京沪文化环境对妇保领域的支撑程度
|
摘要
目的浅析京沪文化环境对妇保领域的支撑程度,分析其与孕产妇死亡率的相关性,检验基于文化环境的支撑程度评价妇保工作效果的可行性。方法利用中国知网(CNKI)收集京沪两地不同年份的居民健康素养水平、发表的研究文献,系统收集所有涉及京沪两地妇保工作的政策文件,综合量化文化环境的支撑程度。运用Spearman相关、线性回归分析文化环境支撑程度与孕产妇死亡率之间的关系。结果从2000-2017年,北京市妇保领域文化环境的支撑程度由37. 2%上升至62. 1%,上海市则由28. 0%上升至46. 5%。相关与回归分析结果显示,京沪文化环境支撑程度对孕产妇死亡率的影响均呈显著负相关,其中北京的相关系数为-0. 535,上海的为-0. 725。结论京沪两地文化环境的支撑程度均有改善,且对推动妇保工作的开展已初现效果,但各方全方位协同的氛围尚未形成。适宜的妇保体系应各方高度认可公共卫生价值,且形成共建共享的氛围。验证了量化评价文化氛围的支撑程度具有可行性。
Objective To briefly analyze the support capacity of cultural atmosphere( SCCA) for maternal and child healthcare( MCH) both in Beijing and Shanghai,and to explore the relationship between SCCE and maternal mortality rate( MMR),and finally to test the feasibility of using SCCE in assessing maternal and child healthcare. Methods China Knowledge Network( CNKI) was retrieved for literatures of health literacy levels of the residents in Beijing and Shanghai in different years and all the policy documents on MCH work in Beijing and Shanghai were collected to comprehensively quantify SCCA. Spearman correlation and linear regression were used to analyze the relationship between SCCA and MMR. Results The SCCA for MCH of Beijing increased from37. 2% to 62. 1% during 2000 and 2017. During the same period,the SCCA for MCH of Shanghai increased from28. 0% to 46. 5%. Correlation and regression analysis indicated that there was a negative correlation between SCCA and MMR. The correlation coefficients were-0. 535 for Beijing and-0. 725 for Shanghai with significance.Conclusions The SCCA for both Beijing and Shanghai has improved much,which plays a significant impact on MCH,yet the all-sided cooperation has not yet taken shape. Appropriate MCH system should be based on full recognition of public health value by all parties and a co-constructive and sharing platform. Meanwhile,the qualitative assessment of support capacity of cultural atmosphere is verified to be feasible.
Objective To briefly analyze the support capacity of cultural atmosphere( SCCA) for maternal and child healthcare( MCH) both in Beijing and Shanghai,and to explore the relationship between SCCE and maternal mortality rate( MMR),and finally to test the feasibility of using SCCE in assessing maternal and child healthcare. Methods China Knowledge Network( CNKI) was retrieved for literatures of health literacy levels of the residents in Beijing and Shanghai in different years and all the policy documents on MCH work in Beijing and Shanghai were collected to comprehensively quantify SCCA. Spearman correlation and linear regression were used to analyze the relationship between SCCA and MMR. Results The SCCA for MCH of Beijing increased from37. 2% to 62. 1% during 2000 and 2017. During the same period,the SCCA for MCH of Shanghai increased from28. 0% to 46. 5%. Correlation and regression analysis indicated that there was a negative correlation between SCCA and MMR. The correlation coefficients were-0. 535 for Beijing and-0. 725 for Shanghai with significance.Conclusions The SCCA for both Beijing and Shanghai has improved much,which plays a significant impact on MCH,yet the all-sided cooperation has not yet taken shape. Appropriate MCH system should be based on full recognition of public health value by all parties and a co-constructive and sharing platform. Meanwhile,the qualitative assessment of support capacity of cultural atmosphere is verified to be feasible.
引文
[1] Napier D,Ancarno C,Butler B,et al. Culture and health[J]. Lancet,2014(384):1607–1639.
[2]徐一峰,严非.文化与健康:医学人类学实践[M].上海:上海人民出版社,2005.
[3]李鲁.社会医学[M].北京:人民卫生出版社,2013.
[4]王净.试论文化与健康问题[J].中国卫生事业管理,2006,22(12):744-747.
[5]翁乃群.社会文化与健康——田野志研究的视角[J]//张大庆.中国医学人文评论[M].北京:北京大学医学出版社,2016:76-81.
[6]赖凯声.区域人格与健康:文化、经济与政治环境的调节作用[D].天津:南开大学,2016.
[7]张宁,赵利生.三十年来中国医学人类学研究回顾[J].浙江社会科学,2011(2):123-130.
[8]李文龙,袁文,黄照权,等.文化与老年人身心健康关系的研究进展[J].医学与哲学,2015(9):48-49.
[9]贺达仁.文化生态与健康[J].医学与社会,2000,13(6):34-36.
[10]蒲杰,张彤,梁家智.妇幼公共卫生体系的再认识[J].中国妇幼健康研究,2010,21(3):288-291.
[11]徐凌忠,李程跃,胡志,等.京沪居民健康素养的可信度分析——以居民健康素养与孕产妇死亡率之间的关系为例[J].中国农村卫生事业管理,2019,39(3):181-185,190.
[12]徐凌忠,夏宇,李程跃,等.京沪妇保领域研究活跃程度初探[J].中国农村卫生事业管理,2019,39(3):175-180.
[13]石林梅,徐凌忠,刘苗苗,等.京沪社会经济状况对妇保关键目标的支撑作用[J].中国农村卫生事业管理,2019,39(3):158-163.
[14]徐凌忠,沈群红,夏宇,等.京沪妇幼保健领域公共卫生价值趋同程度简析[J].中国农村卫生事业管理,2019,39(3):169-174.
