摘要
目的:分析山东省居民中医药健康文化素养水平及其影响因素,为提高居民中医药健康文化素养水平,制定相关政策提供参考。方法:采用分层多阶段、PPS、整群抽样相结合的方法分5个阶段对山东省居民进行抽样,2017-2021年总计获得19698份有效问卷。利用SPSS 22.0进行数据分析,通过复杂抽样模块进行数据加权,素养水平等指标的人群差异比较采用χ^(2)检验,素养水平影响因素分析采用logistic回归分析。结果:2017-2021年山东省居民中医药健康文化素养水平分别约为11.62%、15.64%、15.47%、23.03%、32.35%,呈上升趋势,城市高于农村。χ^(2)检验结果显示,老年人、低文化程度、慢性病患者、农民和家庭年收入低者素养水平较低,logistic回归分析表明,职业、文化程度、家庭年人均收入是影响素养水平的主要因素。中医药信息理解能力在5维度素养水平中最高,最低者为中医药公众适宜方法。结论:山东省居民中医药健康文化素养水平呈上升趋势,但中医药知识活化利用方面尚有欠缺。居住地、职业类型、文化程度、收入水平、年龄和慢性病患病情况均对中医药健康文化素养水平有所影响。
Objective:To analyze the trend of changes and influencing factors in the level of health culture literacy of traditional Chinese medicine(HCL-TCM)among residents in Shandong province.To explore the countermeasures to improve the level of HCL-TCM,and to provide the evidence for formulating relevant policies and improving the literacy of traditional Chinese medicine in the future.Methods:The sampling is divided into five stages by using the method of combining stratified multi-stage,PPS and cluster sampling.A total of 19698 valid questions were obtained among selected residents in Shandong Province from 2017 to 2021.Complex sampling module of SPSS 22.0 statistical software was used for data weighting and analysis.We used chi-square test to compare the difference of relevant indexes of HCL-TCM.Logistic regression was used to analyze influencing factors of HCL-TCM.Results:The levels of HCL-TCM were 11.62%,15.64%,15.47%,23.03%and 32.35%in Shandong province from 2017 to 2021,showing a continuous upward trend.The level of HCL-TCM for residents living in the urban areas was higher than the rural areas.The results of the chi-square test showed that levels of HCL-TCM were lower among the elderly,lowly educated,chronically ill patients,farmers and residents with low annual household income.The results of multiple logistic regression analysis indicated that occupation,education level,and annual per capita income of families were the main factors affecting the level of HCL-TCM.The possessive rate of health information was the highest among five dimensions,and that of common methods of health care was the lowest.Conclusion:The level of HCL-TCM in Shandong province is on the rise.But there is still a lack of activation and utilization of traditional Chinese medicine knowledge.Place of residence,occupation,education level,income level,age and suffering from chronic diseases or not all affect the level of HCL-TCM.
作者
姜南
魏颖
王金凤
孙竹青
JIANG Nan(Health Publicity and Education Center of Shandong Province(Traditional Chinese Medicine Promotion and Exchange Center),Jinan,Shandong,250002,China)
出处
《医学与社会》
北大核心
2024年第9期92-99,共8页
Medicine and Society
基金
中国公民中医药健康文化素养调查项目
山东省中医药科技项目,编号为2020M057
山东省卫生健康政策研究重点课题,编号为WZY202273。
关键词
中医药管理
健康文化素养
居民
山东
Traditional Chinese Medicine Management
Health Culture Literacy
Resident
Shandong
