媒介使用对山东省农村居民慢性病防治素养的影响分析  

The influence of media use on chronic disease prevention and control literacy among rural residents in Shandong Province

作　　者：李瑞 陈仁友[1] 刘永娟 常春[2] 黄鹏翔[1] 刘维量[1] 王连森[1] LI Rui;CHEN Ren-you;LIU Yong-juan;CHANG Chun;HUANG Peng-xiang;LIU Wei-liang;WANG Lian-sen(Department of Health Education and Promotion,Shandong Center for Disease Control and Prevention,Jinan 250014,China)

机构地区：[1]山东省疾病预防控制中心健康教育与促进所,山东济南250014 [2]北京大学公共卫生学院社会医学与健康教育系,北京100191

出　　处：《中国健康教育》2024年第11期965-970,共6页Chinese Journal of Health Education

基　　金：山东省人文社会科学课题(2023-JKZX-11);山东省人文社会科学课题(2022-JKZX-14);山东省医药卫生科技项目青年项目(202312071011)。

摘　　要：目的了解山东省农村居民慢性病防治素养状况,探讨媒介使用相关因素对居民慢性病防治素养的影响。方法于2022年9—11月,采用多阶段分层整群随机抽样方法,根据山东省地理地形分布及经济发展特征抽取10个县(市、区)15岁及以上农村居民2826人进行入户面对面问卷调查。采用描述性统计分析报告调查对象的社会人口学特征,通过χ^(2)检验比较不同媒介使用相关因素之间慢性病防治素养的差异情况。采用多因素二元Logistic回归模型分析媒介使用相关变量对慢性病防治素养的影响。结果山东省农村居民慢性病防治素养水平为20.2%,不同年龄组、文化程度、职业之间居民慢性病防治素养水平差异有统计学意义(P<0.05)。单因素分析显示,通过折页/小册子、宣传栏/墙报、墙上刷健康知识标语、与医生交谈、家人朋友讲授、健康大讲堂、社区微信群、抖音短视频等8种方式的慢性病防治素养水平高于未通过以上8种方式的人群,且差异有统计学意义(P均<0.05)。多因素二元Logistics回归分析结果显示,文化程度方面,以不识字/少识字为参照,文化程度越高,慢性病防治素养水平越高,本科及以上学历者慢性病防治素养水平最高,OR为2.745(95%CI:1.549~2.864);通过折页/小册子、与医生交谈、健康大讲堂、社区微信群、抖音短视频获取健康知识人群的慢性病防治素养水平均高于未通过以上方式的,OR值分别为1.473(95%CI:1.207~1.797)、1.375(95%CI:1.127~1.677)、1.730(95%CI:1.422~2.105)、1.590(95%CI:1.201~2.105)、1.475(95%CI:1.083~2.009)。结论折页/小册子、与医生交谈、健康大讲堂、社区微信群、抖音短视频等媒介的合理使用可有效促进山东省农村居民慢性病防治素养的提升。Objective To investigate the status of chronic disease prevention literacy among rural residents in Shandong Province,and to explore the influence of media use on residents chronic disease prevention literacy.Methods From September to November 2022,a multi-stage stratified cluster random sampling method was adopted to select 10 counties(cities,districts)in Shandong Province based on geographical distribution and economic development.Face-to-face household survey was conducted among 2826 rural residents aged 15 years or above.Descriptive statistical analysis was used to collect participants'socio-demographic characteristics.χ^(2)tests were utilized to compare differences in chronic disease prevention literacy across media use factors.Multivariable Logistic regression models were applied to analyze the impacts of media use variables on chronic disease prevention literacy.Results The level of chronic disease prevention literacy among rural residents in Shandong Province was 20.2%.Significant differences were found in different age groups,education levels,and occupations(P<0.05).Univariate analysis indicated chronic disease prevention literacy was statistically significant higher among those obtaining health knowledge via leaflets/booklets,health posters/bulletin boards,health slogans on walls,doctor consultations,family/friends'teachings,health lectures,We-Chat groups,and TikTok videos compared to their counterparts without such media exposure(P<0.05).Multivariable logistic regression revealed that higher education attainment was associated with better chronic disease prevention literacy compared to illiteracy/semi-illiteracy.Those with undergraduate education or above had the highest levels(OR=2.745,95%CI:1.549-2.864).Exposure to leaflets/booklets,doctor consultations,health lectures,We-Chat groups,and TikTok videos also corresponded to elevated chronic disease prevention literacy versus no exposure,with OR of 1.473(95%CI:1.207-1.797),1.375(95%CI:1.127-1.677),1.730(95%CI:1.422-2.105),1.590(95%CI:1.201-2.105),1.475

关 键 词：媒介使用 农村居民 慢性病防治素养 

分 类 号：R193[医药卫生—卫生事业管理]