2017年贵州省居民慢性病防治素养现状及影响因素分析

Analysis on status of chronic disease literacy and its influencing factor among residents in Guizhou Province,2017

目的了解贵州省居民慢性病防治素养水平及其影响因素,为制定健康教育干预措施提供依据。方法采用分层多阶段与人口规模成比例抽样方法,对全省18个监测点的15~69岁常住人口进行问卷调查,对调查对象慢性病防治素养水平进行测评。结果2017年贵州省居民慢性病防治素养水平为7.0%,城市和农村、不同年龄组、文化程度、职业和家庭年收入人群的慢性病防治素养水平比较,差异有统计学意义(P<0.05)。多因素Logistic回归分析结果显示,慢性病防治素养的主要影响因素为城乡分布、文化程度、家庭年收入,城乡分布(以城市为对照,OR=0.729,95%CI:0.593~0.897)、文化程度(以不识字或少识字为对照,小学OR=1.889,95%CI:1.149~3.104,初中OR=4.047,95%CI:2.537~6.457,高中/职中/中专OR=6.633,95%CI:4.013~10.961,大专及以上OR=14.806,95%CI:9.028~24.283)、家庭年收入(以低于1万元为对照,1万~5万元OR=1.489,95%CI:1.165~1.903,5万元以上OR=1.704,95%CI:1.257~2.310)。结论贵州省居民慢性病防治素养水平总体较低,农村居民、文化程度较低者、低收入人群是健康教育的重点干预对象。

Objective To understand the status and its influencing factors of chronic disease literacy in Guizhou Province,to explore the method for improving the chronic disease literacy.Methods Using stratified multi-stage and PPS sampling method,the permanent resident population aged 15-69 years old,from 18 monitor districts,were investigated with questionnaire about chronic disease literacy.Results In 2017,The results of monitoring showed that the level of chronic disease literacy was 7.0%.There was a statistically significant difference in the level of chronic disease prevention literacy among urban and rural,different age groups,education levels,occupations,and family annual income groups(P<0.05).The results of multivariate Logistic regression analysis showed that the main influencing factors of chronic disease prevention literacy were urban-rural distribution,education,family income,urban-rural distribution(taking the city as a reference,OR=0.729,95%CI:0.593-0.897),and education(With reference to illiteracy or less literacy,primary school OR=1.889,95%CI:1.149-3.104,junior high school OR=4.047,95%CI:2.537-6.457,high school/vocational school/secondary school OR=6.633,95%CI:4.013-10.961,college degree or above OR=14.806,95%CI:9.028-24.283),annual household income(based on less than 10000 as reference,10000 to 50000 OR=1.489,95%CI:1.165-1.903,5 above 10000=1.704,95%CI:1.257-2.310).Conclusion The level of chronic disease literacy of the residents was low in Guizhou Province.The Ural residents and the population with lower educational level and the low-income population are the key targets of health education.