摘要
目的了解2012-2017年我国居民慢性病防治素养水平及其变化趋势,探讨慢性病防治素养影响因素,为制定慢性病防控相关卫生政策和健康教育干预措施提供依据。方法采用分层多阶段、简单随机、按规模大小成比例的概率抽样(PPS抽样)相结合的抽样方法,对全国31个省(区、市)336个监测点非集体居住的15~69岁常住人口慢性病防治素养水平进行问卷调查。结果经加权调整,2012-2017年我国居民慢性病防治素养水平分别为9.07%、11.59%、9.21%、10.38%、11.48%和15.71%,呈现波动性缓慢提升态势。以2017年监测数据进行多因素Logistic回归分析,结果显示:城市居民慢性病防治素养水平高于农村居民,OR值为1.212(95%CI:1.119~1.313),东部地区居民慢性病防治素养水平高于西部地区居民,其OR值为1.537(95%CI:1.408~1.678);文化程度越高,慢性病防治素养水平越高,以不识字/少识字者为参照,小学、初中、高中/职高/中专、大专/本科及以上文化程度者具备慢性病防治素养的OR值分别为1.490(95%CI:1.226~1.811)、2.801(95%CI:2.316-3.387)、5.108(95%CI:4.180~6.242)和9.584(95%CI:7.794~11.785)。结论我国居民慢性病防治素养水平较低,城乡、地区、文化程度是影响慢性病防治素养水平的主要因素。
Objective To understand the trend of chronic disease literacy in China from 2012 to 2017 and explore its influencing factors.It aims to provide evidence for developing policies and interventions of chronic diseases prevention and control.Methods Using stratified multi-stage and PPS sampling method,the permanent resident population aged 15-69 years old,from 336 monitor districts of 31 provinces,were investigated with questionnaire about health literacy.Results After weighted adjustment,the levels of chronic disease literacy in China from 2012 to 2017 were 9.07%,11.59%,9.21%,10.38%,11.48%and 15.71%,respectively,showing a slow upward trend in volatility.The results of multivariate logistic regression analysis which carried out with 2017 monitoring data showed that chronic disease literacy among urban residents was higher than that of rural residents,with an OR of 1.212(95%CI:1.119-1.313);and chronic disease literacy among residents in the eastern regions was higher than western region,the OR values was 1.537(95%CI:1.408-1.678);the higher education degree,the higher chronic disease literacy,with reference to illiterate/less literate group,the people in education level of primary school,middle school,high school,college/undergraduate and above had higher chronic disease literacy,the OR values were 1.490(95%CI:1.226-1.811),2.801(95%CI:2.316-3.387),5.108(95%CI:4.180-6.242)and 9.584(95%CI:7.794-11.785),respectively.Conclusion The chronic disease literacy of Chinese residents was at a low level.Its influencing factors included the urban and rural areas,regions and education level.
作者
刘莹钰
李英华
李莉
聂雪琼
张刚
石名菲
王兰兰
吴敬
李长宁
LIU Ying-yuL;LI Ying-hua;LI Li;NIE Xue-qiong;ZHANG Gang;SHI Ming-fei;WANG Lan-lan;WU Jing;LI Chang-ning(Chinese Center for Health Education,Beijing100011,China)
出处
《中国健康教育》
北大核心
2019年第11期967-972,共6页
Chinese Journal of Health Education
关键词
慢性病防治素养
健康素养监测
变化趋势
影响因素
Chronic disease literacy
Health literacy monitoring
Trend
Influencing factors
作者简介
刘莹钰(1991-),女,黑龙江人,硕士,研究实习员,主要从事健康教育与健康促进工作;通信作者:李英华,女,研究员,研究方向:健康教育与健康促进,E-mail:liyinghua729@sina.com
