2021年甘肃省居民中医药健康文化素养水平及影响因素分析

Analysis on traditional Chinese medicine health literacy and its influencing factors among residents in Gansu Province,2021

目的分析甘肃省居民中医药健康文化素养水平及其影响因素,为甘肃省中医药健康文化素养知识普及相关政策的制定提供依据。方法随机抽取甘肃省卫生健康宣传教育中心8个健康监测点中15~69岁常住人口作为调查对象;使用国家卫生健康委统一编制的《中国公民中医药健康文化素养调查问卷》进行调查,了解甘肃居民中医药健康文化素养情况;多因素Logistic回归分析影响中医药健康文化素养普及率的主要因素。结果2021年甘肃省8个监测点共调查1952人,中药健康文化知识普及率为97.39%,阅读率为97.28%,信任率为95.85%,行动率为60.86%。多因素Logistic回归结果显示,城乡(OR=2.331,P<0.05)、年龄(OR=0.968,P<0.05)、文化程度(小学:OR=13.962,初中:OR=25.389,高中/职高/中专:OR=26.899,大专/本科:OR=42.230,硕士及以上:OR=13.486;P均<0.05)、职业(OR=0.961,P<0.05)及户籍是否本县(OR=2.751,P<0.05)是中医药健康文化知识普及率的影响因素。结论2021年甘肃省居民中医药健康文化知识的普及率、阅读率、信任率、行动力显著提升;城乡、年龄、文化程度、职业、户籍是否本县等是中医药健康文化知识普及率的影响因素。针对不同年龄阶段的人群,可采用不同的媒体方式进行中医药健康文化知识推广。

Objective To analyze the level of traditional Chinese medicine(TCM)health literacy among residents in Gansu Province,and to provide a basis for policy making of TCM health literacy popularization in Gansu Province.Methods The residents aged 15-69 years old in Gansu Province were randomly selected and the questionnaire of Chinese Citizens TCM Health Literacy was used to understand the health literacy level.Multivariate logistic regression analysis was used to determinate the main factors associated with TCM health culture knowledge popularization rate.Results A total of 1952 people were investigated in 8 monitoring points in Gansu Province in 2021.The popularization rate of health culture knowledge of TCM was 97.39%,the reading rate was 97.28%,the trust rate was 95.85%,and the action rate was60.86%.Multivariate logistic regression showed that urban and rural areas(OR=2.331,P<0.05),age(OR=0.968,P<0.05),education level(elementary school:OR=13.962;junior high school:OR=25.389;high school/vocational high school/technical secondary school:OR=26.899;junior college/undergraduate:OR=42.230;master's degree OR above:OR=13.486,all P<0.05),occupation(OR=0.961,P<0.05)and household registration(OR=2.751,P<0.05)were the influencing factors of TCM health culture knowledge popularization rate.Conclusion In 2021,the popularization rate,reading rate,trust rate and action of TCM health culture knowledge of residents in Gansu Province increase significantly.Urban and rural areas,age,educational level,occupation,household registration are the influencing factors of the popularization rate of TCM health culture knowledge.According to different ages,different media methods should be used to promote the knowledge of TCM health culture among residents.