[15]北京市卫生和计划生育委员会.北京卫生计生事业统计公报[EB/OL].[2018-05-03]. http://wjw.beijing. gov. cn/.
[16]上海市卫生和计划生育委员会.上海卫生计生数据[EB/OL].[2018-05-03]. http://www. smhb. gov.cn.
[17]郝模,马安宁,王志锋,等.卫生政策学[M]. 2版.北京:人民卫生出版社,2013.
[18]郑杭生.社会学概论新修[M]. 4版.北京:中国人民大学出版社,2013.
[19]王檬,刘瑞涛,杨进.社会因素与健康[J].基因组学与应用生物学,2015,34(9):1860-1864.
[20]张硕.文化的概念与生活文化定义[J].南京晓庄学院学报,2014,30(2):70-75.
[21]徐秋利.公共卫生安全问题与社会经济文化因素的相互作用与影响[J].现代预防医学,2006,33(1):107-107.
[22]课题组.上海现代化国际大都市公共卫生绩效体系构建》结题报告[R]. 2018.
[23]舒展.我国农村公共卫生政府补偿政策研究[D].武汉:华中科技大学,2007.
[24]王茵.公共卫生支出公平与效率分析[D].东北财经大学,2007.
[25]临朐县编办.加强部门职能管理的实践与思考[J].机构与行政,2012(8):40-42.
[26]毋谦,王济源,毕秀丽,等.健康教育系列服务产品的开发与应用[J].疾病预防控制通报,2015(1):93-94.
[27]李海珊.公众参与视角下的基本公共卫生服务研究[J].医学研究与教育,2013,30(4):105-110.
[28]杨中,卢祖洵.健康的文化视角与健康文化建设[C].中国健康传播大会,2006.
[29]马远珠,陈延冰,吴潇潇,等.提高健康素养作为公共卫生的目标:当代健康促进和媒体传播面临的挑战[J].中国健康教育,2014,30(11):1023-1026.
[2]徐一峰,严非.文化与健康:医学人类学实践[M].上海:上海人民出版社,2005.
[3]李鲁.社会医学[M].北京:人民卫生出版社,2013.
[4]王净.试论文化与健康问题[J].中国卫生事业管理,2006,22(12):744-747.
[5]翁乃群.社会文化与健康——田野志研究的视角[J]//张大庆.中国医学人文评论[M].北京:北京大学医学出版社,2016:76-81.
[6]赖凯声.区域人格与健康:文化、经济与政治环境的调节作用[D].天津:南开大学,2016.
[7]张宁,赵利生.三十年来中国医学人类学研究回顾[J].浙江社会科学,2011(2):123-130.
[8]李文龙,袁文,黄照权,等.文化与老年人身心健康关系的研究进展[J].医学与哲学,2015(9):48-49.
[9]贺达仁.文化生态与健康[J].医学与社会,2000,13(6):34-36.
[10]蒲杰,张彤,梁家智.妇幼公共卫生体系的再认识[J].中国妇幼健康研究,2010,21(3):288-291.
[11]徐凌忠,李程跃,胡志,等.京沪居民健康素养的可信度分析——以居民健康素养与孕产妇死亡率之间的关系为例[J].中国农村卫生事业管理,2019,39(3):181-185,190.
[12]徐凌忠,夏宇,李程跃,等.京沪妇保领域研究活跃程度初探[J].中国农村卫生事业管理,2019,39(3):175-180.
[13]石林梅,徐凌忠,刘苗苗,等.京沪社会经济状况对妇保关键目标的支撑作用[J].中国农村卫生事业管理,2019,39(3):158-163.
[14]徐凌忠,沈群红,夏宇,等.京沪妇幼保健领域公共卫生价值趋同程度简析[J].中国农村卫生事业管理,2019,39(3):169-174.
[15]北京市卫生和计划生育委员会.北京卫生计生事业统计公报[EB/OL].[2018-05-03]. http://wjw.beijing. gov. cn/.
[16]上海市卫生和计划生育委员会.上海卫生计生数据[EB/OL].[2018-05-03]. http://www. smhb. gov.cn.
[17]郝模,马安宁,王志锋,等.卫生政策学[M]. 2版.北京:人民卫生出版社,2013.
[18]郑杭生.社会学概论新修[M]. 4版.北京:中国人民大学出版社,2013.
[19]王檬,刘瑞涛,杨进.社会因素与健康[J].基因组学与应用生物学,2015,34(9):1860-1864.
[20]张硕.文化的概念与生活文化定义[J].南京晓庄学院学报,2014,30(2):70-75.
[21]徐秋利.公共卫生安全问题与社会经济文化因素的相互作用与影响[J].现代预防医学,2006,33(1):107-107.
[22]课题组.上海现代化国际大都市公共卫生绩效体系构建》结题报告[R]. 2018.
[23]舒展.我国农村公共卫生政府补偿政策研究[D].武汉:华中科技大学,2007.
[24]王茵.公共卫生支出公平与效率分析[D].东北财经大学,2007.
[25]临朐县编办.加强部门职能管理的实践与思考[J].机构与行政,2012(8):40-42.
[26]毋谦,王济源,毕秀丽,等.健康教育系列服务产品的开发与应用[J].疾病预防控制通报,2015(1):93-94.
[27]李海珊.公众参与视角下的基本公共卫生服务研究[J].医学研究与教育,2013,30(4):105-110.
[28]杨中,卢祖洵.健康的文化视角与健康文化建设[C].中国健康传播大会,2006.
[29]马远珠,陈延冰,吴潇潇,等.提高健康素养作为公共卫生的目标:当代健康促进和媒体传播面临的挑战[J].中国健康教育,2014,30(11):1023-1026.