2017年甘肃省15～69岁居民中医药健康文化素养水平及影响因素研究

Study on health literacy level on traditional Chinese medicine and its influencing factors among residents aged 15-69 years in Gansu Province in 2017

目的分析甘肃省居民的中医药健康文化素养水平及其影响因素。方法采用多阶段抽样方法抽取2160名15～69岁的甘肃省常住居民进行面对面问卷访谈,采用Rao-Scott调整χ~2检验分析不同人口学特征的居民中医药健康文化素养水平的差别,运用复杂抽样下的Logistic回归分析其影响因素。结果回收有效问卷2043份,有效回收率94.58%。男性占50. 8%,女性占49.2%,居民中医药健康文化素养具备率为10. 7%; Logistic回归分析结果显示,城市居民具备素养的概率比农村高8. 390倍;男性比女性高1.423倍;具有高中及以上文化程度的居民相较于不识字/少识字者平均高3.540倍;公务员、教师、其他事业单位人员相较于农民具备素养的概率更高;差异均有统计学意义(P<0.05)。结论甘肃省居民中医药健康文化素养具备率较低,在促进其提升的过程中,应当为农村、女性、文化程度较低以及学生、农民和工人提供更多接触中医药健康知识的途径和平台,积极传播弘扬传统的中医药健康文化。

Objective To analyze the status of health literacy on traditional Chinese medicine( TCM) and its influencing factors in Gansu Province. Methods A multi-stage sampling method was used to extract 2160 permanent residents aged 15-69 years old in Gansu Province. The Rao-Scott adjusted χ~2-test was used to analyze the difference of health literacy level on TCM among residents with different demographic characteristics. Logistic regression under the complicated sampling was used to analyze influencing factors. Results 2043 valid questionnaires were recovered, the effective recovery rate was 94. 58. 50. 8% of them were male and 49. 2% were female, the overall health literacy level on TCM was 10.7%. Logistic regression analysis showed that the probability of urban residents having literacy were 8. 39 times higher than that in rural residents. The probability in men was 1.423 times higher than that in women. On average, the probability in those with high school education or above was 3. 54 times higher than those without education. Civil servants, teachers and other public institutional staffs were more likely to have health literacy on TCM than farmers. The differences were statistically significant(P< 0. 05). Conclusion The health literacy on TCM among residents in Gansu Province was low. In order to improve health literacy on TCM in Gansu Province, more pathways and platforms should be provided for the residents who was in disadvantaged position in order to contact with health literacy on TCM.