2021—2023年龙游县居民慢性病防治素养水平调查分析

Analysis of Residents’Literacy in Chronic Disease Prevention and Control in Longyou County during the Period from 2021 to 2023

目的:了解2021—2023年浙江省龙游县居民慢性病防治素养水平的具体情况,为今后龙游县开展慢性病防治工作提供依据。方法:2021—2023年,采用分层多阶段随机抽样的方法,对龙游县15~69周岁常住人口(不含集体居住人口)进行问卷调查。结果:2021—2023年龙游县居民慢性病防治素养水平分别为31.81%、41.08%、47.85%。不同人口学特征的居民慢性病防治素养水平差异有统计学意义(P<0.05),其中男性慢性病防治素养水平高于女性,慢性病防治素养水平随年龄增加而下降,随文化程度和家庭年收入升高而上升;农民和工人慢性病防治素养水平较低,学生慢性病防治素养水平最高,城市居民慢性病防治素养水平高于农村居民。回归分析结果显示,性别、年龄、文化程度、职业、家庭年收入、居住地和是否慢性病为居民慢性病防治素养水平的影响因素。结论:龙游县居民慢性病防治素养水平总体呈上升趋势,应注重膳食营养、慢性病患者自我管理、控烟、运动等薄弱点的健康教育,对女性、中老年人、低文化程度者、农民、工人、低收入者和慢性病患者开展有针对性的健康素养提升工作。

OBJECTIVE To grasp the specific situation of residents’awareness of chronic disease prevention and treatment in Longyou County from 2021 to 2023,and to provide a basis for the future implementation of chronic disease prevention and treatment.METHODS A questionnaire survey was conducted among the permanent residents aged 15~69 years old(excluding those living in collective housing)in Longyou County using a stratified multi-stage random sampling method from 2021 to 2023.RESULTS The literacy levels of residents in Longyou County from 2021 to 2023 were 31.81%,41.08%,and 47.85%,respectively.There were significant differences in different demographic characteristics(P<0.05),among which the literacy level of males was higher than that of females,decreased with age,and increased with education level and annual family income;the literacy level of farmers and workers was lower,and that of students was the highest,and that of urban residents was higher than that of rural residents;regression analysis showed that gender,age,education level,occupation,annual family income,place of residence,and chronic diseases were all influencing factors of residents’literacy level in chronic disease prevention and treatment.CONCLUSION The overall level of chronic disease prevention and treatment literacy of residents in Longyou County is on the rise.It is necessary to pay attention to the health education of dietary nutrition,self-management of chronic disease patients,tobacco control,exercise and other weak points.Targeted health literacy promotion work should be carried out for women,middle-aged and elderly people,low-educated people,farmers,workers,low-income people and chronic disease patients.