社区2型糖尿病患者居民健康素养水平的条件Logistic回归分析-东南大学学报医学版

社区2型糖尿病患者居民健康素养水平的条件Logistic回归分析

单位：东南大学公共卫生学院, 江苏南京 210009

分类号：R195.4

出版年·卷·期（页码）：2016·35·第六期（889-893）

摘要：

目的：探讨江苏省社区2型糖尿病患者与一般人群在居民健康素养水平方面是否有差别，为社区糖尿病患者的疾病预防与控制提供信息支持。方法：本次研究依托2013年江苏省疾病预防控制中心全国健康素养监测项目的结果，即采用统一的《全国居民健康素养监测调查问卷》对全省13个省辖市15~69岁常住人口进行抽样调查，调查结果显示共有自报2型糖尿病患者371例，从非慢性病患者中按地区、年龄和性别相同随机抽取调查对象进行1：1匹配，采用条件Logistic回归分析的统计方法，比较病例组和对照组的居民健康素养水平是否有差异。结果：病例组和对照组在居民健康素养总分和基本健康知识和理念素养、健康生活方式与行为素养、基本技能素养这3个维度差异均有统计学意义，但在控制了文化程度、职业、家庭年收入和BMI这些影响因素后，两组健康素养总分和3个维度差异均无统计学意义。结论：应用居民健康素养问卷评估社区2型糖尿病患者的健康风险以及进行有目的的健康教育可能并不合适。

Objective: To explore whether there is a difference in the level of health literacy between community patients with type 2 diabetes and resident without chronic diseases in Jiangsu Province, and to provide information support for the prevention and control diabetes. Methods: This study was based on the result of the national health literacy monitoring project operating by the center for disease control and prevention in Jiangsu province in 2013, namely used the unified questionnaire of the national monitoring of residents' health literacy for the 13 municipalities permanent population sampling investigation among 15~69 years old. It was showed that there were totally 371 self-reported patients and then were 1: 1 matched by region, age and gender, randomly selecting eligible contrasts from healthy people for case-control study, the difference of the level of health literacy between the case group and the control group was compared. Results: The case group and the control group had significant difference in the total score of health literacy, basic concept of health knowledge and accomplishment, healthy lifestyle and behavior literacy and basic skills in literacy. When some of the influencing factors such as region, age, gender, educational level, occupation, annual household income and body mass index(BMI) were controlled, the two groups did not have statistically significant difference in the three dimensions and total scores of health literacy. Conclusion: It may not be appropriate to use the questionnaire of residents' health literacy to evaluate the health risk of type 2 diabetes in communities.

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