基于Joinpoint和Logistic模型的青岛市居民 传染病防治素养变化趋势及影响因素分析.

Objective To analyze changing trend over time and influencing factors of infectious disease prevention and treatment literacy of residents in Qingdao, to provide reference for the formulation of relevant health policies. Methods By integrating the sampling method of stratification, multi -stage, simple random, and probability proportionate to size sampling (PPS), a sampling survey was conducted among residents aged 15 to 69 years in Qingdao from 2017 to 2022, using the National Health Literacy Surveillance Questionnaire. The data of infectious disease prevention and control literacy module in the questionnaire were analyzed by Joinpoint regression and Logistic multivariate regression analysis. Results After weighted adjustment, the level of infectious disease prevention and control literacy of residents in Qingdao from 2017 to 2022 was 16.07%, 18.89%, 17.03%, 32.52%, 28.82%, and 33.03%, respectively. Joinpoint regression analysis showed there was an overall upward trend (4X PC =15.85%*, P =0.004), which was statistically significant among residents of different regions, gender, age, and education (P<0.05). Parallel test showed that the rising rate of literacy in rural areas was higher than that in urban areas (P =0.030), and that of residents with primary school education and below was higher than that of college education (P=0.048). Multivariate logistic regression analysis showed that the literacy level in 2020 was the same as that in 2022 (jP>0.05), and the literacy in other years was lower (P<0.05). Compared with rural residents, 65-to-69-year-old group, and residents with college/bachelor degree or above, the urban residents, 35 -to -44 -year -old, and 45 -to -54 -year -old residents had higher literacy levels, with 95%CI values of 1309 (1.235-1.388), 1.345 (1.214-1.490), and 1.154 (1.049-1.269), respectively. The lower the education level, the 1 ower the literacy level. The OR value (95%CT) of residents with primary school education and below was 0.383 (0.345-0.425). Conclusion The overall literacy of prevention and treatment of infectious diseases among residents in Qingdao shows an upward trend and fluctuates after 2020. The literacy of infectious disease prevention and treatment in rural areas and low-educated groups is low, but it shows a momentum of rapid growth. [ABSTRACT FROM AUTHOR]

目的分析青岛市居民传染病防治素养的时间变化趋势及影响因素, 为制定相关卫生政策提供依据。方法采用 《全国居民健康素养监测调查问卷》, 使用分层、多阶段、简单随机、PPS相结合的抽样方法, 在2017-2022年对青岛市 15 ~ 69岁常住居民进行抽样调查, 对调查问卷中传染病防治素养模块数据进行joinpoint回归和logistic多因素回归分 析。结果 加权调整后, 2017--2022年青岛市居民传染病防治素养水平分别为16.07 %、18.89%、17.03%、32.52%、 28.82%和33.03%,joinpoint回归分析显示整体呈上升趋势(AAPC= 15.85%,K0.004),且在不同地区、性别、年龄、文化程 度居民中上升趋势均有统计学意义(PV0.05)。平行检验显示, 农村素养的上升速度高于城市(D.030),小学及以下学 历居民的素养上升速度高于大专及以上学历(比0.048)。多因素logistic回归分析显示, 以2022年为对照,2020年与之 持平(P>0.05),其他年份素养均较低(PvO.05)。分别以农村、65 ~ 69岁和大专/本科以上学历人群为对照,城市、35 ~ 44 岁和 45~54 岁居民素养水平较高, OR 值(95%CI)分别为 1.309 (1.235 ~ 1.388)、1.345 (1.214 ~ 1.490)和 1.154 (1.049 ~ 1.269),而文化程度越低的人群素养水平越低, 小学及以下文化程度者07?值(95%CI)为0.383 (0.345 ~ 0.425)。结论 青岛市居民传染病防治素养总体呈上升趋势,2020年后出现波动。农村和低学历群体传染病防治素养较 低, 但表现出了较快的增长势头. [ABSTRACT FROM AUTHOR]