2022年云南省居民中医药健康文化素养现状及影响因素分析  

Analysis on health culture literacy of traditional Chinese medicine and its influencing factors among residents in Yunnan Province,2022

作　　者：刘国华 段婧[2] 熊光轶 汤滴微 罗光云 何丹 LIU Guo-hua;DUAN Jing;XIONG guang-yi;TANG Di-wei;LUO Guang-yun;HE Dan(Yunnan University of Chinese Medicine,Kunming 650500,China)

机构地区：[1]云南中医药大学基础医学院,云南昆明650500 [2]云南省疾病预防控制中心,云南昆明650022

出　　处：《中国健康教育》2023年第6期555-560,共6页Chinese Journal of Health Education

基　　金：云南省教育厅科学研究基金项目(2021J0425)。

摘　　要：目的了解云南省居民中医药健康文化素养水平,并分析其影响因素。方法于2022年3—6月,采用多阶段抽样方法抽取10949名居民进行问卷调查。采用多因素Logistic回归模型分析影响云南省居民中医药健康文化素养水平的主要因素。结果2022年云南省居民中医药健康文化素养水平为15.79%,中医药基本理念、公众适宜方法、健康生活方式、文化常识和信息理解能力素养水平分别为50.21%、2.05%、23.06%、37.85%和46.50%。多因素Logistic回归分析结果显示,以男性为参照,女性居民的中医药健康文化素养水平较高,OR值为1.12(95%CI:1.00~1.26);以16~岁年龄组为参照,36~岁年龄组、≥60岁年龄组居民的素养水平较高,OR值分别为2.88(95%CI:1.68~4.92)、2.99(95%CI:1.36~6.56);以公务员为参照,医务人员的素养水平较高,OR值为1.68(95%CI:1.35~2.10);以汉族为参照,彝族、傣族和壮族居民的素养水平较低,OR值分别为0.71(95%CI:0.59~0.85)、0.68(95%CI:0.47~0.98)和0.51(95%CI:0.33~0.80);以不识字/识字较少者为参照,文化程度为高中/中专、大专和本科及以上居民的素养水平较高,OR值分别为4.83(95%CI:2.09~11.17)、4.39(95%CI:1.90~10.16)和7.19(95%CI:3.12~16.57);以自评健康状况为好者为参照,自评健康状况为一般的居民的素养水平较高,OR值为1.39(95%CI:1.24~1.57);以人均月收入<6000元者为参照,人均月收入为6000~元居民的素养水平较高,OR值为1.57(95%CI:1.21~2.04)。结论云南省居民中医药健康文化素养水平整体较低,少数民族、农民、低文化程度、低月收入和高中生等人群是提升中医药健康文化素养的关键人群。Objective To understand the level of health culture literacy of traditional Chinese medicine(TCM)among residents in Yunnan Province,and to analyze its influencing factors.Methods From March to June 2022,a multi⁃stage sampling method was used to select 10949 residents for questionnaire survey.Multivariate logistic regression model was used to analyze the main factors of health culture literacy of TCM.Results In 2022,the level of health culture literacy of TCM among residents in Yunnan Province was 15.79%.The literacy levels of basic concepts of TCM,appropriate methods for the public,healthy lifestyles,cultural common sense and information understanding ability were 50.21%,2.05%,23.06%,37.85%and 46.50%,respectively.The results of multivariate logistic regression analysis showed that the level of TCM health literacy of female residents was higher than that of male residents,and the OR value was 1.12(95%CI:1.00-1.26).Compared with the 16⁃year⁃old age group,the literacy levels of residents in the 36⁃year⁃old age group and the≥60⁃year⁃old age group were higher,with OR values of 2.88(95%CI:1.68-4.92)and 2.99(95%CI:1.36-6.56),respectively.Compared with civil servants,the literacy level of medical staffs was higher,and the OR value was 1.68(95%CI:1.35-2.10).Compared with the Han nationality,the literacy levels of Yi,Dai and Zhuang residents were lower,and the OR values were 0.71(95%CI:0.59-0.85),0.68(95%CI:0.47-0.98)and 0.51(95%CI:0.33-0.80),respectively.Compared with the illiterate/less literate people,the literacy levels of residents with high school/technical secondary school,junior college and undergraduate and above were higher,and the OR values were 4.83(95%CI:2.09-11.17),4.39(95%CI:1.90-10.16)and 7.19(95%CI:3.12-16.57),respectively.Taking the selfrated health as a reference,the residents with general self⁃rated health had a higher literacy level,with an OR value of 1.39(95%CI:1.24-1.57).Taking the per capita monthly income<6000 yuan as a reference,the literacy level of residents with per capita mo

关 键 词：云南省 中医药健康文化素养 影响因素 

分 类 号：R193[医药卫生—卫生事业管理]