Article(id=1322607865882325100, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1322607837742747790, articleNumber=null, orderNo=null, doi=10.20043/j.cnki.MPM.202504441, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1745424000000, receivedDateStr=2025-04-24, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1793263888091, onlineDateStr=2026-10-29, pubDate=1761321600000, pubDateStr=2025-10-25, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1793263888091, onlineIssueDateStr=2026-10-29, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1793263888091, creator=13701087609, updateTime=1793263888091, updator=13701087609, issue=Issue{id=1322607837742747790, tenantId=1146029695717560320, journalId=1227665162245664772, year='2025', volume='52', issue='20', pageStart='3649', pageEnd='3840', issueExtLink='null', onlineDate='null', pubDate='1761321600000', pubDateStr='2025-10-25', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1793263881383, creator='13701087609', updateTime=1793264238791, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1322609336933794638, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1322607837742747790, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1322609336933794639, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1322607837742747790, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=3680, endPage=3685, ext={EN=ArticleExt(id=1322607867539075181, articleId=1322607865882325100, tenantId=1146029695717560320, journalId=1227665162245664772, language=EN, title=Analysis of core information awareness of chronic disease and its influencing factors among adult residents, Quanzhou City, columnId=1228016567443718970, journalTitle=Modern Preventive Medicine, columnName=Epidemiology and Statistical Methods Advances, runingTitle=null, highlight=null, articleAbstract=
Objective

To understand the core information awareness of chronic diseases and its influencing factors among adult residents in Quanzhou City, and to provide a direction for further improving the health literacy of Quanzhou residents.

Methods

Using data from the 2023 Quanzhou Chronic Disease Social Factors Survey, the core information awareness of chronic diseases among residents was descriptively analyzed. Multivariate unconditional logistic regression was employed for analyzing influencing factors.

Results

The core information awareness of chronic diseases among adult residents in Quanzhou 2023 was 78.5%. The awareness rate was higher in males (79.6%) than in females (77.7%) and showed a declining trend with increasing age (χ2=290.339, P<0.01). The higher education, the higher the awareness rate (χ2=481.641, P<0.01). Urban residents had a higher awareness rate (80.7%) compared to rural residents (77.3%), and residents in demonstration areas for comprehensive prevention and control of chronic diseases had a higher awareness rate (80.8%) than those in non-demonstration areas (76.0%). Multivariate unconditional logistic regression analysis showed that influencing factors included age (age 45-<65: OR: 0.805, 95% CI: 0.700-0.927; age 65 or above: OR: 0.646, 95% CI: 0.550-0.759), education level (primary school OR: 1.252, 95% CI: 1.102-1.424; junior high school OR: 1.905, 95% CI: 1.663-2.181; high school or Technical secondary school OR: 2.715, 95% CI: 2.251-3.275; College degree or above OR: 4.309, 95% CI: 3.419-5.431) and demonstration areas for comprehensive prevention and control of chronic diseases (OR: 1.120, 95% CI: 1.016-1.235). Generally, an educational attainment of primary school or above and a demonstration areas for comprehensive prevention and control of chronic diseases were the factors that promoted the awareness of core information of chronic diseases. Adult residents aged 45 and above and those in non-demonstration areas for comprehensive prevention and control of chronic diseases are risk factors for lack of awareness of core information of chronic diseases.

Conclusion

The core information awareness of chronic diseases among Quanzhou residents still needs improvement. Focusing on influencing factors such as age, education, and demonstration areas for comprehensive prevention and control of chronic diseases can better enhance the health literacy of residents regarding chronic diseases, effectively preventing and controlling chronic diseases.

