2018年中国居民传染病防治素养水平及其影响因素

Analysis on the status of health literacy on sinfectious disease prevention and its influencing factors among Chinese residents in 2018

目的了解2018年我国居民传染病防治素养水平,探索传染病防治素养影响因素。方法调查采用分层、多阶段、简单随机、PPS相结合的抽样方法,在全国31个省(区、市)336个监测点开展,随机抽取非集体居住的15~69岁常住居民开展问卷调查。结果共调查70615人,男女比例为1:1.10。经加权调整,2018年城乡居民传染病防治素养水平为17.05%。多因素Logistic回归显示具备传染病防治素养的人群特征为,东部高于西部(OR=1.111,95%CI:1.016~1.214),中西部差异无统计学意义(OR=1.058,95%CI:0.961~1.165);与15~24岁组相比,25~34岁、35~44岁组传染病防治素养更高,其OR值分别为1.125(0.994,1.274)、1.164(1.031,1.315),45~54岁、55~64岁、65~69岁年龄组相对较低,OR值分别为0.915(0.809,1.035)、0.670(0.589,0.762)、0.650(0.555,0.761);文化程度越高,传染病防治素养越高,与不识字/少识字相比,小学、初中、高中/职高/中专、大专/本科及以上文化程度者具备传染病防治素养的OR值分别为1.863(1.520,2.282)、3.465(2.850,4.214)、6.294(5.131,7.721)、8.474(6.882,10.433)。结论我国15~69岁城乡居民传染病防治素养水平较低,地区、年龄、文化程度等因素是影响传染病防治素养的重要因素。

Objective To understand the status of health literacy on infectious disease prevention and its influencing factors among residents in China in 2018,and to provide evidence for prevention and control on infectious diseases.Methods By using stratified,multi-stage,simple random and PPS sampling method,the permanent residents aged 15-69 years old were randomly selected from 336 monitoring sites in 31 provinces and investigated with questionnaire.Results The total number of people surveyed was 70615,the ratio of men to women was 1:1.10.After weighted adjustment,the level of literacy of infectious disease prevention was 17.05%.Compared with the western as the reference,the eastern was more likely to have literacy of infectious disease prevention(OR=1.111,95%CI:1.016-1.214),no significant difference was found between the middle and the western.Compared with the age group 15-24,the group 25-34 year-old and the group 35-44 year-old were more likely to have the literacy of infectious diseases prevention,and their OR were 1.125(0.994,1.274),1.164(1.031,1.315),and the ORs of the groups 45-54-year-old,55-64-year-old,and 65-69-year-old age were 0.915(0.809,1.035),0.670(0.589,0.762)and 0.650(0.555,0.761),respectively.Compared with the illiterate/less literate,the higher the educational level,the more likely to have infectious disease prevention literacy,the OR values of primary school,junior high school,high school/vocational high school/secondary school,junior college/undergraduate and above with infectious disease prevention literacy were 1.863(1.520,2.282),3.465(2.850,4.214),6.294(5.131,7.721),8.474(6.882,10.433).Conclusion The literacy of infectious disease prevention of Chinese residents was at a low level.Region,age and education degree were the influencing factors of literacy of infectious disease prevention.