2016—2021年我国60~69岁老年人中医药健康文化知识获取途径及应用情况分析

Analysis on access channels and application of traditional Chinese Medicine health culture knowledge among residents aged 60-69 in China,2016-2021

目的了解2016—2021年我国60~69岁老年人中医药健康文化知识的获取途径和应用情况变化趋势及其影响因素。方法采用2016—2021年中国公民中医药健康文化素养调查项目数据,选取其中60~69岁年龄段的老年常住居民为研究对象,采用描述性分析、χ^(2)检验和多因素Logistic回归模型分别对老年人基本情况、中医药健康文化知识获取情况、中医药健康文化知识应用情况及其影响因素进行分析。结果电视是老年人获取中医药健康文化知识的首要途径,专业医疗服务机构是老年人获取中医药健康文化知识的首要场所。来源于报纸的老年人中医药知识获取率呈降低趋势,2016—2021年累计降低值为3.92%,降低幅度为12.00%;来源于手持终端的老年人中医药健康文化知识获取率增长最快,2016—2021年累计增长值为21.53%,增长幅度为105.54%。城乡、不同性别、文化程度、职业间的老年人6年间7种大众媒体中医药健康知识获取率差异均有统计学意义(P<0.05)。老年人中医药健康知识应用率由2016年的45.34%增长至2021年的56.35%,增长值为11.01%,增长幅度为24.28%。大专/本科及以上(OR=7.294,95%CI:5.180~10.270)、健康状况比较好(OR=1.526,95%CI:1.150~2.024)的老年人中医药健康知识应用率更高,职业为农民的老年人中医药健康知识应用率较低(OR=0.565,95%CI:0.430~0.743)。结论电视、手持终端和咨询专业医疗机构是老年人获取中医药健康文化知识的主要途径,老年人中医药健康知识应用率呈增长趋势,文化程度、职业和健康状况是我国老年人中医药健康知识应用情况的影响因素。

Objective To understand the trend and influencing factors of access channels and application of traditional Chinese Medicine(TCM)health cultural knowledge among residents aged 60 to 69 years old in China from 2016 to 2021.Methods The data of elderly permanent residents aged 60 to 69 were selected from the 2016-2021 Chinese Citizen Traditional Chinese Medicine Health Culture Literacy Survey Project.Descriptive analysis,χ^(2) test and multivariate logistic regression model were used to analyze basic information,the acquisition of TCM health culture knowledge,the application and its influencing factors.Results Television was primary way for the elderly to acquire knowledge of TCM health culture,and professional medical service institutions were primary places for the elderly to acquire knowledge of TCM.The acquisition rate of TCM from newspapers was decreasing,with a cumulative decrease value of 3.92%over the past six years,with a decrease rate of 12.00%.The increase of TCM health culture knowledge among elderly people by cellphone was the fastest,with a cumulative increase value of 21.53%over the past six years,with an increase rate of 105.54%.There were statistically significant differences in the acquisition rates of seven types of mass media in urban and rural areas,different genders,educational levels,and occupations over the past six years(P<0.05).The application rates of TCM Medicine health knowledge had increased from 45.34%in 2016 to 56.35%in 2021,with an increase value of 11.01%and an increase rate of 24.28%.Elderly people with college/bachelor's degree or above(OR=7.294,95%CI:5.180-10.270)and better health status(OR=1.526,95%CI:1.150-2.024)had higher application,while elderly people who worked as farmers had lower application rate(OR=0.565,95%CI:0.430-0.743).Conclusion Television,cellphone,and professional medical institutions are the main ways for the elderly to acquire knowledge of TCM health culture.The application rate of TCM health knowledge among the elderly is showing an increasing trend,and education level,occupation,and health status are the influencing factors for its application among the elderly in China.