, authors=Lei WU1, 2, Gui-sheng FAN1, 2, Jian-feng SHI1, 2, Jie LU1, 2, Wei-ming WANG1, 2, authorsList=Lei WU, Gui-sheng FAN, Jian-feng SHI, Jie LU, Wei-ming WANG, authorCompany=null, correspAuthors=Wei-ming WANG, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1322607868252106864, articleId=1322607865882325100, tenantId=1146029695717560320, journalId=1227665162245664772, language=CN, title=泉州市成年居民重点慢性病核心知识知晓情况及影响因素分析, columnId=1228016567632462653, journalTitle=现代预防医学, columnName=流行病与统计方法, runingTitle=null, highlight=null, articleAbstract=
目的

了解泉州市成年居民重点慢性病核心知识知晓情况,探索影响慢性病核心知识知晓率的因素,为进一步提升泉州市居民健康素养提供方向。

方法

利用2023年泉州市慢性病社会因素调查数据,描述分析泉州市居民重点慢性病核心知识知晓情况,采用多因素非条件logistic回归对重点慢性病核心知识知晓情况进行影响因素分析。

结果

2023年泉州市成年居民重点慢性病核心知识知晓率为78.5%,男性知晓率(79.6%)高于女性(77.7%),随着年龄增长,知晓率呈下降趋势(χ2=290.339,P<0.01);随教育程度提高,知晓率呈上升趋势(χ2=481.641,P<0.01),城市居民知晓率(80.7%)高于农村(77.3%),慢性病综合防控示范区居民知晓率(80.8%)高于非示范区(76.0%)。多因素非条件logistic回归分析显示,年龄(45~<65岁OR:0.805,95% CI:0.700~0.927;65岁及以上OR:0.646,95% CI:0.550~0.759)、教育程度(小学OR:1.252,95% CI:1.102~1.424;初中OR:1.905,95% CI:1.663~2.181;高中/中专/技校 OR:2.715,95% CI:2.251~3.275;大专及以上OR:4.309,95% CI:3.419~5.431)和慢性病综合防控示范区(OR:1.120,95% CI:1.016~1.235)是居民慢性病核心知识知晓的影响因素。其中,小学及以上教育程度,以及慢性病综合防控示范区是促进慢性病核心知识知晓的因素;年龄在45岁及以上和非慢性病综合防控示范区的成年居民是慢性病核心知识不知晓的危险因素。

结论

泉州市成年居民重点慢性病核心知识知晓水平较高,关注年龄、教育程度和慢性病综合防控示范区这些影响因素,才能更好地提升辖区居民慢性病健康素养,有效预防和控制慢性病。

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吴蕾(1989—),女,硕士,主管医师,研究方向:慢性非传染性疾病预防控制工作

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王伟明,E-mail:
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(In Chinese), articleTitle=Progress of health promotion in China′s National Demonstration Areas for Comprehensive Prevention and Control of Chronic Diseases 2010-2019: an analysis on reporting data, refAbstract=null), Reference(id=1322607878800781523, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322607865882325100, doi=null, pmid=null, pmcid=null, year=2024, volume=32, issue=3, pageStart=193, pageEnd=197, url=null, language=null, rfNumber=[30], rfOrder=48, authorNames=张瑞祎, 宜准, 徐婷玲, journalName=中国慢性病预防与控制, refType=null, unstructuredReference=张瑞祎,宜准,徐婷玲, 等. 2020年国家慢性病综合防控示范区与非示范区慢性病防控资源配置情况分析 [J]. 中国慢性病预防与控制, 2024, 32 (3): 193-197., articleTitle=2020年国家慢性病综合防控示范区与非示范区慢性病防控资源配置情况分析, refAbstract=null), Reference(id=1322607878876278996, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322607865882325100, doi=null, pmid=null, pmcid=null, year=2024, volume=32, issue=3, pageStart=193, pageEnd=197, url=null, language=null, rfNumber=[30], rfOrder=49, authorNames=Zhang RY, Yi Z, Xu TL, journalName=Chinese Journal of Prevention and Control of Chronic Diseases, refType=null, unstructuredReference=Zhang RY, Yi Z, Xu TL, et al. Analysis on allocation of chronic disease prevention and control resources in National demonstration and non-demonstration areas for comprehensive prevention and control of chronic diseases in 2020 [J]. Chinese Journal of Prevention and Control of Chronic Diseases, 2024, 32 (3): 193-197. (In Chinese), articleTitle=Analysis on allocation of chronic disease prevention and control resources in National demonstration and non-demonstration areas for comprehensive prevention and control of chronic diseases in 2020, refAbstract=null)], funds=null, companyList=[AuthorCompany(id=1322607868478599281, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322607865882325100, xref=1., ext=[AuthorCompanyExt(id=1322607868486987890, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322607865882325100, companyId=1322607868478599281, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=Affiliated Disease Control and Prevention Center for Quanzhou of Fujian Medical University, Quanzhou, Fujian 362000, China), AuthorCompanyExt(id=1322607868495376499, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322607865882325100, companyId=1322607868478599281, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1.福建医科大学附属泉州市疾病预防控制中心,福建 泉州 362000)]), AuthorCompany(id=1322607868562485364, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322607865882325100, xref=2., ext=[AuthorCompanyExt(id=1322607868570873973, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322607865882325100, companyId=1322607868562485364, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=2.泉州市疾病预防控制中心(泉州市卫生健康监督所)])], figs=[ArticleFig(id=1322607872081506460, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322607865882325100, language=EN, label=Table 1, caption=

