1]山东大学齐鲁医学院公共卫生学院卫生管理与政策研究中心,济南250012 [2]山东大学卫生经济实验与公共政策研究中心,济南250012 [3]国家卫健委卫生经济与政策研究重点实验室(山东大学),济南250012

出　　处：《中国心理卫生杂志》2022年第5期427-432,共6页Chinese Mental Health Journal

基　　金：国家自然基金面上项目(项目名称:行为经济学视角下的家庭医生签约服务优化设计与策略完善——基于城乡供需双方的实证研究;项目负责人:徐凌忠;项目编号:71974118)。

摘　　要：目的:了解泰安市居民的电子健康素养现况,探究其与抑郁症状的关系。方法:采用多阶段整群随机抽样方法选取山东省泰安市6个县(市/区),抽取≥18岁居民8496人,采用电子健康素养量表(eHEALS)和患者健康问卷抑郁量表(PHQ-9)评估电子健康素养水平和抑郁症状。结果:eHEALS总分为(16.9±12.0)分。单因素方差分析的结果显示,在不同年龄、教育程度、自评经济情况中,18~44岁、高中及以上、自评经济富足者的eHEALS得分最高;有配偶者eHEALS得分高于无配偶者;在业者eHEALS得分高于无业者;无慢病者eHEALS得分高于有慢病者(均P<0.05)。回归分析结果显示,控制人口学资料后,eHEALS总分与PHQ-9总分负向关联(β=-0.01)。结论:泰安市居民电子健康素养整体处于较低水平;电子健康素养水平越低,抑郁症状越明显。Objective:To understand the current state of eHealth literacy in residents in Tai’an,and to investigate its relationship with depressive symptoms.Methods:A multi-stage cluster random sampling method was used to select 8496 residents aged≥18 years from 6 counties(cities/districts)in Tai’an City,Shandong Province.The level of eHealth literacy and the degree of depressive symptoms were assessed with the eHealth Literacy Scale(eHEALS)and the Patient Health Questionnaire-9(PHQ-9).Results:The average score of eHEALS was(16.9±12.0).The results of single factor analysis of variance showed that the eHEALS scores were the highest in those aged 18-44 years,with education of high school and above,and with self-rated economic prosperity.The eHEALS scores were higher in those with spouse,employed,without chronic diseases than those without spouse,unemployed,and with chronic diseases,respectively(Ps<0.05).After controlling for factors such as age,gender,education level,marital status,employment status,economic self-evaluation and chronic disease,the regression analysis results showed that the total score of eHEALS was negatively correlated with the total scores of PHQ-9(β=-0.01).Conclusion:The overall level of eHealth literacy is at a low level in residents in Tai’an,and the lower the level of eHealth literacy,the more obvious the depressive symptoms.

关 键 词：电子健康素养 抑郁症状 居民 

分 类 号：R193[医药卫生—卫生事业管理] R749.41[医药卫生—公共卫生与预防医学]