2019-2021年山东省居民传染病防治素养水平及影响因素分析

Analysis on literacy level and influencing factors of infectious disease prevention and control among residents in Shandong province from 2019 to 2021

目的 了解2019-2021年山东省居民传染病防治素养水平及变化趋势,分析传染病防治素养影响因素,为制定有针对性的健康教育干预措施提供依据。方法 采用分层多阶段整群抽样方法,于2019-2021年抽取山东省15~69岁的居民开展居民传染病防治素养问卷调查,采用logistic回归分析传染病防治素养影响因素。结果 2019-2021年山东省15~69岁居民传染病防治素养水平分别为19.31%、21.00%、28.86%。多因素logistic回归分析结果显示,城市居民传染病防治素养水平是农村居民的1.368倍(O R=1.368,95%CI:1.236~1.514);与西部地区比较,中部地区居民传染病素养水平更高(O R=1.222,95%CI:1.086~1.375);与65~69岁年龄组居民比较,35~44岁、25~34岁年龄组传染病防治素养水平更高(O R分别为1.415、1.410;95%CI分别为1.177~1.700、1.149~1.731);文化程度越高,传染病防治素养水平越高,大专及以上文化程度居民传染病防治素养水平是不识字/少识字居民的3.723倍(O R=3.723,95%CI:2.919~4.748)。结论 2019-2021年山东省15~69岁居民传染病防治素养水平呈上升趋势,但总体水平不高。城乡、地域、年龄、文化程度是传染病防治素养水平的主要影响因素。

Objective To understand the level and changing trend of health literacy on infectious disease prevention and its influencing factors in Shandong province from 2019 to 2021,so as to provide the basis for formulating targeted health education intervention measures.Methods The stratified multi-stage cluster sampling method was used,and residents aged 15-69 years in Shandong province were sampled in 2019-2021 to carry out a questionnaire survey on residents infectious disease prevention and control literacy,and logistic regression was used to analyze the factors influencing infectious disease prevention and control literacy.Results From 2019 to 2021,the infectious disease prevention literacy level of residents aged 15 to 69 in Shandong province were 19.31%,21.00%and 28.86%,respectively.Multivariate logistic regression analysis showed that the level of infectious disease prevention literacy in urban population was 1.368 times that of rural population(OR=1.368,95%CI:1.236-1.514).Compared with the western region,the central region was more likely to have the literacy of infectious disease prevention(OR=1.222,95%CI:1.086-1.375).Compared with the age group 65-69,The group 35-44 years old and group 25-34 years old were more likely to have the literacy of infectious diseases prevention(OR=1.415,1.410;95%CI:1.177-1.700,1.149-1.731).Compared with the illiterate/less literate,the higher the educational level,the more likely to have the literacy of infectious disease prevention,college education and above with infectious disease prevention was 3.723(OR=3.723,95%CI:2.919-4.748).Conclusion The level of infectious disease prevention literacy aged 15-69 in Shandong province was increasing year by year,but not high in generally.Urban and rural areas,regions,age and education level were the influencing factors of infectious disease prevention literacy.