Comparison of core information awareness of chronic disease among adult residents with different characteristics in Quanzhou

, figureFileSmall=null, figureFileBig=null, tableContent=
特征调查人数占比(%)知晓人数知晓率(%)χ2值P值
性别5.5850.018
男4 49641.93 57979.6
女6 23958.14 84877.7
年龄(岁)290.339<0.01
18~<45岁3 39931.72 97387.5
45~<65岁4 84845.23 72676.9
65岁及以上2 48823.21 72869.5
婚姻状况1.9680.161
在婚8 80982.16 93878.8
非在婚1 92617.91 48977.3
教育程度481.641<0.01
小学以下3 17529.62 16568.2
小学1 96118.31 44373.6
初中2 70625.22 21982.0
高中/中专/技校1 36712.71 19087.1
大专及以上1 52614.21 41092.4
居住地16.926<0.01
城市3 77535.23 04780.7
农村6 96064.85 38077.3
慢性病综合防控示范区36.682<0.01
是5 51151.34 45580.8
否5 22448.73 97276.0
患慢性病
是7 27767.85 64577.511.504<0.01
否3 45832.22 78280.5
合计10 7358 42778.5
), ArticleFig(id=1322607872169586845, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322607865882325100, language=CN, label=表1, caption=

泉州市不同特征成年居民慢性病核心知识知晓情况比较

, figureFileSmall=null, figureFileBig=null, tableContent=
特征调查人数占比(%)知晓人数知晓率(%)χ2值P值
性别5.5850.018
男4 49641.93 57979.6
女6 23958.14 84877.7
年龄(岁)290.339<0.01
18~<45岁3 39931.72 97387.5
45~<65岁4 84845.23 72676.9
65岁及以上2 48823.21 72869.5
婚姻状况1.9680.161
在婚8 80982.16 93878.8
非在婚1 92617.91 48977.3
教育程度481.641<0.01
小学以下3 17529.62 16568.2
小学1 96118.31 44373.6
初中2 70625.22 21982.0
高中/中专/技校1 36712.71 19087.1
大专及以上1 52614.21 41092.4
居住地16.926<0.01
城市3 77535.23 04780.7
农村6 96064.85 38077.3
慢性病综合防控示范区36.682<0.01
是5 51151.34 45580.8
否5 22448.73 97276.0
患慢性病
是7 27767.85 64577.511.504<0.01
否3 45832.22 78280.5
合计10 7358 42778.5
), ArticleFig(id=1322607872245084318, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322607865882325100, language=EN, label=Table 2, caption=

Comparison of core information awareness of chronic disease among adult residents with different questions in Quanzhou

