2021年西北地区居民中医药健康文化素养水平及影响因素分析

Analysis on the status of traditional Chinese medicine health cultural literacy and its influencing factors among residents in Northwest of China in 2021

目的 分析我国西北地区居民中医药健康文化素养水平及影响因素,为制定相关政策提供理论依据。方法 于2021年6—12月,采用分层多阶段与人口规模成比例抽样方法、随机抽样方法抽取西北地区部分常住居民进行调查。采用多因素Logistic回归模型分析影响西北地区居民中医药健康文化素养水平的主要因素。结果 2021年西北地区居民总体中医药健康文化素养水平为18.49%,中医药基本理念、中医药公众适宜方法、中医药健康生活方式、中医药文化常识、中医药信息理解能力各维度的素养水平分别为39.69%、4.80%、34.59%、36.15%、49.20%。多因素Logistic回归分析结果显示,以大专/本科及以上文化程度为参照,文化程度为初中、高中/职高/中专的居民素养水平较低,OR值分别为0.536(95%CI:0.346~0.831)、0.648(95%CI:0.446~0.941);以农民为参照,职业为公务员、教师、医务人员、其他事业单位人员的居民素养水平较高,OR值分别为4.336(95%CI:1.747~10.763)、3.261(95%CI:1.394~7.628)、6.103(95%CI:2.531~14.715)、2.707(95%CI:1.092~6.709)。结论 文化程度和职业是影响西北地区居民中医药健康文化素养水平的主要因素,未来开展中医药健康文化素养水平提升工作应以低文化程度者和农民为重点人群。

Objective To analyze the level of traditional Chinese medicine(TCM)health cultural literacy and its influencing factors in Northwest of China,and to provide theoretical basis for formulating relevant policies.Methods From June to December 2021,a stratified multi⁃stage proportional to population size sampling method and random sampling method were adopted to select the permanent residents in Northwest of China for investigation.Multivariate logistic regression model was used to analyze the main factors associated with the level of TCM health literacy of residents.Results In 2021,the overall level of TCM health literacy of residents in Northwest of China was 18.49%,the literacy levels of basic concept of TCM,appropriate methods for TCM,healthy lifestyle of TCM,common knowledge of TCM culture and information understanding ability of TCM were 39.69%,4.80%,34.59%,36.15%and 49.20%,respectively.The results of multivariate logistic regression analysis showed that the residents with junior high school,senior high school/vocational high school/technical secondary school education had lower literacy levels compared to residents with college/bachelor degree and above,and the OR values were 0.536(95%CI:0.346-0.831)and 0.648(95%CI:0.446-0.941),respectively.Taking farmers as reference,the residents with occupations as civil servants,teachers,medical personnel and other public institutions had higher resident literacy levels,and the OR values were 4.336(95%CI:1.747-10.763),3.261(95%CI:1.394-7.628),6.103(95%CI:2.531-14.715)and 2.707(95%CI:1.092-6.709),respectively.Conclusion Education level and occupation are the main factors associated with TCM health literacy among residents in Northwest of China.In future,residents with low education level and farmers should be the key groups that need to be improved in TCM health literacy.