正定县居民气候变化健康素养水平及其影响因素分析  

Investigation of climate change-related health literacy level of residents and its influencing factors in Zhengding county,Hebei province,China

作　　者：杜茜茜 曲玥 陈凤格[1,2,3] 张艳红 关茗洋[1,3] DU Xi-xi;QU Yue;CHEN Feng-ge;ZHANG Yan-hong;GUAN Ming-yang(Shijiazhuang Center for Disease Control and Prevention,Shijiazhuang 050011,China;School of Public Health,North China University of Science and Technology,Tangshan 063210,China;Environment and Health Research Base of Chinese Center for Disease Control and Prevention(Shijiazhuang);Zhengding Center for Disease Control and Prevention)

机构地区：[1]石家庄市疾病预防控制中心,石家庄050011 [2]华北理工大学公共卫生学院,唐山063210 [3]中国疾病预防控制中心环境与健康研究基地(石家庄) [4]正定县疾病预防控制中心

出　　处：《环境卫生学杂志》2024年第2期138-144,172,共8页JOURNAL OF ENVIRONMENTAL HYGIENE

基　　金：河北省医学科学研究课题计划(20240228)。

摘　　要：目的了解正定县居民气候变化健康素养水平并分析其影响因素,为有关部门制定气候变化健康素养提升策略提供科学依据。方法2023年2月随机选取正定县4个村共823名居民开展气候变化健康素养问卷调查。运用卡方检验、多因素Logistic回归分析不同人群气候变化健康素养具备情况及其影响因素。结果2023年正定县居民气候变化健康素养水平为24.8%,其中,健康生活方式素养水平最高(67.9%),其次是应对气候变化个体防护素养水平(52.4%),气候变化基本知识素养水平最低(6.6%),且差异具有统计学意义(χ^(2)=686.31,P<0.001)。多因素Logistic回归分析结果显示,经历过极端天气事件、关注气候变化、绿色出行、无环境污染行为、不容易冲动消费的居民气候变化健康素养水平较高,OR值分别为1.63(95%CI:1.01~2.47)、4.36(95%CI:2.01~9.46)、5.18(95%CI:2.31~11.62)、8.65(95%CI:3.43~21.85)、3.27(95%CI:1.85~5.78)。结论正定县居民气候变化健康素养水平仍有待提高,尤其是居民气候变化基本知识素养水平较低,在今后的工作中需进一步宣传和普及气候变化基本知识,全面提升居民气候变化健康素养水平。Objective To investigate the level of climate change-related health literacy of residents in Zhengding county,Hebei province,China,and analyze its influencing factors,so as to provide a scientific basis for relevant departments to formulate strategies for improving climate change-related health literacy.Methods A questionnaire survey on climate change-related health literacy was conducted among 823 residents randomly selected from four villages in Zhengding county in February 2023.The health literacy on cli-mate change in different populations and its influencing factors were analyzed using the chi-squared test and multivariable logistic re-gression analysis.Results In 2023,the climate change-related health literacy level of residents in Zhengding county was 24.8%,a-mong which the level of literacy on healthy lifestyle was the highest(67.9%),followed by the level of individual protection literacy a-gainst climate change(52.4%),and the level of climate change-related basic knowledge literacy was the lowest(6.6%),with a sta-tistically significant difference(χ^(2)=686.31,P<0.001).The multivariable analysis showed that the residents who had experienced ex-treme weather events,were concerned about climate change,green travel preference,pollution-free environmental behavior,and were not prone to impulsive consumption had higher levels of health literacy,with the odds ratios at 95%confidence intervals being 1.63(1.01,2.47),4.36(2.01,9.46),5.18(2.31,11.62),8.65(3.43,21.85),and 3.27(1.85,5.78),respectively.Conclusion The climate change-related health literacy level of residents in Zhengding county still needs to be improved,especially the basic knowledge literacy level.In the future,it is necessary to further publicize and popularize the basic knowledge of climate change,and comprehensively improve residents’health literacy on climate change.

关 键 词：气候变化 健康素养 影响因素 

分 类 号：R122[医药卫生—环境卫生学]