, figureFileSmall=null, figureFileBig=null, tableContent=
题目知晓人数(人)知晓率(%)
每个人都是自己健康的第一责任人,每个人都需要关注自身健康,对吗?10 13294.4
慢性病病人要听从医嘱、坚持用药,对吗?10 11094.2
高血压患者需要长期监控血压吗?10 06293.7
为了尽早发现慢性病的早期征兆,定期体检很重要,对吗?9 68190.2
远离烟草可以远离多种癌症,对吗?9 18585.6
慢性病可以预防吗?9 04984.3
糖尿病患者按时用了药,饮食不需要控制,对吗?6 66062.0
您知道慢性阻塞性肺疾病(COPD)的早期典型症状吗?比如慢性咳嗽、咳痰、活动后气促。5 69553.1
慢性病的发生主要与个人生活方式有关系,与社会和环境没有关系,对吗?5 65152.6
哪些疾病属于发病广、致残率高、致死率高的慢性病?(多选题)2 12219.8
), ArticleFig(id=1322607872429633695, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322607865882325100, language=CN, label=表2, caption=

泉州市成年居民不同题目慢性病核心知识知晓情况

, figureFileSmall=null, figureFileBig=null, tableContent=
题目知晓人数(人)知晓率(%)
每个人都是自己健康的第一责任人,每个人都需要关注自身健康,对吗?10 13294.4
慢性病病人要听从医嘱、坚持用药,对吗?10 11094.2
高血压患者需要长期监控血压吗?10 06293.7
为了尽早发现慢性病的早期征兆,定期体检很重要,对吗?9 68190.2
远离烟草可以远离多种癌症,对吗?9 18585.6
慢性病可以预防吗?9 04984.3
糖尿病患者按时用了药,饮食不需要控制,对吗?6 66062.0
您知道慢性阻塞性肺疾病(COPD)的早期典型症状吗?比如慢性咳嗽、咳痰、活动后气促。5 69553.1
慢性病的发生主要与个人生活方式有关系,与社会和环境没有关系,对吗?5 65152.6
哪些疾病属于发病广、致残率高、致死率高的慢性病?(多选题)2 12219.8
), ArticleFig(id=1322607872538685600, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322607865882325100, language=EN, label=Table 3, caption=

Multivariate unconditional logistic regression analysis of influencing factors of core information awareness of chronic disease among adult residents in Quanzhou

, figureFileSmall=null, figureFileBig=null, tableContent=
特征比较组β Wald χ2POR(95% CI)
性别(ref:男性)女性0.0700.0511.8840.1701.073(0.970~1.186)
年龄(ref:18~<45岁)1.000
45~<65岁-0.2170.0729.1480.0020.805(0.700~0.927)
65岁及以上-0.4370.08228.347<0.010.646(0.550~0.759)
教育程度(ref:小学及以下)1.000
小学0.2250.06511.8480.0011.252(1.102~1.424)
初中0.6440.06986.635<0.011.905(1.663~2.181)
高中/中专/技校0.9990.096109.034<0.012.715(2.251~3.275)
大专及以上1.4610.118153.193<0.014.309(3.419~5.431)
居住地(ref:农村)城市0.0690.0531.7430.1871.072(0.967~1.188)
慢性病综合防控示范区(ref:否)是0.1130.0505.2010.0231.120(1.016~1.235)
患慢性病(ref:否)是0.0540.0540.9880.3201.055(0.949~1.174)
常數0.9010.10278.546<0.012.462
), ArticleFig(id=1322607872618377378, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322607865882325100, language=CN, label=表3, caption=

