甘肃省定西市流动人口传染病防治素养状况及影响因素研究

Analysis of status and influence factors of health literacy regarding infectious diseases prevention among migrant population in Dingxi City,Gansu Province

目的了解甘肃省定西市流动人口传染病防治素养状况及其影响因素,为开展有针对性的健康教育工作提供科学依据。方法 2014年9—10月,采用整群随机抽样方法,抽取甘肃省定西市安定区1000名流动人口,采用课题组设计的《公众传染病防治素养水平测试问卷》进行调查。结果定西市流动人口传染病防治素养水平为50.6%,其中女性(58.4%)高于男性(43.5%),宾馆酒店的人群(59.0%)高于建筑工地(42.1%),25~34岁的最高(59.4%),文化程度中大专及以上的最高(81.7%),自评身体状况为好的最高(55.9%),离婚/丧偶/其他的最低(31.8%),差异均有统计学意义(P<0.05)。多因素Logistic回归分析显示女性(OR=1.839,95%CI:1.392~2.545),宾馆酒店工作人员(OR=1.754,95%CI:1.204~2.332),已婚(OR=1.712,95%CI:1.090~4.676),较高文化程度(初中OR=1.965,95%CI:1.248~2.728;高中/职高/中专OR=2.849,95%CI:1.673~3.966;大专及以上OR=11.349,95%CI:5.433~19.068),自评身体状况为好(OR=1.520,95%CI:1.028~1.980)的流动人口传染病防治素养水平较高。结论定西市流动人口传染病防治素养总体不高,应进一步加大健康教育工作力度,针对不同人群特征采取有针对性的干预手段。

Objective To examine health literacy regarding infectious diseases prevention among migrant population of Dingxi City, and provide science evidences to develop targeted health education work. Methods From September to October in 2014, a cluster random sampling method was used to select 1000 migrant population in Anding district, Dingxi City. Results The level of health literacy regarding infectious diseases prevention among migrant population of Dingxi City was 50. 6%, the levels in female （58. 4% ） higher than in male （43.5%）, who worked in hotels or restaurants （59.0%） higher than that worked in construction sites. Group aged 25 -34 years old had highest level （59.4%） than oth- er group. Group with junior college and higher education had highest level （81.7%） than others. Group with good physical status had highest level （55.9%） than others. Divorced or widowed had lowest level （31.8%）. All differences were statistically significant （P 〈 0.05）. Multivariate logistic regression analysis indicated that migrant population who were female （ OR = 1. 839, 95% CI： 1. 392 - 2. 545）, work in hotel or restaurant （ OR = 1. 754, 95% CI： 1. 204 - 2. 332）, married （ OR = 1. 712, 95% CI： 1. 090 - 4. 676）, high degree of education （junior middle school education OR = 1. 965, 95% CI： 1. 248 -2. 728; senior middle school education/vocational school education/special secondary school education OR = 2. 849, 95% CI： 1. 673 -3. 966; junior college and higher education OR = 11. 349, 95% CI： 5. 433 - 19. 068）, physical status being good （ OR = 1. 520, 95% CI： 1. 028 - 1. 980 ） were more likely to have higher level of health literacy. Conclusion The lever of health literacy regarding infectious diseases prevention in Dingxi City is generally not high.