Analysis on comparative and influencing factors of health literacy about chronic disease prevention and treatment among female residents in Nanjing from 2014 to 2021
Objective To compare the health literacy for the prevention and treatment of chronic disease of female residents in Nanjing in 2014 and 2021,so that to providing evidences to the development of relevant health policies and interventions.Methods According to the monitoring data of residents'health literacy in Nanjing in 2014 and 2021,the health literacy about prevention and treatment of chronic disease of female residents aged 15-69 years was compared and analyzed.Statistical analysis was performed by using SPSS 19.0 software.Qualitative information was expressed in terms of proportion or composition ratio.The comparison between the counting data groups was tested by Chi-square test method,and the multivariate logistic regression model was used to analyze the influencing factors of health literacy in the prevention and treatment of chronic diseases in women.The test level α=0.05.Results The health literacy for chronic diseases of female residents in Nanjing increased from 7.8％in 2014 to 34.7％in 2021 Compared with 2014,the health literacy for chronic disease prevention and treatment of female residents in Nanjing in 2021 had increased significantly in different demographic characteristic groups.The increase of health literacy for chronic diseases prevention and treatment of female residents with different demographic characteristics was not same.The results showed that the percentages of increase of chronic disease prevention and treatment literacy of suburban women and was the most(697.50％),then followed by women aged 35-44 group(430.26％).The percentages of increase of chronic disease prevention and treatment literacy of medical workers was least(101.36％).Suburban,older age,low education,low income and farmer women were the key groups to improve the health literacy level of chronic disease prevention and control.The improvement of chronic disease prevention and control literacy of suburban and low-income women was the greatest.However,the improvement of health literacy level of elderly women and women with low education level was the least.Multivariate Logistic regression analysis showed that the health literacy for chronic disease prevention and treatment in urban women are higher than rural women with OR values of 1.283(95％CI=1.008-1.631).The health literacy for chronic disease of women with college/undergraduate or above was higher than that of primary school and below,with OR values of 5.793(95％CI=3.281-10.229).The health literacy for chronic disease in female farmers was lower than that of civil service women,with OR values of 0.557(95％CI=0.311-1.000).Conclusions The literacy level of the prevention and control of chronic disease of female in Nanjing has significantly improved from 2014 to 2021.The increase of health literacy for prevention and treatment of chronic diseases of female residents with different demographic characteristics is not same.In the future,the key population of Nanjing women's chronic disease literacy intervention still should be the elderly,low education,low income and farmers.Osteoporosis and other low awareness of chronic disease prevention knowledge and skills as the focus of intervention content to carry out more targeted comprehensive intervention of chronic disease literacy.
female residentchronic disease prevention and treatmenthealth literacyinfluencing factors
万方数据
维普