泉州市成年居民慢性病核心知识知晓率影响因素多因素非条件logistic回归分析

, figureFileSmall=null, figureFileBig=null, tableContent=
特征比较组β Wald χ2POR(95% CI)
性别(ref:男性)女性0.0700.0511.8840.1701.073(0.970~1.186)
年龄(ref:18~<45岁)1.000
45~<65岁-0.2170.0729.1480.0020.805(0.700~0.927)
65岁及以上-0.4370.08228.347<0.010.646(0.550~0.759)
教育程度(ref:小学及以下)1.000
小学0.2250.06511.8480.0011.252(1.102~1.424)
初中0.6440.06986.635<0.011.905(1.663~2.181)
高中/中专/技校0.9990.096109.034<0.012.715(2.251~3.275)
大专及以上1.4610.118153.193<0.014.309(3.419~5.431)
居住地(ref:农村)城市0.0690.0531.7430.1871.072(0.967~1.188)
慢性病综合防控示范区(ref:否)是0.1130.0505.2010.0231.120(1.016~1.235)
患慢性病(ref:否)是0.0540.0540.9880.3201.055(0.949~1.174)
常數0.9010.10278.546<0.012.462
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泉州市成年居民重点慢性病核心知识知晓情况及影响因素分析
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吴蕾 1, 2 , 范桂生 1, 2 , 史剑锋 1, 2 , 卢杰 1, 2 , 王伟明 1, 2
现代预防医学 | 流行病与统计方法 2025,52(20): 3680-3685
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现代预防医学 |流行病与统计方法 2025 , 52 (20) : 3680 -3685
泉州市成年居民重点慢性病核心知识知晓情况及影响因素分析
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吴蕾1, 2, 范桂生1, 2, 史剑锋1, 2, 卢杰1, 2, 王伟明1, 2
作者信息
  • 1.福建医科大学附属泉州市疾病预防控制中心,福建 泉州 362000
  • 2.泉州市疾病预防控制中心(泉州市卫生健康监督所
通讯作者:
王伟明,E-mail:
作者简介:

吴蕾(1989—),女,硕士,主管医师,研究方向:慢性非传染性疾病预防控制工作

Analysis of core information awareness of chronic disease and its influencing factors among adult residents, Quanzhou City
Lei WU1, 2, Gui-sheng FAN1, 2, Jian-feng SHI1, 2, Jie LU1, 2, Wei-ming WANG1, 2
Affiliations
  • Affiliated Disease Control and Prevention Center for Quanzhou of Fujian Medical University, Quanzhou, Fujian 362000, China
出版时间: 2025-10-25 doi: 10.20043/j.cnki.MPM.202504441
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目的

了解泉州市成年居民重点慢性病核心知识知晓情况,探索影响慢性病核心知识知晓率的因素,为进一步提升泉州市居民健康素养提供方向。

方法

利用2023年泉州市慢性病社会因素调查数据,描述分析泉州市居民重点慢性病核心知识知晓情况,采用多因素非条件logistic回归对重点慢性病核心知识知晓情况进行影响因素分析。

结果

2023年泉州市成年居民重点慢性病核心知识知晓率为78.5%,男性知晓率(79.6%)高于女性(77.7%),随着年龄增长,知晓率呈下降趋势(χ2=290.339,P<0.01);随教育程度提高,知晓率呈上升趋势(χ2=481.641,P<0.01),城市居民知晓率(80.7%)高于农村(77.3%),慢性病综合防控示范区居民知晓率(80.8%)高于非示范区(76.0%)。多因素非条件logistic回归分析显示,年龄(45~<65岁OR:0.805,95% CI:0.700~0.927;65岁及以上OR:0.646,95% CI:0.550~0.759)、教育程度(小学OR:1.252,95% CI:1.102~1.424;初中OR:1.905,95% CI:1.663~2.181;高中/中专/技校 OR:2.715,95% CI:2.251~3.275;大专及以上OR:4.309,95% CI:3.419~5.431)和慢性病综合防控示范区(OR:1.120,95% CI:1.016~1.235)是居民慢性病核心知识知晓的影响因素。其中,小学及以上教育程度,以及慢性病综合防控示范区是促进慢性病核心知识知晓的因素;年龄在45岁及以上和非慢性病综合防控示范区的成年居民是慢性病核心知识不知晓的危险因素。

结论

泉州市成年居民重点慢性病核心知识知晓水平较高,关注年龄、教育程度和慢性病综合防控示范区这些影响因素,才能更好地提升辖区居民慢性病健康素养,有效预防和控制慢性病。

慢性病  /  核心知识  /  知晓情况  /  影响因素
Objective

To understand the core information awareness of chronic diseases and its influencing factors among adult residents in Quanzhou City, and to provide a direction for further improving the health literacy of Quanzhou residents.

