湖南省医务人员食源性疾病知信行现状及影响因素分析  

Current status and influencing factors of knowledge,attitude and practice towards foodborne diseases among medical staff in Hunan Province

作　　者：张杰 郑美惠 吴诗蓝 汪强 贾华云[2] 梁进军[2] 让蔚清[1] ZHANG Jie;ZHENG Meihui;WU Shilan;WANG Qiang;JIA Huayun;LIANG Jinjun;RANG Weiqing(School of Public Health,University of South China,Hengyang,Hunan 421001,China;Hunan Provincial Center for Disease Control and Prevention,Changsha,Hunan 410153,China)

机构地区：[1]南华大学公共卫生学院,湖南衡阳421001 [2]湖南省疾病预防控制中心,湖南长沙410153

出　　处：《实用预防医学》2024年第11期1321-1327,共7页Practical Preventive Medicine

基　　金：2019年度湖南省芙蓉教学名师专项基金(201RFS001);湖南省自然科学基金-科卫联合项目(2022JJ70010)

摘　　要：目的 了解湖南省医务人员食源性疾病知信行现状及其影响因素,为提高医务人员食源性疾病知识水平提供参考。方法 采用多阶段分层随机抽样,对湖南省5个地市1 489名医务人员食源性疾病知信行现状进行问卷调查,并对其影响因素进行logistic回归分析。结果 湖南省医务人员食源性疾病知识、态度、行为得分率分别为67.59%、90.13%、91.39%;Spearman秩相关分析结果显示:食源性疾病知识与态度、知识与行为、态度与行为均呈正相关;logistic回归分析结果显示:二级医院(OR=1.819,95%CI:1.267~2.611)、湘潭市(OR=12.979,95%CI:8.234~20.458)、常德市(OR=0.585,95%CI:0.388~0.881)、内科(OR=2.048,95%CI:1.090~3.848)影响知识得分;湘潭市(OR=7.434,95%CI:4.582~12.060)、临床医学(OR=2.340,95%CI:1.519~3.605)、医学检验(OR=2.385,95%CI:1.346~4.226)、预防医学(OR=1.948,95%CI:1.086~3.496)影响态度得分;三级医院(OR=0.424,95%CI:0.284~0.633)、长沙市(OR=1.687,95%CI:1.196~5.382)、湘潭市(OR=2.839,95%CI:1.897~4.250)、常德市(OR=2.281,95%CI:1.596~3.260)、哨点医院(OR=2.151,95%CI:1.522~3.038)、临床医学(OR=1.675,95%CI:1.101~2.548)和大学本科(OR=0.710,95%CI:0.545~0.926)影响行为得分。结论湖南省医务人员对食源性疾病的态度较为积极、行为水平较高,但知识水平有待提高,建议针对不同特征医务人员开展个性化、多元化健康教育,加强医务人员对食源性疾病监测知识的认知。Objective To understand the current situation and influencing factors of knowledge,attitude and practice towards foodborne diseases among medical professionals in Hunan Province,and to provide references for improving medical professionals’knowledge level of foodborne diseases.Methods With a multi-stage stratified random sampling method,a questionnaire survey was conducted to investigate the current status of knowledge,attitude and practice towards foodborne diseases among 1,489 medical professionals in 5 prefectures and cities in Hunan Province,and the influencing factors were identified by logistic regression analysis.Results The score rates of knowledge,attitude and practice towards foodborne diseases in the medical professionals in Hunan Province were 67.59%,90.13%and 91.39%respectively.The results of Spearman rank correlation analysis revealed that there was a positive correlation between foodborne disease knowledge and attitude,between knowledge and behavior,and between attitude and behavior.The results of logistic regression analysis displayed that second-level hospitals(OR=1.819,95%CI:1.267-2.611),Xiangtan City(OR=12.979,95%CI:8.234-20.458),Changde City(OR=0.585,95%CI:0.388-0.881)and internal medicine(OR=2.048,95%CI:1.090-3.848)significantly affected the knowledge scores.Xiangtan City(OR=7.434,95%CI:4.582-12.060),clinical medicine(OR=2.340,95%CI:1.519-3.605),medical laboratory(OR=2.385,95%CI:1.346-4.226)and preventive medicine(OR=1.948,95%CI:1.086-3.496)significantly affected the attitude scores.Third-level hospitals(OR=0.424,95%CI:0.284-0.633),Changsha City(OR=1.687,95%CI:1.196-5.382),Xiangtan City(OR=2.839,95%CI:1.897-4.250),Changde City(OR=2.281,95%CI:1.596-3.260),sentinel hospitals(OR=2.151,95%CI:1.522-3.038),clinical medicine(OR=1.675,95%CI:1.101-2.548)and undergraduate universities(OR=0.710,95%CI:0.545-0.926)significantly affected the behavior scores.Conclusion Medical professionals in Hunan Province have positive attitudes towards foodborne diseases and a high level of behavior,but their knowledg

关 键 词：医务人员 食源性疾病 知信行 LOGISTIC回归 

分 类 号：R192[医药卫生—卫生事业管理] R155.3[医药卫生—公共卫生与预防医学]