新疆驻村干部慢性病防治素养现况及影响因素分析

Analysis on the Status and Influencing Factors of Chronic Disease Prevention and Treatment of Cadres in Xinjiang

目的了解新疆驻村干部慢性病防治素养现况及影响因素,为相关部门制定提供切实可效的慢性病预防及干预措施提供科学的理论及政策依据。方法使用多阶段整群抽样法选取2015-2016年新疆南疆“访惠聚”877名驻村干部,使用问卷进行调查。慢性病防治素养现状采用描述性分析进行描述,影响因素使用Logistic回归分析。结果 2015-2016年887名新疆驻村干部中有110名具备慢性病防治素养,具备率为12.40%,慢性病防治素养具备率较低。Logisitic分析显示,民族、是否从事医疗相关工作、文化程度、关注自身健康是慢性病素养的主要影响因素。维吾尔族及其他少数民族慢性病防治素养明显低于汉族驻村干部,OR值分别为0.354(95%CI:0.236~0.531)、0.750(95%CI:0.330~1.704);从事医疗工作者明显高于未从事医疗工作者(OR=1.893,95%CI:1.102~2.745);文化程度越高,慢性病防治素养越高,研究生及以上文化、本科、大专驻村干部慢性病防治素养高于中专及以下学历,OR值分别为0.984(95%CI:0.834~1.365)、1.324(95%CI:1.071~1.882)、2.044(95%CI:1.736~2.284),关注自身健康程度越高,慢性病防治素养越高,偶尔关注者、关注者、非常关注者慢性病防治素养高于不关注者,OR值分别为0.744(95%CI:0.563~1.022)、1.023(95%CI:0.845~1.327)、1.248(95%CI:1.061~1.588)。结论新疆基层驻村干部慢性病防治素养偏低,当地政府应制定多语种的慢性病防治宣传手册及媒体视频,以提高少数民族干部的接受度,对于文化程度较低的驻村干部使用图文并茂的宣传形式吸引该人群的学习兴趣,并将慢性病预防促进工作作为一项长期的工作坚持下去,使驻村干部慢性病防治意识和行为得到提高和改善。

Objective To understand the current situation and influencing factors of chronic disease prevention and treatment literacy of village cadres in Xinjiang,and to provide scientific theoretical and policy basis for relevant departments to formulate effectively prevention and intervention measures for chronic diseases. Methods Using multistage cluster sampling,877 resident cadres were selected from 2015 to 2016.Questionnaire was used to investigate.Descriptive analysis and Logistic regression analysis were used to show the status and influencing factors. Results 110(12.4%)out of the 887 residents cadres had a chronic disease quality.Logistic analysis showed that national,whether engaged in medical related work,cultural level,concerning of someone's own health were the main influence factors of chronic disease accomplishment.The quality of chronic disease control of the Han nationality in the village was higher than that of the Uygur and other minorities.The OR value of the Han nationality was 0.354(95% CI :0.236~0.531),0.750(95% CI :0.330~1.704)respectively.Medical workers were significantly higher than those who were not( OR =1.893,95% CI :1.102~2.745).The higher the cultural level,the higher the attainment of the prevention and control of chronic diseases.People with graduate students and above culture,undergraduate, ju- nior college students in the village of chronic disease prevention and control were higher than the people with secondary school and the following degrees, OR value were 0.984(95% CI :0.834~1.365),1.324(95% CI :1.071~1.882),2.044(95% CI :1.736~2.284),respectively.The higher the attention to health,the higher attainment of the prevention and treatment of chronic diseases.Occasional followers,followers,and people who concerned about chronic disease control were better than those who didn't. OR values were 0.744(95% CI :0.563~1.022),1.023(95% CI :0.845~1.327),1.248(95% CI :1.061~1.588),respectively. Conclusion The prevention and treatment of chronic diseases in the village cadres is low.Therefore,the local government should develop a multilingual pamphlet and the media video on chronic diseases to improve the acceptance of minority cadres.Secondly,for cadres in the village with low cultural level,the image and text will attract the interest of the group.Thirdly,the prevention and treatment of chronic diseases should be treated as a long-term work to improve the awareness and behavior of chronic disease prevention and control.