Methods

Using data from the 2023 Quanzhou Chronic Disease Social Factors Survey, the core information awareness of chronic diseases among residents was descriptively analyzed. Multivariate unconditional logistic regression was employed for analyzing influencing factors.

Results

The core information awareness of chronic diseases among adult residents in Quanzhou 2023 was 78.5%. The awareness rate was higher in males (79.6%) than in females (77.7%) and showed a declining trend with increasing age (χ2=290.339, P<0.01). The higher education, the higher the awareness rate (χ2=481.641, P<0.01). Urban residents had a higher awareness rate (80.7%) compared to rural residents (77.3%), and residents in demonstration areas for comprehensive prevention and control of chronic diseases had a higher awareness rate (80.8%) than those in non-demonstration areas (76.0%). Multivariate unconditional logistic regression analysis showed that influencing factors included age (age 45-<65: OR: 0.805, 95% CI: 0.700-0.927; age 65 or above: OR: 0.646, 95% CI: 0.550-0.759), education level (primary school OR: 1.252, 95% CI: 1.102-1.424; junior high school OR: 1.905, 95% CI: 1.663-2.181; high school or Technical secondary school OR: 2.715, 95% CI: 2.251-3.275; College degree or above OR: 4.309, 95% CI: 3.419-5.431) and demonstration areas for comprehensive prevention and control of chronic diseases (OR: 1.120, 95% CI: 1.016-1.235). Generally, an educational attainment of primary school or above and a demonstration areas for comprehensive prevention and control of chronic diseases were the factors that promoted the awareness of core information of chronic diseases. Adult residents aged 45 and above and those in non-demonstration areas for comprehensive prevention and control of chronic diseases are risk factors for lack of awareness of core information of chronic diseases.

Conclusion

The core information awareness of chronic diseases among Quanzhou residents still needs improvement. Focusing on influencing factors such as age, education, and demonstration areas for comprehensive prevention and control of chronic diseases can better enhance the health literacy of residents regarding chronic diseases, effectively preventing and controlling chronic diseases.

