摘要
目的了解中国城市职业人群微信健康类公众号使用现状,并探讨其影响因素。方法于2018年10月-12月采用网络问卷调查方法,对全国6个省企事业单位的7699名职业人员进行调查,描述性分析其微信健康类公众号使用情况,利用多元线性回归模型及通径分析方法探讨影响其使用的关键因素。结果调查对象中微信健康类公众号的使用率为83.39%。通径分析结果显示,使用意愿、电子健康素养和感知易感性直接影响微信健康类公众号的使用频率,直接效应分别为0.073、0.090和0.088,努力期望、愉悦动机和社会影响通过使用意愿间接影响使用频率,间接效应分别为0.450、0.447和0.447,习惯、感知障碍、感知严重性和自评健康状况直接且通过使用意愿间接影响使用频率,总效应分别为0.450、-0.247、-0.061和0.133。结论习惯和努力期望是影响使用行为的最主要因素;引导使用者习惯养成、优化微信健康类公众号使用界面、提高趣味性等措施,有助于提高微信平台作为健康教育和健康干预的可行性。
Objective To assess the utilization of health WeChat official accounts and its related factors among urban occupational population in China.Methods Using multistage cluster sampling,we recruited 7699 employees aged 18-60 years working in enterprises or institutions in 6 provinces across China and conducted an online survey during October-December,2018.A self-designed questionnaire was used to collect information on the utilization of health WeChat official accounts;multivariate linear regression and path analysis were adopted to explore major factors affecting the utilization.Results Of the 6821 employees with valid responses,5688(83.39%)reported the utilization of health WeChat official accounts.The results of path analysis indicated that behavioral intention,eHealth literacy and perceived susceptibility affected the frequency of health WeChat official account use directly,with direct effect value of 0.073,0.090,and 0.088;while effort expectancy,hedonic motivation and social influence indirectly affected the frequency through behavioral intention with the path coefficients of 0.450,0.447,and 0.447,respectively.In addition,habit,perceived barriers,perceived severity,and self-reported health were directly and indirectly related to the frequency with the total effect values of 0.450,-0.247,-0.061,and 0.133,respectively.Conclusion Habit and effort expectancy are the most critical factors affecting the frequency of health WeChat official accounts utilization among occupational population in China.The results suggest that guidance for utilization and improvements of interfaces of health WeChat official accounts could promote health education through the utilization of health WeChat official accounts.
作者
王晓琪
朱赫
刘梅
许玲
徐静东
李若琳
秦祖国
杨国平
常春
WANG Xiao-qi;ZHU He;LIU Mei(School of Public Health,Peking University,Beijing 100191,China;不详)
出处
《中国公共卫生》
CSCD
北大核心
2022年第3期291-296,共6页
Chinese Journal of Public Health
基金
中国发展研究基金会项目(20170573)。
关键词
职业人群
微信公众号
影响因素
通径分析
occupational population
WeChat official account
influencing factor
path analysis
