摘要
目的分析无锡市慢性病综合防控示范区创建5年期间的居民慢性病防治素养水平变化特点,为深化慢性病示范区建设和进一步制定慢性病健康素养促进策略和措施提供科学依据。方法采用2012年和2017年无锡市15~69岁城乡居民健康素养监测数据,对不同特征居民的慢性病防治素养变化进行对比分析。结果无锡市居民慢性病防治素养水平由2012年的12. 71%增长至2017年的28.06%。与2012年相比,2017年的慢性病防治素养水平在小学及以下文化程度组(9.35%vs.11.78%)、农民职业组(11.28%vs. 13.36%)和自评健康状况较差组(19.23%vs.22.83%),差异无统计学意义(P>0.05);在其他不同人口学特征组居民中均有提高(P<0.05)。居民慢性病防治素养水平的提升幅度,在不同人口特征居民组不同。结论无锡市慢性病防控示范区创建5年间,整体上居民的慢性病防治素养水平有了大幅提升,但是提升效果在不同人口特征居民中存在不均衡性。
Objective To evaluate the changes of health literacy for chronic diseases among residents in Wuxi City after the five-year implementation on demonstration areas for comprehensive prevention and control of non-communicable diseases,and to provide scientific basis for policy and intervention strategies. Methods Using the health literacy monitoring data among urban and rural residents aged 15-69 years old in Wuxi in 2012 and 2017, and the changes of health literacy for chronic diseases during the five years were compared. Results The literacy for chronic diseases increased from 12. 71% in 2012 to 28. 06% in 2017. Compared with 2012, the literacy level for chronic diseases in 2017 showed no significant difference(P > 0. 05) in primary school and lower education group(9.35% vs. 11.78%), farmer occupation group(11. 28% vs. 13. 36%) and self-reported poor health status group( 19. 23% vs. 22. 83%), but in other groups it had notable increase(P<0. 05) and the increased degree in each group was not same. Conclusion Five years after the implementation on the demonstration areas for comprehensive prevention and control of non-communicable diseases, the overall level of health literacy for chronic diseases among residents has gotten outstanding improvement, but the improvement is diversity among different characteristic groups.
引文
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