Chronic diseases  /  Core information  /  Awareness  /  Influencing factors
吴蕾, 范桂生, 史剑锋, 卢杰, 王伟明. 泉州市成年居民重点慢性病核心知识知晓情况及影响因素分析. 现代预防医学, 2025 , 52 (20) : 3680 -3685 . DOI: 10.20043/j.cnki.MPM.202504441
Lei WU, Gui-sheng FAN, Jian-feng SHI, Jie LU, Wei-ming WANG. Analysis of core information awareness of chronic disease and its influencing factors among adult residents, Quanzhou City[J]. Modern Preventive Medicine, 2025 , 52 (20) : 3680 -3685 . DOI: 10.20043/j.cnki.MPM.202504441
慢性病已成为全球公共卫生面临的重大挑战,严重威胁人类健康和社会经济发展。WHO数据显示,慢性病导致了全球约75%的死亡[1]。在我国,以心脑血管病、恶性肿瘤、慢性呼吸系统疾病和糖尿病为代表的慢性病导致了中国人群91%的死亡[2]。由于人口老龄化趋势[3]以及吸烟、饮酒、缺乏身体活动、不健康饮食习惯和大气污染等慢性病的重要危险因素[4-5]尚未得到有效控制,多数慢性病的疾病负担日益加重[6-8],慢性病防控形势严峻[9]。研究表明,如果居民能够充分了解慢性病核心知识,改变疾病相关危险因素,促进健康行为养成,许多慢性病是可以预防或延迟发病的[10-12]。然而,不同地区、不同人群由于文化水平、经济状况、健康教育普及程度等因素的差异,慢性病核心知识知晓情况存在较大差距[13]。本研究旨在调查泉州市成年居民重点慢性病核心知识知晓情况,全面了解辖区居民对慢性病核心知识的掌握程度,分析其影响因素,为辖区进一步开展慢性病防控和健康教育工作提供科学依据,以提高辖区居民健康素养水平,有效降低慢性病的发生风险。
利用2023年泉州市6个县(市、区)开展的慢性病社会因素调查数据,采用多阶段整群随机抽样法和KISH表法抽取调查对象。第1阶段在每个县(市、区)随机抽取6个乡镇(街道),第2阶段在抽取的6个乡镇(街道)中各随机抽取3个行政村(社区),第3阶段在抽取的3个行政村(社区)中各随机抽取2个自然村(村民小组),在自然村(村民小组)中选取不少于50户居民;采用KISH表法选取居民户中≥18岁居民接受调查,合计调查11 034人,纳入分析10 735人,问卷有效率97.3%。所有调查对象均签署了知情同意书,研究通过泉州市疾病预防控制中心伦理审查委员会批准,编号:泉疾控伦理审查[2024](005)。
调查采用面对面的方式,调查人员均经过统一培训。调查问卷采用福建省统一制定的社会因素调查问卷,内容包括个人基本信息、主要慢性病发生情况、慢性病核心知识知晓情况等。
包括未婚、同居、离婚、分居和丧偶。
纳入的慢性病种类包括肥胖、高血压、糖尿病、血脂异常、冠心病、脑卒中、慢性阻塞性肺疾病(慢阻肺)、恶性肿瘤和慢性消化系统疾病等9种,患有1种及以上慢性病即视为慢性病患者。
问卷共10题,包含1题多选题与9题单选题,内容包括常见慢性病的病种、慢性病的三级预防、糖尿病用药、高血压管理、慢性阻塞性肺疾病的早期识别、癌症的危险因素等。多选题错选、漏选均不得分;答对7题及以上被认为知晓慢性病核心知识。
采用EpiData 3.1进行数据双录入,WPS 2023、SPSS Statistics 22.0进行数据清理、整理和分析;检验水准α=0.05。
知晓率采用(知晓人数/调查人数)×100.00%进行描述。
采用多因素非条件logistic回归。
共纳入研究对象10 735人,年龄分布在18~92岁之间,平均年龄(52.1±14.8)岁。所调查人群核心知识知晓率为78.5%。男性知晓率(79.6%)高于女性(77.7%);随着年龄增长,知晓率呈下降趋势(χ2=290.339,P<0.01);随教育程度提高,知晓率呈上升趋势(χ2=481.641,P<0.01),城市地区知晓率(80.7%)高于农村地区(77.3%),慢性病综合防控示范区知晓率(80.8%)高于非慢性病综合防控示范区(76.0%)。见表1。
不同条目的慢性病核心知识知晓率介于19.8%~94.4%之间,其中,知晓率最高的题目为:“每个人都是自己健康的第一责任人,每个人都需要关注自身健康,对吗?”,为94.4%;知晓率最低的题目为多选题:“哪些疾病属于发病广、致残率高、致死率高的慢性病?”,仅19.8%。知晓率低于70%的题目有4题:糖尿病核心知识、慢阻肺核心知识、慢性病影响因素和慢性病的种类。见表2。
