2018年天津市河北区老年人传染病防治素养水平及其影响因素分析

Analysis on status of health literacy on infectious disease prevention and influencing factors among the elderly, Hebei district, Tianjin city,2018

目的了解天津市河北区60~69岁老年人传染病防治素养水平及其影响因素,为制定适宜于老年人的健康促进相关政策提供科学依据。方法 2018年6~11月采用分层多阶段和人口规模成比例抽样方法(PPS法),采用中国健康教育中心指定的《2018年全国居民健康素养监测调查问卷》,对天津市河北区10个街区50个监测点非集体居住的15~69岁常住人口健康素养水平进行问卷调查,选取其中1 110名60~69岁老年人的调查数据进行分析。结果调查1 110名老年人,传染病防治素养水平为15.32%。文化程度越高老年人传染病防治素养水平越高(P<0.01),家庭年收入越高老年人传染病防治素养水平越高(P<0.05)。多因素Logistic回归分析结果显示,与小学及以下相比,河北区60~69岁老年人传染病防治素养初中的OR=1.805(P<0.05)、高中/职高/中专的OR=1.999(P<0.01)、大专/本科及以上文化程度者的OR=9.097(P<0.01)。结论河北区60~69岁老年人传染病防治素养水平相对较低,文化程度是老年人传染病防治素养水平的影响因素。

Objective To understand the status of health literacy on infectious disease prevention and its influencing factors among residents aged 60-69 years old in Hebei district, Tianjin city, so as to provide the evidence for formulating appropriate health promotion policies for the elderly. Methods A stratified and multi-stage sampling and probability proportionate to size sampling(PPS)method were used during June-November, 2018.The permanent resident population aged 15-69 years old, form 50 monitor districts of 10 counties in Hebei district of Tianjin city, were investigated with questionnaire about health literacy.The data on 1 110 residents at aged of 60-69 years were extracted and analyzed in the study. Results A total of 1 110 old people were surveyed, the level of literacy of infectious disease prevention was 15.32%.With the increased level of education, the literacy of infectious disease prevention level was gradually increased(P<0.01),higher in the residents with high income than in the ones with low income(P<0.05).Multivariate Logistic regression analysis showed compared with the primary school and below, the higher educational, the more likely to have infectious disease prevention literacy, the OR values of junior school, high school/vocational high school/secondary school, junior college/undergraduate and above with infectious disease prevention literacy were 1.805(P<0.05),1.999(P<0.01),9.097(P<0.01). Conclusion The literacy of infectious diseases prevention among residents aged 60-69 years is low in Hebei district of Tianjin city.Education degree is the influencing factors of literacy of infectious diseases prevention for the elderly.