摘要
目的了解河北省城乡居民传染病防治素养水平及其影响因素,为提升居民传染病防控能力提供科学依据。方法采用分层、多阶段、PPS与简单随机相结合的抽样方法,对河北省29206名城乡常住居民进行入户问卷调查。统计分析方法采用复杂抽样模块下的描述性分析、χ^(2)检验、Logistic回归分析,研究城乡不同特征人群传染病防治素养水平及影响因素。结果河北省2021年城乡居民传染病防治素养水平为27.79%,其中城市和农村居民传染病防治素养水平分别为32.78%和27.05%。多因素Logistic回归分析结果表明:河北省城市居民传染病防治素养水平受性别、文化程度和家庭人均年收入的影响。男性传染病防治素养水平低于女性(OR=0.865);不识字或识字很少、小学学历传染病防治素养水平低于本科及以上学历,OR值分别为0.247、0.642;家庭人均年收入3000元以下、3000~4999元、10000~19999元居民比30000元以上居民传染病防治素养水平低,OR值分别为0.683、0.600、0.796。农村居民传染病防治素养水平受年龄、文化程度、家庭人均年收入和是否患慢性病的影响。参照65~69岁年龄组,25~34岁、35~44岁、45~54岁、55~64岁年龄组居民传染病防治素养水平较高,OR值分别为2.009、1.542、1.519、1.298;相比本科及以上学历,不识字或识字很少、小学、初中、高中/职高/中专、大专的OR值分别为0.284、0.399、0.516、0.657、0.611,文化程度越高,居民传染病防治素养水平越高;家庭人均年收入10000~19999元居民比30000元以上居民传染病防治素养水平低(OR=0.638);慢性病患者传染病防治素养水平高于非慢性病患者(OR=1.263)。结论河北省居民传染病防治素养水平仍有待提高。根据城乡居民传染病防治素养水平影响因素的不同,今后工作应从薄弱人群及薄弱环节出发,分别开展有针对性的传染病防治科普宣传和干预活动。
Objective To evaluate the status of health literacy on infectious disease prevention and its influential factors,and to provide evidence for prevention and control on infectious disease.Methods By using stratified,multistage,simple random and PPS sampling method,the sample of investigation were extracted from Hebei Province.The respondents were 29206 urban and rural residents who were selected to complete a health literacy questionnaire.Results The level of literacy of infectious disease prevention in Hebei Province was 27.79%,32.78%in urban areas and 27.05%in rural areas.The literacy level of urban residents on infectious disease prevention was affected by gender,education level and annual household income.Compared with the females as the reference,the males had lower literacy of infectious disease prevention(OR=0.865).The residents with undergraduate and above were used as a reference,ORs of the illiterate/less literate,primary school were 0.247 and 0.642,respectively.The level of literacy of infectious disease prevention of residents with annual household income of less than 3000 yuan,3000-4999 yuan,10000-19999 yuan were lower than that of residents with annual household income of more than 30000 yuan(ORs were 0.683,0.600 and 0.796,respectively).The literacy level of rural residents on infectious disease prevention was affected by age,education level,annual household income and whether they suffered from chronic diseases.Compared with the group aged 65-69 year-old,the group aged 25-34,the group aged 35-44,the group aged 45-54 and the group aged 55-64 were more likely to have the literacy of infectious disease prevention,and their ORs were 2.009,1.542,1.519 and 1.298 respectively.The residents with undergraduate and above were used as a reference,the lower the level of education,the lower the level of literacy of infectious disease prevention.ORs of illiterate/less literate,primary school,junior high school,high school/higher/secondary,junior college were 0.284,0.399,0.516,0.657,0.611,respectively.The level of literacy of infectious disease prevention of residents with annual household income of 10000-19999 yuan was lower than that of residents with annual household income of more than 30000 yuan(OR=0.638).The level of literacy of infectious disease prevention in patients with chronic diseases was higher than that in patients without chronic diseases(OR=1.263).Conclusion The level of literacy of infectious disease prevention in Hebei Province is still low.It is necessary to focus on vulnerable population and weak links as the key intervention group.According to the characteristics of urban and rural areas,different strategies should be developed on literacy on infectious disease prevention promotion.
作者
于飞
张海容
贺蕾
谭鹆昕
温博强
王坤
杨圣俊
程蔼隽
YU Fei;ZHANG Hai-rong;HE Lei;TAN Yu-xin;WEN Bo-qiang;WANG Kun;YANG Sheng-jun;CHENG Ai-jun(Hebei Provincial Center for Disease Control and Prevention,Shijiazhuang 050021,China)
出处
《中国健康教育》
北大核心
2023年第1期64-69,74,共7页
Chinese Journal of Health Education
基金
2022年度河北省医学科学研究课题计划项目(20220785)
关键词
河北省
传染病防治素养
影响因素
现况调查
Hebei Province
Literacy on infectious disease prevention
Influential factors
Cross-sectional study
作者简介
于飞(1990-),女,硕士,主管医师,主要从事健康教育与健康促进工作;通信作者:程蔼隽,女,主任医师,研究方向:健康教育与健康促进。E-mail:hebeicdc2003@163.com
