云南省白族老年慢性病人群健康素养现状及影响因素

Health Literacy Status and Influencing Factors of Elderly People of the Bai Ethnic Group with Chronic Diseases in Yunnan Province

目的:调查云南省白族老年慢性病人群健康素养现状并分析影响因素。方法:对2020年7—11月在大理白族自治州3家综合性医院住院治疗的324名白族老年慢性病患者进行问卷调查。采用t检验或单因素方差分析比较患者人口学特征上的差异,多元线性回归模型分析健康素养的独立影响因素。结果:云南省白族老年慢性病人群健康素养平均得分为(79.67±14.32)分,健康素养具备比为27.78%。多元线性回归分析结果显示年龄、生活区域、家庭月收入、居住情况、文化程度和患慢性病数量是其健康素养的独立影响因素(P<0.05)。结论:云南省白族老年慢性病人群健康素养水平偏低,特别是农村地区,建议应根据影响因素并结合白族民族文化制定干预措施,从而有效提高其健康状况。

Objective:To investigate the health literacy status of elderly people with chronic diseases of the Bai ethnic group in Yunnan Province and to analyze the influencing factors.Methods:324 elderly patients of the Bai ethnic group with chronic diseases who were hospitalized in three general hospitals in Dali Bai Autonomous Prefecture from July to November in 2020 were investigated by a questionnaire.t test or one-way analysis of variance were used to compare the differences of patients on demographic characteristics,and multiple linear regression model was used to analyze the independent influencing factors of health literacy.Results:The average score of health literacy of the elderly people of the Bai ethnic group with chronic diseases in Yunnan Province was 79.67±14.32,and 27.78%of the participants showed the qualified health literacy.Multiple linear regression analysis showed that age,living region,family monthly income,residence condition,educational level and number of chronic diseases were independent influencing factors of the health literacy(P<0.05).Conclusion:The health literacy level of the elderly people with chronic diseases of the Bai ethnic group in Yunnan Province is relatively low,especially in rural areas.It is suggested that intervention measures should be formulated based on the influencing factors and the culture of the Bai ethnic group,so as to effectively improve their health condition.