Fei-fei JIN, Ji-bin CHEN, Xiang-yang TIAN. Impact of comprehensive health communication on infectious disease specific health literacy among Chinese population[J]. Chinese Journal of Public Health, 2018, 34(10): 1377-1379. DOI: 10.11847/zgggws1117945

Citation: Fei-fei JIN, Ji-bin CHEN, Xiang-yang TIAN. Impact of comprehensive health communication on infectious disease specific health literacy among Chinese population[J]. Chinese Journal of Public Health, 2018, 34(10): 1377-1379. DOI: 10.11847/zgggws1117945

中國居民傳染病健康素養(yǎng)綜合健康傳播干預(yù)效果評價

晉菲斐,  陳繼彬3, , ,  田向陽2, ,  1.

中國疾病預(yù)防控制中心，北京 102206

2.

中國健康教育中心

3.

中華預(yù)防醫(yī)學會

基金項目: 國家十二五科技支撐計劃（2013BAI06B06）

詳細信息

作者簡介:

晉菲斐（1992 – ），女，山西長治人，碩士在讀，研究方向：流行病與衛(wèi)生統(tǒng)計學

通訊作者:

陳繼彬，E-mail：garychenjb@163.com

田向陽，E-mail：healthtian@163.com

中圖分類號: R51

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Impact of comprehensive health communication on infectious disease specific health literacy among Chinese population

1.

Chinese Center for Disease Control and Prevention, Beijing, 102206, China

摘要

摘要:

目的  評價綜合健康傳播對中國居民傳染病健康素養(yǎng)的干預(yù)效果，為有效提高居民健康素養(yǎng)提供參考依據(jù)。

方法  于2015年3 — 8月采取社區(qū)試驗方法分別在中國東、中、西部地區(qū)抽取浙江省、湖北省、甘肅省中的城市社區(qū)、城市中學、農(nóng)村社區(qū)、農(nóng)村中學、工地和賓館等六類場所居民分為干預(yù)組和對照組進行傳染病健康素養(yǎng)宣傳或綜合健康傳播干預(yù)，并于干預(yù)前、后采用中國居民傳染病健康素養(yǎng)測評量表（IDSHL）分別對干預(yù)前干預(yù)組和對照組抽取的809和807人及干預(yù)后抽取的802和808人進行調(diào)查，比較2組居民干預(yù)前后的傳染病健康素養(yǎng)得分變化情況，并評價綜合健康傳播的干預(yù)效果。

結(jié)果  干預(yù)前干預(yù)組和對照組居民傳染病的基本知識與觀念、傳染病的預(yù)防、傳染病管理和治療、對病原體和傳染源的辨認等傳染病健康素養(yǎng)4個維度得分和總分差異均無統(tǒng)計學意義（均P > 0.05）；干預(yù)后干預(yù)組居民傳染病健康素養(yǎng)4個維度得分和總分分別為（9.25 ± 3.04）、（7.86 ± 2.15）、（5.40 ± 2.39）、（5.35 ± 2.33）和（27.86 ± 7.30）分，均高于對照組居民的（7.70 ± 2.97）、（7.50 ± 2.19）、（4.51 ± 2.55）、（4.54 ± 2.38）和（24.25 ± 7.02）分，差異均有統(tǒng)計學意義（均P < 0.01）；干預(yù)后干預(yù)組和對照組居民傳染病健康素養(yǎng)4個維度得分和總分差異均有統(tǒng)計學意義（均P < 0.01）。

結(jié)論  綜合健康傳播干預(yù)可有效提高中國居民的傳染病健康素養(yǎng)。

Abstract:

Objective  To study the impact of comprehensive health communication on infectious disease specific health literacy among Chinese population and to provide references for effectively promoting health literacy in Chinese residents.

Methods  Based on community trail design, we selected 6 sites (urban and rural communities, high schools in urban and rural areas, construction sites, and hotels) in each of the three provinces across China (Zhejiang, Hubei, and Gansu province in eastern, central, and western region) as research settings. Then we recruited 50 residents at each of the research sittings and assigned them randomly into an intervention group with a comprehensive health communication on infectious disease specific health literacy and a control group with a general health literacy promotion between March and August 2016. The effect of the intervention was measured with the Infectious Disease Specific Health Literacy Scale (IDSHL) among the participants sampled from the intervention groups (n = 809 and n = 802) and the control groups (n = 807 and n = 808) before and after the 6-month intervention program.

Results  No significant differences in overall score and four dimension scores of IDSHL were observed between the participants of the intervention and the control groups before the intervention program (P > 0.05 for all); while after the intervention significantly higher overall and dimension scores were observed among the participants of intervention groups compared to those of the control groups (overall score of IDSHL: 27.86 ± 7.30 vs. 24.25 ± 7.02; basic knowledge and concept on infectious disease: 9.25 ± 3.04 vs. 7.70 ± 2.97; prevention of infectious disease: 7.86 ± 2.15 vs. 7.50 ± 2.19; management and treatment of infectious disease: 5.40 ± 2.39 vs. 4.51 ± 2.55; and cognition on pathogens and pathogenic resources of infectious diseases: 5.35 ± 2.33 vs. 4.54 ± 2.38) (P < 0.01 for all). There were significant differences in the overall score and the four dimension scores of IDSHL for all the participants in both the intervention and the control groups after the intervention (all P < 0.01).

Conclusion  Comprehensive health communication intervention can effectively improve the infectious diseases specific health literacy among urban and rural residents in China.

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表  1   不同組別中國居民干預(yù)前、后傳染病健康素養(yǎng)得分（分，$bar x pm s$）比較

項目 干預(yù)前 干預(yù)后 干預(yù)組 對照組 干預(yù)組 對照組 傳染病的基本知識與觀念 6.95 ± 2.95 7.03 ± 3.06 9.25 ± 3.04 d 7.70 ± 2.97 bd 傳染病的預(yù)防 7.02 ± 2.52 7.00 ± 2.55 7.86 ± 2.15 c 7.50 ± 2.19 ac 傳染病管理和治療 3.98 ± 2.70 3.88 ± 2.58 5.40 ± 2.39 d 4.51 ± 2.55 bc 對病原體和傳染源的辨認 4.05 ± 2.64 4.00 ± 2.57 5.35 ± 2.33 d 4.54 ± 2.38 bc 總分 22.0 ± 7.67 21.86 ± 8.07 27.86 ± 7.30 d 24.25 ± 7.02 bd 　　注：與同組干預(yù)組比較，a P < 0.01，b P < 0.001；與干預(yù)前比較，c P < 0.01，d P < 0.001。

參考文獻(12)

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