文章摘要
李梦蕾,张帆,张军亮,孙晶晶,梁茂云.签约家庭医生对河南农村居民健康素养的影响[J].中华医学图书情报杂志,2021,30(2):59-64.
签约家庭医生对河南农村居民健康素养的影响
Effect of contracted family doctors on heath literacy of rural residents in Henan Province
投稿时间:2020-11-26  
DOI:10.3969/j.issn.1671-3982.2021.02.010
中文关键词: 家庭医生  签约服务  农村居民  健康素养
英文关键词: Family doctor  Contracted service  Rural resident  Health literacy
基金项目:新乡医学院研究生科研创新支持计划重点项目“河南省农村贫困人口健康信息素养的模糊综合评价研究”(YJSCX201924Z)
作者单位
李梦蕾 1.新乡医学院管理学院河南 新乡 453003 
张帆 2.新乡医学院卫生信息资源研究中心河南 新乡 4530033.新乡医学院教学质量监控与医学研究中心河南 新乡 453003 
张军亮 1.新乡医学院管理学院河南 新乡 453003 
孙晶晶 1.新乡医学院管理学院河南 新乡 453003 
梁茂云 1.新乡医学院管理学院河南 新乡 453003 
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中文摘要:
      目的:探讨签约家庭医生对农村居民健康素养的影响。方法:采用多阶分层整群随机抽样方法,抽取河南省5个市属90个行政村中的3 943名18~85岁农村居民进行问卷调查,利用Logistic回归、倾向得分匹配及2检验等方法对签约家庭医生对其健康素养的影响进行统计学分析。结果:倾向得分匹配前,有17.18%的农村居民具备健康素养。倾向得分匹配后,性别、年龄、文化程度、婚姻状况、收入类型、是否患慢性病及健康状况等因素间的差异明显缩小,匹配效果较好(P<0.05)。结论:农村居民的健康素养水平有待提高,应加强对农村居民的健康教育。农村居民对签约服务内容的认知度不高,应加深农村居民对家庭医生签约服务的了解。家庭医生影响农村居民的健康素养水平,应承担提升农村居民健康水平的重大责任。
英文摘要:
      Objective To study the effect of contracted family doctors on health literary of rural residents. Methods The health literary A total of 3943 rural residents aged 18-85 years randomly were enrolled from 90 affiliated administrative villages of 5 cities in Henan Province. The effect of contracted family doctors on their health literary was statistically analyzed by logistic regression analysis, propensity score matching and 2 test respectively. Results The rate of health literacy was 17.18% in rural residents before propensity score matching. The difference was significantly lower in sex, age, educational level, marital status, income types, chronic disease and heath state after propensity score matching (P<0.05), indicating that the efficiency of matching is quite good. Conclusion The health literacy of rural residents is to be improved and health education should thus be strengthened for rural residents. The cognition of contracted service contents was rather low in rural residents who should thus deepen their understanding of the service provided by contracted family doctors. The contracted family doctors can influence the health literacy of rural residents and should thus bear the important responsibility to improve their health literacy.
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