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新疆地区老年结核病患者健康素养调查

Survey on health literacy of senile tuberculosis patients in Xinjiang
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摘要 目的了解老年结核病(TB)患者和非结核病人群健康素养是否存在差异,并分析老年结核病患者健康素养的影响因素,为老年结核病患者健康干预提供参考依据。方法采用1∶2匹配病例对照,收集乌鲁木齐市204名结核病患者和408名非结核病人员,对其进行面对面的健康素养问卷调查。结果本次调查共收集调查对象612例,男女比例为1.1∶1,年龄范围为60~89岁,汉族为431人,占70.4%。仅对照组5人具备健康素养;TB组与对照组除基本技能得分(2.4±1.9 vs 2.7±2.1)外,基本知识和理念(9.7±5.6 vs 8.6±4.7)、健康生活方式与行为(5.1±2.6 vs 4.1±2.2)及健康素养总分(17.2±8.9 vs 15.4±7.9)均为TB组高于对照组;多重线性回归显示:TB组中文化程度(β=3.351,P<0.01)、民族(β=-7.576,P<0.01)、有医疗保险(β=4.654,P<0.01)和个人月收入(β=3.327,P<0.05)是健康素养总分的影响因素。结论新疆地区结核病老年人群具备健康素养情况与非结核病老年人群之间不存在统计学差异。文化程度、民族、医保情况和收入情况是其影响因素。应加强健康教育和健康促进的实施力度,对老年结核病患者实施健康干预时应有针对性。 [Objective]To understand whether there is a difference in the level of health literacy between the elderly with tuberculosis(TB)and without TB,explore the influencing factors of health literacy of senile TB patients,and provide reference for health intervention of elderly TB patients.[Methods]1∶2 matched case-control method was used to collect 204 TB patients and 408 non-tuberculosis controls in Urumqi,and a face-to-face questionnaire survey was conducted to investigate health literacy.[Results]In this survey,a total of 612 subjects were collected,the ratio of male to female was 1.1∶1,the range of age was60~89 years old,and 431(70.4%)were Han nationality.Only five subjects in the control group achieved health literacy standard.In TB group and control group,except the basic skills score(2.4±1.9 vs 2.7±2.1),the score of basic knowledge and concepts(9.7±5.6 vs 8.6±4.7),healthy lifestyle and behavior(5.1±2.6 vs 4.1±2.2),and total score of health literacy(17.2±8.9 vs15.4±7.9)in TB group were higher than those in control group.Multiple linear regression showed that education level(β=3.351,P<0.01),nationality(β=-7.576,P<0.01),having medical insurance(β=4.654,P<0.01)and personal monthly income(β=3.327,P<0.05)were influence factors of health literacy in TB group.[Conclusion]There is no statistically significant difference in the level of health literacy between the elderly with TB and without TB in Xinjiang.Education level,nationality,medical insurance and personal income are the influencing factors of health literacy.It is necessary to strengthen the implementation of health education and health promotion,and health interventions for elderly TB patients should be targeted.
作者 王玥 王倩 陈阳贵 祖丽娅·沙塔尔 周玉兰 常玉雪 陈之源 向阳 WANG Yue;WANG Qian;CHEN Yang-gui;Zuliya·Shataer;ZHOU Yu-lan;CHANG Yu-xue;CHEN Zhi-yuan;XIANG Yang(Department of Epidemiology and Health Statistic,School of Public Health,Xinjiang Medical University,Urumqi Xinjiang,830011,China;Tuberculosis Prevention and Control Department,Urumqi Center for Disease Control and Prevention,Urumqi Xinjiang,830011,China)
出处 《职业与健康》 CAS 2019年第7期929-932,共4页 Occupation and Health
基金 新疆维吾尔自治区“十三五”重点学科—公共卫生与预防医学(99-1109113404).
关键词 老年 结核病 健康素养 影响因素 Elderly Tuberculosis Health literacy Influencing factors
作者简介 王玥,女,在读硕士研究生,研究方向为传染病流行病学;通讯作者:向阳,教授,E-mail:893664450@qq.com
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