【摘要】 目的分析我国贫困地区居民2016—2018年中医药健康文化素养的主要影响因素,为制定贫困地区素养普及和提升工作提供依据。方法 2016、2017与2018年均采取多阶段分层随机抽样方法,对全国30个省(自治区、直辖市)15～69岁常住人口开展问卷调查,结合国务院扶贫开放领导小组办公室2014年发布的《全国832个贫困县名单》对调查对象中位于贫困地区的素养水平及状况进行分析。结果 2016、2017年和2018年贫困地区具备中医药健康文化素养的比例分别为5.09%、7.03%和8.11%。多因素Logistic回归分析显示,与其他影响因素的年度变化相比,文化程度一直是贫困地区素养水平的影响因素,高中及以上学历人群与低学历人群相比中医药健康文化素养具备的概率较高,以不识字/少识字学历人群分组为对照组,2016年(OR=23.217,95%CI:6.79～79.389)、2017年(OR=19.100,95%CI:6.233～58.526)、2018年(OR=12.819,95%CI:6.79～79.389)文化程度为贫困地区素养水平的主要影响因素。结论贫困地区中医药健康文化素养呈上升趋势,文化程度对素养水平的影响较大,高年龄组人群、低文化程度人群是中医药健康文化素养的薄弱人群。更多还原

【Abstract】 Objective To analyze the main influencing factors of health literacy of traditional Chinese medicine(TCM) of residents in poverty-stricken areas in China from 2016 to 2018,so as to provide the basis for formulating the work of popularizing and improving the literacy in poor areas.Methods in 2016,2017 and 2018,a multi-stage stratified random sampling method was adopted to conduct a questionnaire survey on the permanent residents aged 15-69 in 30 provinces(autonomous regions and municipalities directly under the central government),and the literacy level and status of the respondents in the poverty-stricken areas were analyzed in combination with the list of 832 poverty-stricken counties released by the poverty alleviation and opening leading group office of the State Council in 2014.Results in 2016,2017 and 2018,the proportion of poor areas with TCM health literacy was 5.09%,7.03% and 8.11% respectively.Multivariate logistic regression analysis showed that compared with the annual changes of other influencing factors,education level has always been the influencing factor of literacy level in poverty-stricken areas.Compared with the population with high school education or above and low education background,the probability of TCM health and cultural literacy is higher.Taking the illiterate/less literate population as the control group,in 2016(OR=23.217,P <0.05),Education level was the main influencing factor of literacy level in poverty-stricken areas in 2017(OR=19.100,95% CI:6.233-58.526) and 2018(OR=12.819,95% CI:6.79-79.389).Conclusion the health literacy of traditional Chinese medicine is on the rise in poverty-stricken areas,and the education level has a great influence on the literacy level.The high-age group and low-level population are the weak groups of traditional Chinese medicine health literacy.更多还原