【摘要】 目的 旨在了解农牧区家庭主事者健康认知情况，并探讨其影响因素。方法 采用方便抽方法对新疆两疆域6地区农牧区家庭男女主事者进行入户问卷调查，统计推断单因素采用χ~2检验、多因素采用多元线性回归，深层分析用SmartPLS3.0软件进行PLS-SEM分析。结果 农牧区家庭男女主事者慢性病、传染病、妇幼保健、不良行为等健康相关知识知晓情况以及人际传播、大众传播等传播方式差异均有统计学意义(P<0.05);多元线性回归分析结果显示男性不良行为相关知识知晓情况与健康传播方式影响占比为1.2%。女性传染病相关知识知晓情况与健康传播方式影响占为3.4%;PLS-SEM结果显示，男性的心理健康、传染病、慢性病相关知识知晓情况均主要通过组织传播获取占比分别为22.2%、19.3%、8.2%。女性主事者的心理健康相关知识知晓情况16.0%通过人际传播获取，妇幼保健、传染病相关知识知晓情况主要通过大众传播获取占比分别为13.8%、13.4%。男性不同类型传播方式中主要以邻居、村卫生室/社区卫生服务站、电视等传播途径为主占比分别为41.2%、44.9%、32.5%。女性主要以医务人员、乡镇卫生院/社区卫生服务中心、手机通讯媒体等传播途径为主占比分别为75.3%、65.9%、70.6%。结论 农牧区健康传播生态环境还需改善，规划合适的健康教育工作，真正落实利民的健康传播策略。更多还原

【Abstract】 Objective To investigate the health cognition of householders in farming and pasturing areas and to explore its risk factors.Methods A questionnaire survey was conducted on male and female householders in 6 areas of farming and pastoral areas in Xinjiang.Chi-square test was used for statistical inference and multiple linear regression was used for multivariate analysis.PLS-SEM analysis was performed with SmartPLS3.0 software for deep analysis.Results There were statistically significant differences in the knowledge of chronic disease, infectious disease, maternal and child health care, unhealthy behavior and other health-related knowledge among male and female householders in farming and pastoral areas, as well as in interpersonal communication and mass communication(P<0.05);The results of multiple linear regression analysis showed that male knowledge of unhealthy behavior and the impact of health communication mode accounted for 1.2%.Women′s knowledge of infectious diseases and the impact of health communication mode accounted for 3.4%.The results of PLS-SEM showed that the knowledge about mental health, infectious diseases, and chronic diseases were mainly acquired through organizational communication for 22.2%,19.3%,and 8.2% of men, respectively.Among female principals, 16.0% of the knowledge about mental health was obtained through interpersonal communication, and 13.8% and 13.4% of the knowledge about maternal and child health and infectious diseases were obtained mainly through mass communication, respectively.Among the different types of communication modes for males, 41.2%,44.9%,and 32.5% were mainly through neighbors, village health offices/community health service stations, and television, respectively.For females, the main modes of transmission were 75.3%,65.9%,and 70.6%,respectively, for medical staff, township health centers and community health service centers, and mobile communication media.Conclusion The ecological environment of health communication in farming and pastoral areas should be improved, appropriate health education should be planned, and health communication strategies for the benefit of the people should be implemented.更多还原