南京市居民科学就医素养现状及其影响因素

Current Situation of rational treatment-seeking quality and its influencing factors among residents in Nanjing City

目的了解南京市居民科学就医素养现状，分析科学就医素养的主要影响因素，为今后制定有效干预策略提供科学依据。方法采用多阶段、分层、整群随机抽样，对全市12个区5404名年龄在15—69岁的常住人口进行问卷调查。结果2014年南京市居民具备科学就医素养的比例为29．0％；科学就医素养测试题目正确回答率为63．0％，对”关于国家基本公共卫生服务的理解”和”全国统一的免费卫生热线电话号码”等科学就医核心信息的正确回答率较低，分别为38．9％和28．3％；单因素和多因素分析均发现，地域、年龄、文化程度、职业、家庭人均月收入和健康状况是主要的影响因素。结论南京市居民具备科学就医素养的比例较低，文化程度是居民科学就医素养最重要的影响因素，应针对薄弱核心信息、薄弱人群进行重点干预。

[Objective] To understand the current situation of rational treatment-seeking quality among residents in Nanjing City, analyze the main influencing factors, and provide the scientific basis for developing the effective intervention policies. [Methods] By using the multi-stages, stratified and clustered random sampling, a questionnaires survey was conducted among 5 404 residents aged 15-69 years old in 12 districts of Nanjing City. [Results] 29.0% of respondents had good quality of rational treatment-seeking, and the correct answer rate of rational treatment-seeking questions was 63.0%. The correct answer rates of the understanding of national basic public health services and the toll-free national health hotlines were relatively low, which was 38.9% and 28.3% respectively. Both single factor and multi-factors analyses have shown that region, age, education level, occupation, monthly income per family member and health condition were main influencing factors. [ Conclusion] The proportion of residents who have good quality of rational treatment-seeking in Nanjing City is relatively low, and the education level is the most important factor influencing the quality of rational treatment-seeking. Therefore, it is necessary to take the interventions according to the weak core information and key population.