摘要
目的 分析张家口市幽门螺杆菌感染者在饮食控制方面的知、信、行情况,并探讨相关影响因素.方法 采用多阶段分层抽样于2022年10月至2023年3月期间选取张家口市10个社区,并在抽中社区中最少招募100例幽门螺杆菌感染者作为调查对象.采用问卷调查方法收集调查对象基本情况及饮食控制知信行情况,采用描述流行病学分析方法对饮食控制知信行现状进行分析,并采用单、多因素分析方法对其影响因素进行分析.结果 本研究共纳入983例幽门螺旋杆菌感染者,饮食控制知识维度得分(34.32±3.68)分;信念维度得分(13.03± 2.60)分,行为维度得分(23.92±3.29)分.多重线性回归分析结果显示,Hp感染强阳性(β'=0.308)、大专及以上文化程度(β'=0.263)、合并胃肠疾病(β'=0.109)、合并基础疾病(β'=0.118)、Hp感染家族史(β'=0.292)、接受过饮食建议(β'=0.345)是知识维度得分的影响因素;Hp感染强阳性(β'=0.216)、大专及以上文化程度(β'=0.197)、合并胃肠疾病(β'=0.095)、合并基础疾(病β'=0.262)、Hp感染家族史(β'=0.137)、接受过饮食建议(β'=0.244)、知识维度得分(β'=0.294)是信念维度得分的影响因素;Hp感染强阳性(β'=0.219)、大专及以上文化程度(β'=0.137)、在职(β'=0.185)、合并胃肠疾病(β'=0.117)、合并基础疾病(β'=0.110)、Hp感染家族史(β'=0.131)、接受过饮食建议(β'=0.230)、知识维度得分(β'=0.381)、信念维度得分(β'=0.126)是行为维度得分的影响因素.结论 幽门螺杆菌感染者饮食控制知信行水平较低,受感染程度、文化程度、合并胃肠疾病、合并基础疾病等多种因素影响,可通过健康教育、饮食指导等干预措施,提高感染者饮食控制的知信行水平.
Abstract
Objective To analyze the knowledge,attitude,and practice(KAP)of dietary control among Helico-bacler pylori(Hp)infected persons in Zhangjiakou City,and to explore the related influencing factors.Methods Using multi-stage stratified sampling,10 communities in Zhangjiakou were randomly selected from October 2022 to March 2023,and at least 100 cases of Hp infection were recruited in the selected communities.Questionnaire survey was used to collect the basic information and KAP of dietary control of the respondents.Descriptive epidemiological analysis was used to ana-lyze the status of KAP of dietary control,and univariate and multivariate analyses were used to analyze the influencing fac-tors.Results A total of 983 Hp infected persons were included in this study,and the score of dietary control knowledge di-mension was(34.32±3.68),the score of attitude dimension was(13.03±2.60),and the score of practice dimension was(23.92±3.29).Multiple linear regression analysis showed that strongly positive Hp infection(β'=0.308),college de-gree or above(β'=0.263),complicated with gastrointestinal diseases(β'=0.109),combined with underlying diseases(β'=0.118),family history of Hp infection(β'=0.292),and accepted dietary recommendations(β'=0.345)were influencing fac-tors of knowledge dimension score;strongly positive Hp infection(β'=0.216),college degree or above(β'=0.197),compli-cated with gastrointestinal diseases(β'=0.095),combined with underlying diseases(β'=0.262),family history of Hp infec-tion(β'=0.137),accepted dietary recommendations(β'=0.244),knowledge dimension score(β'=0.294)were influencing factors of attitude dimension score;strongly positive Hp infection(β'=0.219),college degree or above(β'=0.137),in-service(β'=0.185),complicated with gastrointestinal diseases(β'=0.117),combined with underlying diseases(β'=0.110),family history of Hp infection(β'=0.131),accepted dietary recommendations(β'=0.230),knowledge dimension score(β'=0.381),attitude dimension score(β'=0.126)were influencing factors of practice dimension score.Conclusions The KAP level of dietary control among Hp infected persons is low,which is affected by many factors,such as infection de-gree,education level,gastrointestinal diseases,and underlying diseases.Health education,dietary guidance,and other in-tervention measures can be taken to improve the KAP level of dietary control among Hp infected persons.
NETL
NSTL
万方数据