广西城市居民肿瘤防治健康素养现状和影响因素

Analysis on health literacy and its influencing factors about cancer prevention and control among urban residents in Guangxi

目的了解广西城市居民肿瘤防治健康素养现状和影响因素。方法采用国家城市癌症早诊早治项目提供的肿瘤防治健康素养调查表作为调查问卷,由调查人员采用多阶段分层整群随机抽样的方法从广西城市居民选取调查对象,以面对面的形式进行问卷调查。结果广西城市居民肿瘤防治健康素养率为7.5%,单因素分析表明性别、年龄、文化程度、职业、家庭收入都是肿瘤健康素养水平影响因素(均有P<0.05),其中女性高于男性,40~岁组最高,≥60岁组最低,企事业单位人员/公务员高于其它各职业人员,家庭收入大于8万高于其它各收入组,文化程度越高则健康素养水平越高;肿瘤预防意识和早发现、早诊断、早治疗两个维度的肿瘤防治健康素养水平分别为57.2%和17%;多因素Logistic分析结果显示,性别、家庭收入和职业是肿瘤健康素养的独立影响因素(均有P<0.05)。结论广西城市居民肿瘤防治健康素养水平较低,肿瘤预防意识和早发现早诊断早治疗意识发展不平衡,性别、家庭收入和职业是肿瘤健康素养的独立影响因素。

Objective To investigate health literacy and its influencing factors about the cancer prevention and control among urban residents in Guangxi. Methods Guangxi urban residents were selected by using multi-stage hierarchical cluster random sampling. Health Literacy resident cancer prevention and health literacy questionnaire,which was provided by National Urban Cancer Early Diagnosis and Treatment Project,were used for the face-to-face interview among participants. Results Among all the residents included in this study,7. 5 % had health literacy. Univariate analysis showed that gender,age, education,occupation,family income were influencing factors of health literacy( all P < 0. 05). The level of health literacy of female was higher than that of male. People aged 40-59 years old had the highest health literacy levels,while people aged 60 years old and above had the lowest health literacy levels. Business personnel and civil servant had higher health literacy levels than other professional staffs. The level of health literacy of residents with annual household income more than 8 ten thousand yuan was higher than that of other residents. Those with higher educational levels had better health literacy levels. Cancer prevention awareness and early detection,early diagnosis,early treatment awareness,two dimensions of cancer prevention and health literacy,was 57. 2% and 17%,respectively. Logistic regression analysis indicated that gender,household income and occupation were independent factors influencing cancer prevention and health literacy in Guangxi urban residents. Conclusion The cancer prevention and health literacy levels of Guangxi urban residents are low and the development of cancer prevention awareness and early detection,early diagnosis,early treatment awareness is unbalanced. Gender,household income and profession are three independent factors influencing cancer prevention and health literacy.