新媒体环境下农村中年居民健康信息素养现状及影响因素
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摘要
目的分析安徽省六安市及山东省青岛市两地农村中年居民健康信息素养现状,呼吁国家发挥新媒体优势作用,努力拓展新媒体环境下农村中年居民健康信息素养培养策略。方法 2018年6—7月,分层随机选取安徽省六安市及山东市青岛市两地1 499名农村中年居民进行入户面对面测评。结果两地健康信息素养项目均分分别为3.39±0.64和3.59±0.47;不同地区、性别、受教育程度、工作性质、互联网使用时间及智能手机使用时间得分比较,差异有统计学意义(t=6.666、5.339,F=169.374、139.568、286.458、436.741,均P<0.05);多元回归分析显示,受教育程度、工作性质、互联网使用时间及智能手机使用时间能正向预测健康信息素养水平,共解释健康信息素养46.8%的变异;农村中年居民应用新媒体获取、评价和利用健康信息的能力普遍偏低。结论农村中年居民为健康信息素养监测的重点对象,国家和乡村需共同努力,尽快发挥新媒体工具在健康信息素养教育中的优势作用。
Objective To analyze the status of health information literacy among rural middle-aged residents in Luan City of Anhui Province and Qingdao City of Shandong Province, appeal the state to promote dominant role of the new media and strive to expand the health information literacy training strategies for middle-aged rural residents under the new media environment.Methods 1 499 middle-aged rural residents were collected from Luan City of Anhui Province and Qingdao City of Shandong Province by a stratified and random sampling, to perform the face-to-face household assessment. Results The average score of health information literacy items in two areas was 3.39 ±0.64 and 3.59 ±0.47 respectively. There were statistically significant differences in scores among different groups in region, gender, education level, job type, Internet usage time and smart phone usage time(t =6.666, 5.339, F =169.374, 139.568, 286.458, 436.741, all P <0.05). Multiple regression analysis shows that education degree, job type, Internet usage time and smart phone usage time could positively predict the level of health information literacy level, which explained 46.8% of variation. The analysis of composition ratio showed that the ability of using new media to obtain, evaluate and use the health information among rural middle-aged residents was low. Conclusion The rural middle-aged residents are the key object of health information literacy monitoring. The state and villages need to work together to develop the advantages of new media tools in health information literacy education as soon as possible.
Objective To analyze the status of health information literacy among rural middle-aged residents in Luan City of Anhui Province and Qingdao City of Shandong Province, appeal the state to promote dominant role of the new media and strive to expand the health information literacy training strategies for middle-aged rural residents under the new media environment.Methods 1 499 middle-aged rural residents were collected from Luan City of Anhui Province and Qingdao City of Shandong Province by a stratified and random sampling, to perform the face-to-face household assessment. Results The average score of health information literacy items in two areas was 3.39 ±0.64 and 3.59 ±0.47 respectively. There were statistically significant differences in scores among different groups in region, gender, education level, job type, Internet usage time and smart phone usage time(t =6.666, 5.339, F =169.374, 139.568, 286.458, 436.741, all P <0.05). Multiple regression analysis shows that education degree, job type, Internet usage time and smart phone usage time could positively predict the level of health information literacy level, which explained 46.8% of variation. The analysis of composition ratio showed that the ability of using new media to obtain, evaluate and use the health information among rural middle-aged residents was low. Conclusion The rural middle-aged residents are the key object of health information literacy monitoring. The state and villages need to work together to develop the advantages of new media tools in health information literacy education as soon as possible.
引文
[1]王辅之,罗爱静,谢文照.我国居民健康信息素养内涵及培养策略[J].中华医学图书情报杂志,2013,22(8):13-17.
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[7]中共中央国务院印发《“健康中国2030”规划纲要》[EB/OL].(2016-10-25)[2017-09-26].http://www.gov.cn/gong-bao/2016-11/20/content_5133024.htm.
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[9]国家卫生和计划生育委员会宣传司,中国健康教育中心.2012年中国居民健康素养监测报告[R].北京:国家卫生和计划生育委员会宣传司,2013.
[10]罗丹,陈兴智,付连国,等.安徽省农村社区45~60岁居民健康信息素养现状及影响因素研究[J].泰山医学院学报,2016,37(6):601-604.