以是否知晓慢性病防控核心知识为因变量(0=否,1=是),以性别、年龄、教育程度、居住地、是否为慢性病综合防控示范区和是否患慢性病等6个因素为自变量进行多因素非条件logistic回归分析。结果显示,相比小学以下,小学及以上教育程度,以及慢性病综合防控示范区促进慢性病核心知识的知晓;相比18~44岁,45岁及以上和非慢性病综合防控示范区是慢性病防控核心知识不知晓的危险因素。见表3。
本次调查结果显示,泉州市居民重点慢性病核心知识知晓率为78.5%,已达到《中国防治慢性病中长期规划(2017—2025年)》2025年70%的目标[14]。但是对于慢性病的种类、影响因素、早期发现和控制等方面仍然表现出知晓率较低的情况,提示在慢性病健康教育工作中,需要进一步加强对慢性病相关知识有针对性的深层次普及。准确可靠的健康信息是健康管理的基础,随着科技发展,数字时代下健康信息获取渠道日益增多,健康信息纷繁复杂,提示在健康教育过程中还应注重对人群健康信息甄别的赋能。
本次调查结果显示,年龄和教育程度影响重点慢性病核心知识知晓率,与既往研究[15-17]相似。认知能力随着年龄变化而不同,老年人因身体机能衰退,认知功能下降,学习和记忆慢性病相关知识的效率降低[18-19],新媒体技术的涌现虽然为健康信息的获取提供了便利,但老年群体接触和理解这些健康信息却面临着诸多障碍[20],他们对于传统媒体仍然更加偏好,获取信息也较年青人更为被动,难以系统获得全面准确的健康信息[21-22]。高教育程度人群往往具备更强的学习能力以及信息获取和甄别能力[23],并主动通过多种渠道获取慢性病相关知识,凭借自身良好的理解能力将新知识融入到已有的知识体系中,形成对慢性病较为全面和深入的认知。此外,有研究显示,教育可以延长寿命,每多受一年教育,全因死亡风险就会下降1.9%[24]。高教育程度的居民重视健康,将健康视为财富,更愿意投入时间和精力去维护,这也促使了这部分人群主动学习慢性病相关知识,以便更好地预防和管理慢性病[25-26]。提示针对不同年龄段和不同教育程度的人群应采取不同的健康教育策略,对于老年人可采用更通俗易懂、新旧媒体结合的方式进行健康知识的传播。根据居民教育程度的差异制定分层健康教育方案。对于低文化程度的人群,要注重采用形象化、简单易懂的教育方式;对于高教育程度的人群则可提供更深入、更专业的健康知识资源,以满足不同人群的需求。
本次调查结果显示,慢性病综合防控示范区居民的重点慢性病核心知识知晓率高于非慢性病综合防控示范区,提示慢性病综合防控示范区的创建对提升辖区居民的慢性病核心知识知晓水平有着重要意义。既往研究表明[27-28],慢性病综合防控示范区对提升居民健康认知有明显的促进作用。慢性病综合防控示范区的健康教育体系完备,健康教育工作有针对性,覆盖人群广泛,资源配置高,健康促进工作不断提升[29-30]。慢性病综合防控示范区宣传手段多样,新旧媒体充分结合,广泛开展慢性病防控知识宣传,注重公共场所的环境营造,健康文化氛围浓厚,使得居民在日常生活中随时随地都能接触到健康相关知识,潜移默化提高了居民的健康知识水平。慢性病综合防控示范区通过完善的健康教育体系、多样化的宣传手段、便捷的健康服务以及有力的政策支持和社会动员,提升了居民慢性病核心知识的知晓水平。
综上所述,泉州市居民重点慢性病核心知识知晓水平较高,年龄、教育程度和慢性病综合防控示范区为影响慢性病核心知识知晓情况的重要因素,关注这些影响因素,针对性制定分层分类的健康教育活动,对提升辖区居民慢性病核心知识知晓情况有促进作用。积极创建慢性病综合防控示范区,通过综合干预手段,提升居民健康素养,有效预防和控制慢性病。

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2025年第52卷第20期
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doi: 10.20043/j.cnki.MPM.202504441
  • 接收时间:2025-04-24
  • 首发时间:2026-10-29
  • 出版时间:2025-10-25
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  • 收稿日期:2025-04-24
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    1.福建医科大学附属泉州市疾病预防控制中心,福建 泉州 362000
    2.泉州市疾病预防控制中心(泉州市卫生健康监督所

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2种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)
属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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