【摘要】 目的 分析2018—2022年浙江省中医药健康文化知识普及情况、变化趋势及影响因素,为制定有针对性的中医药健康文化知识普及和相关中医药政策提供依据。方法 2018—2022年均采用分层多阶段与人口规模成比例抽样结合随机抽样法,每年抽取浙江省12个县(市、区)15～69岁常住居民对中医药健康文化知识普及、阅读、信任和行动情况进行调查,并分析知识普及的影响因素。结果 2018—2022年浙江省中医药健康文化知识普及调查问卷有效率分别为100.00%、100.00%、99.93%、99.97%和99.93%。2018—2022年浙江省中医药健康文化知识普及率、阅读率、信任率整体均在约90%的高水平,普及率和信任率整体呈增长趋势;而行动率(仅约55%)却远低于普及情况的其他方面。多因素Logistic回归分析发现,与其他影响因素在不同普及情况中的变化相比,文化程度一直是普及率、阅读率、信任率、行动率的影响因素,年龄是普及率、信任率、行动率的影响因素。以不识字/少识字为参照,大专/本科及以上人群的普及率(OR=77.448,95%CI:15.944～376.210)、阅读率(OR=40.753,95%CI:18.961～87.589)、信任率(OR=15.744,95%CI:7.579～32.703)、行动率(OR=10.990,95%CI:6.614～18.261)均较高。以65～69岁为参照,35～<40岁人群普及率(OR=3.390,95%CI:1.144～10.043)、信任率(OR=2.586,95%CI:1.240～5.395)较高,30～<35岁人群行动率(OR=2.128,95%CI:1.505～3.010)较高。结论 2018—2022年浙江省中医药健康文化知识普及率、阅读率、信任率较高,但行动率较低,后续应重点干预老年人和文化程度较低等人群。更多还原

【Abstract】 Objective To track and understand the status,trend and influencing factors of popularization of traditional Chinese medicine(TCM) health culture knowledge in Zhejiang Province from 2018-2022,and to provide evidencebased policies of TCM health culture for target population.Methods During 2018-2022,the stratified multi-stage and PPS sampling method was used to select residents aged 15-69 years old from 12 counties in each year.Residents were surveyed about popularity,reading,belief,action of TCM health culture knowledge,and the influencing factors were analyzed.Results From 2018 to 2022,the valid rates of the surveys were 100.00%,100.00%,99.93%,99.97%,99.93%.In the past 5 years,the popularization rates,reading rates and belief rates of TCM health culture were all about90%,and popularization rates and belief rates showed overall growth trend.The action rates(only about 55%) were far lower than the other aspects.Multivariate logistic regression analysis found that education level had consistently been an influential factor for popularization,reading,belief and action.Age was an influential factor for popularization,belief and action.Taking illiterate/limited literate population as reference,the population with college degree or above had higher rates of popularization(OR=77.448,95% CI:15.944-376.210),reading(OR=40.753,95% CI:18.961-87.589),belief(OR=15.744,95%CI:7.579-32.703) and action(OR=10.990,95% CI:6.614-18.261).Taking the 65-69 age group as reference,the group aged 35-40 had higher rates of popularization(OR=3.390,95% CI:1.144-10.043) and belief(OR=2.586,95% CI:1.240-5.395),the group aged 30-35 had higher rate of action(OR-2.128,95% CI:1.505-3.010).Conclusion The action of TCM health culture knowledge was the weak link and the elderly,and people with low education were the key intervention groups in future.更多还原