[11]周丰波,熊丹丹.长兴县农村居民健康素养现状调查[J].中国公共卫生管理,2017,33(5):698-700.
[12]董泽松,霍俊丽,祁慧,等.西部4省(自治区)农村初中教师健康素养现状分析[J].中国健康教育,2018,34(4):295-298.
[13]王兴华,李倩,周虎.2013年芜湖市镜湖区居民健康素养调查报告[J].中华疾病控制杂志,2014,18(8):768-771.
[14]SCHILLINGER D,GRUMBACH K,PIETTE J,et al.Association of health literacy with diabetes outcomes[J].JAMA,2002,288(4):475-482.
[15]陆一鸣,朱泽善,文建强,等.2015年甘肃省15~69岁居民健康素养水平及影响因素研究[J].中华疾病控制杂志,2018,22(3):235-239.
[16]聂雪琼,李英华,李莉,等.中国六省城乡居民健康信息素养水平研究[J].中华预防医学杂志,2014,48(7):566-570.
[17]张希臣,罗娇娇,刘畅.新媒体在健康传播中的应用现状与发展趋势[J].职业与健康,2018,34(8):1149-1152.
[18]聂雪琼,李英华,李莉,等.中国居民健康信息素养水平及其影响因素[J].中国健康教育,2015,31(2):120-124.
[2]杜国平,颜文娟,李小杉,等.江苏籍大学新生健康素养现况及影响因素分析[J].中华疾病控制杂志,2017,21(7):710-713.
[3]冒鑫娥,李永男,薛慧萍,等.国内外健康信息素养评价方法研究进展[J].中国公共卫生,2018,34(9):1306-1309.
[4]张士靖,杜建.健康信息素养应成为中国公众健康素养促进的关键点[J].医学信息学杂志,2012,31(2):45-49.
[5]OGUNSOLA L.Health information literacy:a road map for poverty alleviation in the developing countries[J].J Heal Lib,2009,9(1):59-72.
[6]MILLER TA.Health literacy and adherence to medical treatment in chronic and acute illness:a meta-analysi s[J].Patient Educ Couns,2016,99(7):1079-1086.
[7]中共中央国务院印发《“健康中国2030”规划纲要》[EB/OL].(2016-10-25)[2017-09-26].http://www.gov.cn/gong-bao/2016-11/20/content_5133024.htm.
[8]王辅之,罗爱静,谢文照,等.健康信息素养自评量表的编制及其信效度检验[J].中国现代医学杂志,2013,23(30):89-93.
[9]国家卫生和计划生育委员会宣传司,中国健康教育中心.2012年中国居民健康素养监测报告[R].北京:国家卫生和计划生育委员会宣传司,2013.
[10]罗丹,陈兴智,付连国,等.安徽省农村社区45~60岁居民健康信息素养现状及影响因素研究[J].泰山医学院学报,2016,37(6):601-604.
[11]周丰波,熊丹丹.长兴县农村居民健康素养现状调查[J].中国公共卫生管理,2017,33(5):698-700.
[12]董泽松,霍俊丽,祁慧,等.西部4省(自治区)农村初中教师健康素养现状分析[J].中国健康教育,2018,34(4):295-298.
[13]王兴华,李倩,周虎.2013年芜湖市镜湖区居民健康素养调查报告[J].中华疾病控制杂志,2014,18(8):768-771.
[14]SCHILLINGER D,GRUMBACH K,PIETTE J,et al.Association of health literacy with diabetes outcomes[J].JAMA,2002,288(4):475-482.
[15]陆一鸣,朱泽善,文建强,等.2015年甘肃省15~69岁居民健康素养水平及影响因素研究[J].中华疾病控制杂志,2018,22(3):235-239.
[16]聂雪琼,李英华,李莉,等.中国六省城乡居民健康信息素养水平研究[J].中华预防医学杂志,2014,48(7):566-570.
[17]张希臣,罗娇娇,刘畅.新媒体在健康传播中的应用现状与发展趋势[J].职业与健康,2018,34(8):1149-1152.
[18]聂雪琼,李英华,李莉,等.中国居民健康信息素养水平及其影响因素[J].中国健康教育,2015,31(2):120-124.