上海市围绝经期与绝经后期女性骨健康素养现况调查

Investigation of current situation of bone health literacy in perimenopausal and postmenopausal women in Shanghai

摘要

目的 探讨上海市围绝经期和绝经后期女性的骨健康素养现状及影响因素。方法 根据世界卫生组织欧洲办事处对于健康素养的框架定义,制定更老年女性骨健康素养问卷,选取上海市中心城区和郊区的八个区对45~65岁的社区女性进行骨健康素养现况及影响因素调查,回收有效问卷2771份。结果 (1)全体调查女性的骨健康素养总得分为(43.52±9.93)分,具备率为12.70%.医疗服务、疾病预防、健康促进3个维度的骨健康素养得分分别为(15.84±4.60)、(12.63±3.00)和(15.05±4.42)分,回答正确率分别为41.86%、41.14%和2.09%.(2)与围绝经期女性相比,绝经后期女性的骨健康素养得分和达标率均较低.(3)多因素分析结果显示,文化水平、家庭人均月收入为骨健康素养的影响因素(P<0.05)。结论 上海市围绝经期和绝经后期女性骨健康素养具备率较低,应重点针对年龄大、文化程度低和收入较低人群普及骨健康相关知识,并充分利用互联网和医患沟通等渠道改善患者的骨健康素养水平.

Abstract

Objective To investigate current situation and influencing factors of bone health literacy in perimenopausal and postmenopausal women, so as to provide references for formulating interventions of bone health literacy. Methods A bone health literacy questionnaire for menopausal women and elderly women was designed based on integrated framework definition of health literacy proposed by Regional Office for Europe of World Health Organization. Cross-sectional study was carried out to investigate current situation and influencing factors of bone health literacy in women aged 45 to 65 years in communities from eight urban and suburban districts of Shanghai city, and 2771 valid questionnaires were collected. Univariate analysis of variance (ANOVA) and binary Logistic regression analysis were used for statistical analysis. Results (1) The total score of all women investigated in bone health literacy was (43.52±9.93), and the having rate of health literacy was 12.70%. The scores in three dimensions of health literacy as medical service, disease prevention and health promotion were 15.84±4.60, 12.63±3.00 and 15.05±4.42 respectively, with the correct rates of 41.86%, 41.14% and 2.09%. (2) Postmenopausal women had lower score in health literacy and compliance rate of health literacy than perimenopausal women. (3) The multivariate unconditional Logistic regression analysis showed that education level and per capita monthly household income were influencing factors of bone health literacy (P<0.05). Conclusion The having rate of bone health literacy in perimenopausal and postmenopausal women in Shanghai is low. So we should focus on those older, ill-educated and low income women population to spread the related knowledge about bong health among them and make full use of the Internet and doctor-patient communication channels to improve health literacy of the patients.

关键词

骨质疏松 / 健康素养 / 围绝经期 / 绝经后期

Key words

osteoporosis(OP) / health literacy / perimenopause / postmenopause

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基金资助

上海市公共卫生体系建设三年行动计划优秀学科带头人项目(GWV-G10.2-GXD08)

上海市公共卫生体系建设三年行动计划妇幼整链式全生命周期健康管理服务模式优化项目(GWV-G9.4)