2014年与2021年南京市女性居民慢性病防治健康素养比较及影响因素分析  

Analysis on comparative and influencing factors of health literacy about chronic disease prevention and treatment among female residents in Nanjing from 2014 to 2021

作　　者：苟莉莉[1] 石呈 陈旭鹏[1] GOU Lili;SHI Cheng;CHEN Xupeng(Nanjing Municipal Centre for Disease Control and Prevention,Nanjing 210003,Jiangshu Province,China)

机构地区：[1]南京市疾病预防控制中心,南京210003

出　　处：《预防医学情报杂志》2024年第10期1253-1261,共9页Journal of Preventive Medicine Information

基　　金：南京市卫生科技发展项目(项目编号:GBX22309)。

摘　　要：目的分析2014年、2021年南京市女性居民慢性病防治健康素养水平的变化及其影响因素,为制定女性慢性病防治素养干预规划提供科学依据。方法根据2014年、2021年南京市居民健康素养监测数据,对15~69岁女性慢性病防治素养进行比较分析。使用SPSS 19.0软件进行统计分析。定性资料用比例或构成比表示。计数资料组间比较采用χ2检验,采用多因素Logistic回归模型分析对女性慢性病防治健康素养的影响因素进行分析。检验水准α=0.05。结果2021年南京市女性慢性病防治健康素养总体水平提高至34.9%,比2014年的7.8%提高了347.44%。与2014年相比,2021年南京市女性居民慢性病防治素养在不同人口学特征组均有提高。不同人口学特征女性慢性病防治素养提升幅度不相同。结果显示郊区女性慢性病防治素养提升最快,为697.50%;其次是35~44岁组女性,为430.26%;提升幅度最小的是医务人员,为101.36%。郊区、高年龄、低文化程度、低收入、职业是农民作为慢性病防治健康素养水平提升的重点人群,其中郊区、低收入女性慢性病防治素养水平提升最大。而老年、低文化水平女性慢性病防治健康素养水平提升最小。以2021年南京市女性慢性病防治素养监测数据为例进行多因素Logistic回归分析,结果显示城区女性居民慢性病防治素养水平高于郊区女性,OR为1.283(95%CI=1.008~1.631),与小学以下文化程度女性相对比,具有大专/本科及以上文化程度的女性慢性病防治素养水平更高,OR为5.793(95%CI=3.281~10.229)。以机关事业单位女性做参照,职业为农民的女性其慢性病防治健康素养水平更低,OR为0.557(95%CI=0.311~1.000)。结论南京市女性慢性病防治素养水平在2014—2021年间有明显的提升,不同人群提升幅度不均衡。今后应持续以高年龄、低文化程度、低收入、职业为农民的女性为重点干预群体,以骨质疏松等知�Objective To compare the health literacy for the prevention and treatment of chronic disease of female residents in Nanjing in 2014 and 2021,so that to providing evidences to the development of relevant health policies and interventions.Methods According to the monitoring data of residents'health literacy in Nanjing in 2014 and 2021,the health literacy about prevention and treatment of chronic disease of female residents aged 15-69 years was compared and analyzed.Statistical analysis was performed by using SPSS 19.0 software.Qualitative information was expressed in terms of proportion or composition ratio.The comparison between the counting data groups was tested by Chi-square test method,and the multivariate logistic regression model was used to analyze the influencing factors of health literacy in the prevention and treatment of chronic diseases in women.The test levelα=0.05.Results The health literacy for chronic diseases of female residents in Nanjing increased from 7.8%in 2014 to 34.7%in 2021 Compared with 2014,the health literacy for chronic disease prevention and treatment of female residents in Nanjing in 2021had increased significantly in different demographic characteristic groups.The increase of health literacy for chronic diseases prevention and treatment of female residents with different demographic characteristics was not same.The results showed that the percentages of increase of chronic disease prevention and treatment literacy of suburban women and was the most(697.50%),then followed by women aged 35-44 group(430.26%).The percentages of increase of chronic disease prevention and treatment literacy of medical workers was least(101.36%).Suburban,older age,low education,low income and farmer women were the key groups to improve the health literacy level of chronic disease prevention and control.The improvement of chronic disease prevention and control literacy of suburban and low-income women was the greatest.However,the improvement of health literacy level of elderly women and women with low educ

关 键 词：女性居民 慢性病防治 健康素养 影响因素 

分 类 号：R195[医药卫生—卫生统计学]