中国居民传染病健康素养综合健康传播干预效果评价

Fei-fei JIN, Ji-bin CHEN, Xiang-yang TIAN. Impact of comprehensive health communication on infectious disease specific health literacy among Chinese population[J]. Chinese Journal of Public Health, 2018, 34(10): 1377-1379. DOI: 10.11847/zgggws1117945

Citation: Fei-fei JIN, Ji-bin CHEN, Xiang-yang TIAN. Impact of comprehensive health communication on infectious disease specific health literacy among Chinese population[J]. Chinese Journal of Public Health, 2018, 34(10): 1377-1379. DOI: 10.11847/zgggws1117945

中国居民传染病健康素养综合健康传播干预效果评价

晋菲斐,  陈继彬3, , ,  田向阳2, ,  1.

中国疾病预防控制中心，北京 102206

2.

中国健康教育中心

3.

中华预防医学会

基金项目: 国家十二五科技支撑计划（2013BAI06B06）

详细信息

作者简介:

晋菲斐（1992 – ），女，山西长治人，硕士在读，研究方向：流行病与卫生统计学

通讯作者:

陈继彬，E-mail：garychenjb@163.com

田向阳，E-mail：healthtian@163.com

中图分类号: R51

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Impact of comprehensive health communication on infectious disease specific health literacy among Chinese population

1.

Chinese Center for Disease Control and Prevention, Beijing, 102206, China

摘要

摘要:

目的  评价综合健康传播对中国居民传染病健康素养的干预效果，为有效提高居民健康素养提供参考依据。

方法  于2015年3 — 8月采取社区试验方法分别在中国东、中、西部地区抽取浙江省、湖北省、甘肃省中的城市社区、城市中学、农村社区、农村中学、工地和宾馆等六类场所居民分为干预组和对照组进行传染病健康素养宣传或综合健康传播干预，并于干预前、后采用中国居民传染病健康素养测评量表（IDSHL）分别对干预前干预组和对照组抽取的809和807人及干预后抽取的802和808人进行调查，比较2组居民干预前后的传染病健康素养得分变化情况，并评价综合健康传播的干预效果。

结果  干预前干预组和对照组居民传染病的基本知识与观念、传染病的预防、传染病管理和治疗、对病原体和传染源的辨认等传染病健康素养4个维度得分和总分差异均无统计学意义（均P > 0.05）；干预后干预组居民传染病健康素养4个维度得分和总分分别为（9.25 ± 3.04）、（7.86 ± 2.15）、（5.40 ± 2.39）、（5.35 ± 2.33）和（27.86 ± 7.30）分，均高于对照组居民的（7.70 ± 2.97）、（7.50 ± 2.19）、（4.51 ± 2.55）、（4.54 ± 2.38）和（24.25 ± 7.02）分，差异均有统计学意义（均P < 0.01）；干预后干预组和对照组居民传染病健康素养4个维度得分和总分差异均有统计学意义（均P < 0.01）。

结论  综合健康传播干预可有效提高中国居民的传染病健康素养。

Abstract:

Objective  To study the impact of comprehensive health communication on infectious disease specific health literacy among Chinese population and to provide references for effectively promoting health literacy in Chinese residents.

Methods  Based on community trail design, we selected 6 sites (urban and rural communities, high schools in urban and rural areas, construction sites, and hotels) in each of the three provinces across China (Zhejiang, Hubei, and Gansu province in eastern, central, and western region) as research settings. Then we recruited 50 residents at each of the research sittings and assigned them randomly into an intervention group with a comprehensive health communication on infectious disease specific health literacy and a control group with a general health literacy promotion between March and August 2016. The effect of the intervention was measured with the Infectious Disease Specific Health Literacy Scale (IDSHL) among the participants sampled from the intervention groups (n = 809 and n = 802) and the control groups (n = 807 and n = 808) before and after the 6-month intervention program.

Results  No significant differences in overall score and four dimension scores of IDSHL were observed between the participants of the intervention and the control groups before the intervention program (P > 0.05 for all); while after the intervention significantly higher overall and dimension scores were observed among the participants of intervention groups compared to those of the control groups (overall score of IDSHL: 27.86 ± 7.30 vs. 24.25 ± 7.02; basic knowledge and concept on infectious disease: 9.25 ± 3.04 vs. 7.70 ± 2.97; prevention of infectious disease: 7.86 ± 2.15 vs. 7.50 ± 2.19; management and treatment of infectious disease: 5.40 ± 2.39 vs. 4.51 ± 2.55; and cognition on pathogens and pathogenic resources of infectious diseases: 5.35 ± 2.33 vs. 4.54 ± 2.38) (P < 0.01 for all). There were significant differences in the overall score and the four dimension scores of IDSHL for all the participants in both the intervention and the control groups after the intervention (all P < 0.01).

Conclusion  Comprehensive health communication intervention can effectively improve the infectious diseases specific health literacy among urban and rural residents in China.

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表  1   不同组别中国居民干预前、后传染病健康素养得分（分，$bar x pm s$）比较

项目 干预前 干预后 干预组 对照组 干预组 对照组 传染病的基本知识与观念 6.95 ± 2.95 7.03 ± 3.06 9.25 ± 3.04 d 7.70 ± 2.97 bd 传染病的预防 7.02 ± 2.52 7.00 ± 2.55 7.86 ± 2.15 c 7.50 ± 2.19 ac 传染病管理和治疗 3.98 ± 2.70 3.88 ± 2.58 5.40 ± 2.39 d 4.51 ± 2.55 bc 对病原体和传染源的辨认 4.05 ± 2.64 4.00 ± 2.57 5.35 ± 2.33 d 4.54 ± 2.38 bc 总分 22.0 ± 7.67 21.86 ± 8.07 27.86 ± 7.30 d 24.25 ± 7.02 bd 　　注：与同组干预组比较，a P < 0.01，b P < 0.001；与干预前比较，c P < 0.01，d P < 0.001。

参考文献(12)

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计量 文章访问数:  HTML全文浏览量:  PDF下载量:  出版历程 收稿日期:  2017-12-06 刊出日期:  2018-09-30

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