上海社区居民治未病认知现状与影响因素分析

Analysis of the awareness of preventive treatment of disease and influencing factors in community residents in Shanghai

目的·了解居民治未病认知现状,分析认知影响因素,探讨提高认知水平、服务利用率的途径。方法·通过自制调查问卷对上海社区居民进行问卷调查。调查对象来源于随机抽取的26家社区卫生服务中心(站),年龄大于18岁。基本情况采用一般描述性分析;影响因素分析采用χ~2检验,计算OR值并进行Logistic回归分析。结果·居民的治未病知晓率较低,为57.1%;主要通过广播电视(48.4%),报纸、书籍、杂志(36.9%),社区宣传(35.5%)等途径知晓。认知影响因素主要有年龄、职业、受教育程度、收入以及听说途径等。弱势群体的知晓率和认知水平更低。结论·当前上海地区治未病宣传效果有限,应更加科学地有针对性地宣传治未病,加深认知和促进利用相关服务。

Objective · To understand the awareness of preventive treatment of disease in community residents, analyze the influencing factors, and explore ways to improve the awareness and service utilization. Methods · Community residents over 18 years of age who were from 26 community health service centers which were randomly selected in Shanghai were surveyed with a self-designed questionnaire. General descriptive analysis was used for basic information and chi-square test for influencing factors. OR values were calculated and Logistic regression analysis was performed. Results · The awareness rate in community residents was low （57.1%）. They got to know the preventive treatment of disease mainly through radio or television （48.4%）, newspapers or magazines （36.9%）, community propaganda （35.5%）, and so on. The influencing factors were age, occupation, education, income, and ways to get to know the preventive treatment of disease. In short, the awareness rate and cognitive level in vulnerable groups were lower. Conclusion · The effects of current propaganda of the preventive treatment of disease is limited. The propaganda should be more scientific and pertinent, so as to deepen the cognition of community residents and promote the service utilization.