云南省6个健康促进县居民慢性病防治素养水平及影响因素

Chronic disease prevention and control attainment level and its influence factors in six health promotion county residents of Yunnan province

[目的]了解云南省6个健康促进县开展创建前居民慢性病防治素养水平及其影响因素,为制定健康公共政策和健康教育干预措施提供依据。[方法]采用分层多阶段整群随机抽样方法,对全省即将开展健康促进县建设工作的6个县非集体居住的15~69岁常住人口慢性病防治素养水平进行问卷调查。[结果]6个健康促进县居民慢性病防治素养水平是10.9%,低于2016年全国及云南全省的平均水平。多因素logistic回归分析结果显示:家庭年收入1.5万元或以上者慢病防治素养高于年收入在1.5万元以下者;文化程度越高,慢性病防治素养水平越高;慢性病防治素养水平随居民罹患慢性病的数量增多而降低;慢性病防治素养水平是否具备对居民慢性病患病的构成有差异性影响。[结论]6个健康促进县居民慢性病防治素养水平较低,家庭收入较少、文化程度较低的社区居民是健康素养提升的重点关注人群。

Objective To understand before chronic disease prevention and control attainment level and its influence factors in six health promotion county residents of Yunnan province so as to provide basis for formulating health public policy and health education intervening measure.Methods A stratified multi-stage cluster random sampling method was used to investigate the resident population aged from 13 to 69 who were not collectively resident in 6 counties that were about to start the construction of health promotion counties in the province,questionnaire survey was conducted to investigate chronic disease prevention and control attainment level of respondents.Results The attainment level of chronic disease prevention and control of the residents in the 6 health promotion counties was 10.9%,lower than the average level of the whole country and Yunnan Province in 2016.The results of multivariate logistic regression analysis showed that chronic disease prevention and control attainment level whose annual family income of 15 000 Yuan or above was higher than those with annual income 15 000 Yuan below.The higher the education level,the higher the attainment level of chronic disease prevention and control.The times of chronic disease increased with the decreased of chronic disease prevention and control attainment level.Whether the residents had chronic disease prevention and control attainment level that there as different impact on the composition of chronic disease.Conclusions Chronic disease prevention and control attainment level in six health promotion county residents is low,and the community residents with less family income and lower education level are the key population concerned about the improvement of health literacy.Resources should be integrated to carry out targeted interventions and provide corresponding health services.