摘要
目的 了解我国居民健康意识变化的情况及其社会影响因素,为引导居民形成主动健康理念、减少健康不平等、助力实现全民全面健康提供科学依据。方法 基于2021年中国社会状况综合调查数据(CSS2021),构建居民健康意识变化的指标体系,运用二元Logistic回归模型对我国居民健康意识变化的影响因素进行实证研究。结果 重大突发公共卫生事件发生后,我国57.2%的居民健康意识增强,东部地区最高(59.2%),西部地区最低(53.7%)。青年、女性和文化程度较高的居民健康意识增强程度较高,家庭经济状况、职业类型、社会参与、媒体信任、社保满意度和国家认同对健康意识变化有显著影响(P<0.05)。结论 我国居民健康意识变化呈现群体间差异、社会经济梯度和社会建构特征。建议通过树立媒体公信力有效传播健康信息,引导公众参与健康治理,以提升全民教育程度为基础,做好西部偏远地区和重点人群的健康教育。同时,培育国家认同感、提高居民收入和做好社会保障等民生建设,夯实健康促进的基础条件。
Objective To understand the changes in health awareness of Chinese residents and its social influencing factors,so as to provide a scientific basis for guiding residents to form a proactive health concept,reducing health inequalities,and promoting the achievement of comprehensive and universal health for all in the event of a major public health emergency.Methods Based on the data of the comprehensive survey of chinese social conditions in 2021(CSS2021),the index system of residents' health awareness change was constructed,and the binary Logistic regression model was used to conduct an empirical study on the influencing factors of Chinese residents' health awareness change.Results After a major public health emergency,57.2% of Chinese residents experienced an enhancement in their health awareness.The eastern region had the highest percentage(59.2%),while the western region had the lowest(53.7%).Younger individuals,females,and those with higher levels of education exhibited greater improvements in health awareness.Several factors had a significant impact on changes in health awareness,including household economic status,occupation type,social participation,media trust,satisfaction with social security,and national identity(P<0.05).Conclusions The change of Chinese residents' health awareness exhibit disparities across different population groups,socioeconomic gradients,and social construction characteristics.It is necessary to establish media credibility to effectively disseminate health information,guide the public to participate in health management,and improve health education in remote areas and key groups in western China on the basis of improving the education level of the whole people.At the same time,we should cultivate a sense of national identity,increase residents' income,improve people's livelihood,such as social security,and consolidate the basic conditions for health promotion.
作者
石震
赵向东
SHI Zhen;ZHAO Xiangdong(College of Humanities Education,Inner Mongolia Medical University,Hohhot 010110,China;Department of Neurosurgery,The Affiliated Hospital of Inner Mongolia Medical University,Hohhot 010050,China)
出处
《健康研究》
CAS
2024年第2期126-132,共7页
Health Research
基金
内蒙古自治区哲学社会科学规划项目(2021ZZB051)。
关键词
重大突发公共卫生事件
居民
健康意识
健康促进
影响因素
major public health emergencies
residents
health awareness
health promotion
influencing factors
