| 重庆市贫困地区慢性病人群健康素养现状及影响因素分析 |
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| 引用本文： | 刘虹妍,,,刘亚欣,,,顾典,陈小丹,沈阳,,,赵勇,,,袁军,,,赖维云,曾缓<,/.重庆市贫困地区慢性病人群健康素养现状及影响因素分析[J].现代预防医学,2020,0(7):1262-1266. |
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| 作者姓名： | 刘虹妍 刘亚欣 顾典 陈小丹 沈阳 赵勇 袁军 赖维云 曾缓< / |
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| 作者单位： | 1.重庆医科大学公共卫生与管理学院，重庆 400016；.重庆医科大学医学与社会发展研究中心，重庆 400016；3.重庆医科大学健康领域社会风险预测治理协同创新中心，重庆 400016；4.重庆市健康教育所，重庆 400016 |
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| 摘 要： | 目的 了解重庆市贫困地区慢性病人群健康素养现状及影响因素，为贫困地区针对性地制定健康促进策略提供科学依据。方法 采用多阶段随机抽样方法，抽取重庆市16个监测点的15～69岁慢性病人群，采用2017年全国居民健康素养监测问卷进行问卷调查。结果 2017年重庆市贫困地区慢性病人群共3388人。慢性病人群的健康素养总体水平为6.03%；在三方面中，健康技能素养最低（5.99%）；在六类问题中，慢性病防治素养最低（7.37%）。多因素logistic回归分析结果显示，贫困地区慢性病人群总体健康素养的主要影响因素为年龄（OR=1.64，95%CI:1.144~2.338）和职业（OR=0.46，95%CI:0.304~0.706）；健康技能素养的主要影响因素为民族（OR=2.96，95%CI:1.635~5.339）、文化程度（OR=0.65，95%CI:0.304~0.706）、职业（OR=0.60，95%CI:0.386~0.919）和地区（OR=2.11，95%CI:1.287~3.451）；慢性病防控素养的主要影响因素为家庭人均年收入（OR=1.41，95%CI:1.019~1.947）和地区（OR=2.65，95%CI:1.605~4.360）。结论 重庆市贫困地区慢性病人群健康素养水平较低，特别是健康技能素养和慢性病防治素养。农民、少数民族、受教育程度较低、家庭年平均收入较低和地区不同的贫困地区慢性病人群是健康促进的重点人群。
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| 关 键 词： | 贫困地区 慢性病 健康素养 影响因素 重庆 |
Status and influencing factors of health literacy among patients with chronic disease in poverty-stricken areas,Chongqing |
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| LIU Hong-yan,LIU Ya-xin,GU Dian,CHEN Xiao-dan,SHEN Yang,ZHAO Yong,YUAN Jun,LAI Wei-yun,ZENG Huan.Status and influencing factors of health literacy among patients with chronic disease in poverty-stricken areas,Chongqing[J].Modern Preventive Medicine,2020,0(7):1262-1266. |
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| Authors: | LIU Hong-yan LIU Ya-xin GU Dian CHEN Xiao-dan SHEN Yang ZHAO Yong YUAN Jun LAI Wei-yun ZENG Huan |
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| Affiliation: | *School of Public Health and Management, Chongqing Medical University, Chongqing 400016, China |
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| Abstract: | To understand the status and influencing factors of health literacy among chronic patients in poverty-stricken areas of Chongqing, so as to provide reference for making health promotion strategies in poverty-stricken areas. Methods A multi-stage random sampling method was used to select the chronic patients aged 15-16 in 16 monitoring sites in Chongqing, China. A questionnaire survey was conducted with the National Surveillance Questionnaire on Health Literacy of Residents in 2017. Results In 2017, there were 3,388 chronic patients in poverty-stricken areas of Chongqing. The overall level of health literacy among the chronic patient population was 6.03%. Among the three aspects of literacy, health skill literacy was the lowest(5.99%). Among the six types of problem, chronic disease prevention and treatment literacy were the lowest(7.37%). Multivariate logistic regression analysis showed that the main influencing factors of overall health literacy of chronic patients in poverty-stricken areas were age(OR=1.64, 95%CI(1.144-2.338)) and occupation(OR=0.46, 95%CI(0.304-0.706)). The main influencing factors of health skills literacy were ethnicity(OR=2.96, 95%CI(1.635-5.339)), education level(OR=0.65, 95%CI(0.304-0.706)), occupation(OR=0.60, 95%CI(0.386-0.919)) and region(OR=2.11, 95%CI(1.287-3.451)). The main influencing factors of chronic disease prevention and control literacy were the average income of family(OR=1.41, 95%CI(1.019-1.947)) and area(OR=2.65, 95%CI(1.605-4.360)). Conclusion The health literacy level of chronic patients in poverty-stricken areas of Chongqing is relatively low, especially the health skills literacy and chronic disease prevention literacy. Farmers, ethnic minorities, low educational level, low the average income of family, and different regions are the key groups for health promotion. |
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| Keywords: | Poverty-stricken areas Patients with chronic disease Health literacy Influencing factors Chongqing |
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