中国居民慢性病防治素养水平的Meta分析

Meta-analysis of the literacy of chronic disease prevention among Chinese residents

目的采用Meta分析方法分析中国居民慢性病防治素养水平。方法检索知网、维普、万方、CBM、PubMed及Web of Science,搜集关于中国居民慢性病防治素养水平的相关数据,检索时间截止2020-11-30。采用澳大利亚循证卫生中心(JBI)开发的横断面研究质量评价工具进行文献质量的评价,使用Stata15.1软件进行Meta分析,Egger检验、灵敏度分析、亚组分析,并应用SPSS 26.0进行单因素分析。结果共纳入18篇研究,总样本量为609103人,中国居民慢性病防治素养水平为13%(95%CI:12%~15%);女性的总体慢性病防治素养水平为13%(95%CI:11%~14%),男性为12%(95%CI:11%~14%),差异有统计学意义,χ^(2)=8.019,P=0.005;15~24岁、25~34岁、35~44岁、45~54岁、55~64岁、65~69岁年龄组慢性病防治素养水平分别为16%(95%CI:14%~18%)、17%(95%CI:15%~19%)、15%(95%CI:13%~17%)、11%(95%CI:9%~12%)、10%(95%CI:8%~11%)、8%(95%CI:7%~10%),差异有统计学意义,χ^(2)=3391.353,P<0.001;小学及以下、初中、高中/职高/中专、大专/本科文化程度居民的总体慢性病防治素养水平分别为5%(95%CI:4%~5%)、9%(95%CI:8%~10%)、15%(95%CI:13%~17%)、26%(95%CI:23%~29%),差异有统计学意义,χ^(2)=34226.635,P<0.001;城市、农村居民的慢性病防止素养水平分别为18%(95%CI:15%~20%)、10%(95%CI:9%~11%),差异有统计学意义,χ^(2)=8532.881,P<0.001。结论中国居民的慢性病防治素养水平处于较低水平,不同性别、年龄、文化程度、城乡的慢性病防治素养水平有差异,建议应针对不同人群征开展相对应的慢性病健康素养教育活动。

Objective To analyze the literacy level of chronic disease prevention and treatment among Chinese residents.Methods We searched the China National Knowledge Infrastructure(CNKI),the China Science and Technology Journal Database,the Wanfang Data Knowledge Service Platform,the China Biology Medicine disc,the PubMed and the Web of Science to collect relevant data about the literacy of chronic disease prevention and treatment of Chinese residents.The retrieval time was up to November 30,2020.The cross-sectional study quality assessment tool was developed by the Australian Centre for Evidence-based Health(JBI).Meta-analysis,Egger test,sensitivity analysis and subgroup analysis were performed using STATA15.1 software.SPSS 26.0 was used for single factor analysis.Results A total of 18 studies were included,with a total sample size of 609103 people.The level of chronic disease prevention literacy of Chinese residents was 13%(95%CI:12%-15%).The overall literacy level of chronic disease prevention and treatment was 13%(95%CI:11%-14%)for females and 12%(95%CI:11%-14%)for males,χ^(2)=8.019,P=0.005,and the difference was statistically significant.The literacy levels of chronic disease prevention and treatment in 15-24 years old,25-34 years old,35-44 years old,45-54 years old,55-64 years old and 65-69 years old were 16%(95%CI:14%-18%),17%(95%CI:15%-19%),15%(95%CI:13%-17%)and 11%(95%CI:9%-12%),10%(95%CI:8%-11%),8%(95%CI:7%-10%),χ^(2)=3391.353,P<0.001,the difference was statistically significant;The overall literacy level of chronic disease prevention and control in primary school and below,junior middle school,senior high school/vocational high school/technical secondary school,junior college/bachelor degree was 5%(95%CI:4%-5%),9%(95%CI:8%-10%),15%(95%CI:13%-17%),26%(95%CI:23%-29%),respectively,χ^(2)=34226.635,P<0.001,the difference was statistically significant.The literacy level of chronic disease prevention in urban and rural residents was 18%(95%CI:15%-20%)and 10%(95%CI:9%-11%),respectively,χ^(2)=8532.881,P<0.001,and the difference was statistically significant.Conclusions The literacy level of chronic disease prevention and control in Chinese residents is at a low level,and there are differences in literacy level of chronic disease prevention and control in different genders,ages,educational levels and regions.It is suggested to carry out corresponding health literacy education activities of chronic disease prevention and control in different groups.