2021年高邮市居民生态环境与健康素养水平影响因素分析  

Influencing factors for residents’environment and health literacy levels in Gaoyou,China,2021

作　　者：巫晶晶 周连[2] 高金彬 金武 李小琴 张开月 戴翔宇 叶涛 赵殿华[3] WU Jing-jing;ZHOU Lian;GAO Jin-bin;JIN Wu;LI Xiao-qin;ZHANG Kai-yue;DAI Xiang-yu;YE Tao;ZHAO Dian-hua(Yangzhou Center for Disease Control and Prevention,Yangzhou 225000,China;Jiangsu Provincial Center for Disease Control and Prevention;Gaoyou Center for Disease Control and Prevention)

机构地区：[1]扬州市疾病预防控制中心,扬州225000 [2]江苏省疾病预防控制中心 [3]高邮市疾病预防控制中心

出　　处：《环境卫生学杂志》2024年第1期52-57,64,共7页JOURNAL OF ENVIRONMENTAL HYGIENE

基　　金：扬州市重点研发项目(社会发展)(YZ2021070)。

摘　　要：目的了解高邮市居民的生态环境与健康素养水平现状,并分析其影响因素,为开展生态环境与健康素养监测、评价、确定素养提升目标和提升重点等提供科学依据。方法于2021年2—3月对高邮市居民进行生态环境与健康素养问卷调查。采用多阶段分层抽样方法,共纳入调查对象265人,采用Logitic回归进行生态环境与健康素养水平多因素分析。结果高邮市居民的生态环境与健康素养水平为80.75%,基本理念、基本知识、基本技能三方面素养水平的分别为70.94%、70.57%、67.55%。多因素Logistic回归分析结果显示:文化程度小学及以下者生态环境与健康素养水平低于中专及以上者[OR(95%CI)=4.391(1.262,15.280),P=0.020];获取环境与健康相关知识3种途径者[OR(95%CI)=4.953(1.304,18.813),P=0.019]和4种途径者[OR(95%CI)=3.700(1.313,10.424),P<0.013]生态环境与健康素养水平高于1种途径者,其他因素无统计学意义。结论高邮市居民生态环境与健康素养水平总体较高,应针对文化程度较低者、获取环境与健康相关知识途径较少的居民作为重点干预对象,制定科学而有效的传播策略。Objective To understand the status of residents’ecological environment and health literacy levels in Gaoyou,China,and analyze their influencing factors so as to provide a scientific basis for monitoring and evaluating ecological environment and health literacy,and determining goals and priorities of literacy improvement.Methods A questionnaire survey on the ecological environment and health literacy of residents was conducted among residents in Gaoyou from February to March 2021.A total of 265 subjects were selected by the multistage stratified sampling method,and logistic regression was used for multivariate analysis.Results The overall level of ecological environment and health literacy of Gaoyou residents was 80.75%,with the health literacy levels of basic concepts,basic knowledge and basic skills being 70.94%,70.57%and 67.55%,respectively.Multivariate logistic regression analysis showed that subjects with primary education had lower levels of the ecological environment and health literacy than those with junior college de-gree or above[odd ratio,OR(95%CI)=4.391(1.262,15.280),P=0.020].Subjects obtaining related knowledge through three ways[OR(95%CI)=4.953(1.304,18.813),P=0.019]or four ways[OR(95%CI)=3.700(1.313,10.424),P<0.013]had high-er levels of the ecological environment and health literacy than those through one way.There were no significant differences in other factors.Conclusion The ecological environment and health literacy levels of residents in Gaoyou are generally high.Residents with lower education levels and less ways to obtain environment and health-related knowledge should be focused as key intervention targets,and scientific and effective communication strategies should be formulated.

关 键 词：生态环境与健康素养 影响因素 居民 

分 类 号：R12[医药卫生—环境卫生学]