摘要
目的了解基层饮水型地方性氟中毒防治人员能力现状及其影响因素,探讨如何提升基层饮水型地方性氟中毒防治人员能力。方法自行研发基层饮水型地方性氟中毒防治人员能力评价工具,采用问卷调查法,于2024年通过问卷星平台发放问卷,了解防治人员能力现状并评分。采用多因素logistic回归模型分析影响基层饮水型地方性氟中毒防治人员能力的因素。结果最终回收问卷2879份,其中有效问卷2751份,问卷有效率为95.55%,有效问卷中由病区防治人员填写的问卷数为917份(33.33%)。基层饮水型地方性氟中毒防治人员能力总分为(14.74±2.56)分、福利得分为(3.45±0.62)分、自由度得分为(3.57±0.89)分,主体性得分为(3.81±0.69)分,成就得分为(3.79±0.69)分。多因素logistic回归模型分析显示,收入和用工形式与基层饮水型地方性氟中毒基层防治人员能力评分有关(OR=0.61、1.31,95%CI:0.45~0.94、0.89~1.94,均P<0.05)。结论基层饮水型地方性氟中毒防治人员能力处于中等水平,仍有提升空间。收入和用工形式是影响能力得分的主要因素。可从多维度出发,通过提升薪资福利待遇水平、完善职称晋升机制、引进高水平人才、提高人员稳定性等方法进一步提升基层饮水型地方性氟中毒防治人员能力。
ObjectiveTo study the current situation and influencing factors of the ability of grassroots personnel involved in prevention and control of drinking water-borne endemic fluorosis based on a feasible ability theory.MethodsA self-developed evaluation tool was used to assess the ability of grassroots personnel involved in prevention and control of drinking water-borne endemic fluorosis.A questionnaire survey was conducted in 2024 via the Wenjuanxing platform to evaluate the current status of their ability and scores.A multivariate logistic regression model was employed to analyze the factors affecting the ability of these personnel.ResultsA total of 2879 questionnaires were collected,of which 2751 were valid,with a validity rate of 95.55%.Among the valid questionnaires,917(33.33%)were filled out by personnel from the endemic areas.The overall ability score of grassroots personnel was(14.74±2.56)points,with welfare scoring(3.45±0.62)points,autonomy scoring(3.57±0.89)points,subjectivity scoring(3.81±0.69)points,and achievement scoring(3.79±0.69)points.Multivariate logistic regression analysis showed that income and employment type were associated with the ability scores of grassroots personnel(OR=0.61,1.31,95%CI:0.45-0.94,0.89-1.94,P<0.05).ConclusionsThe ability of grassroots personnel involved in prevention and control of drinking water-borne endemic fluorosis is at a moderate level,and there is still room for improvement.Income and employment type are the main factors affecting their ability scores.Efforts should be made to improve salary and welfare benefits,refine professional title promotion mechanism,attract high-level talent,and enhance personnel stability,thus more effectively enhance the ability of grassroots personnel in prevention and control of drinking water-borne endemic fluorosis.
作者
刁湘雯
王彧
刘辉
Diao Xiangwen;Wang Yu;Liu Hui(School of Humanities and Social Sciences,Harbin Medical University,Harbin 150081,China;Center for Endemic Disease Control,Chinese Center for Disease Control and Prevention,Harbin Medical University,Harbin 150081,China)
出处
《中华地方病学杂志》
北大核心
2025年第2期158-163,共6页
Chinese Journal of Endemiology
基金
哈尔滨医科大学人文专项"基于可行能力理论的基层公共卫生体系应急能力建设:以黑龙江为例"(HMURW20210101)。
关键词
氟
氟中毒
防治人员
能力
Fluorine
Fluorosis
Prevention and control personnel
Ability
作者简介
通信作者:王彧,Email:leaf830222@aliyun.com。
