十堰市医学生生态环境与健康素养现状及相关因素

谭永海; 冉晨露; 张苗; 逯雨

doi:10.16835/j.cnki.1000-9817.2023.12.013

十堰市医学生生态环境与健康素养现状及相关因素

doi: 10.16835/j.cnki.1000-9817.2023.12.013

谭永海^{1, 2},
冉晨露²,
张苗²,
逯雨^{1, 2, ,}

1.
湖北医药学院卫生管理与卫生事业发展研究中心, 十堰 442000
2.
湖北医药学院公共卫生与健康学院

基金项目:

湖北省普通高等学校人文社科重点研究基地开放基金资助项目 2021YB006

湖北省普通高等学校人文社科重点研究基地开放基金资助项目 2021YB004

详细信息

作者简介:
谭永海(1989-)，男，湖北恩施人，硕士，讲师，主要研究方向为健康服务与管理

通讯作者:
逯雨，E-mail：y.lu@hbmu.edu.cn

利益冲突声明 所有作者声明无利益冲突。
中图分类号: R179 R193 G478
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- PDF下载量: 50
- 被引次数: 0
出版历程
- 收稿日期: 2023-08-31
- 修回日期: 2023-10-19
- 网络出版日期: 2023-12-26
- 刊出日期: 2023-12-25

Current status and related factors of the ecological environment and health literacy among medical students in Shiyan City

TAN Yonghai^{1, 2},
RAN Chenlu²,
ZHANG Miao²,
LU Yu^{1, 2
, ,}

1.
Center of Health Administration and Development Studies, Hubei University of Medicine, Shiyan (442000), Hubei Province, China

摘要

摘要: 目的了解十堰市医学院校在校大学生的生态环境与健康素养水平现状及相关因素, 为提高医学生生态环境与健康素养水平提供参考。方法于2023年5-6月以十堰市湖北医药学院大学生为研究对象, 采用偶遇抽样的方法选取1 312名在校医学生进行生态环境与健康素养水平及相关调查, 对不同特征人群生态环境与健康素养水平进行χ²检验, 采用二分类多因素Logistic回归模型分析其主要相关因素。结果十堰市医学生生态环境与健康素养总体具备率为24.3%;不同性别、年级、专业和民族间医学生生态环境与健康素养具备率差异均有统计学意义(χ²值分别为5.13, 54.87, 64.71, 5.99, P值均 < 0.05)。生态环境与健康素养基本知识、基本理念、基本技能3个一级分类素养的具备率分别为4.6%, 49.5%和50.4%, 6个二级分类指标的具备率分别为基本认知(53.2%)、基本态度(34.5%)、科学知识(3.0%)、行为知识(22.5%)、认知技能(59.5%)、操作技能(48.6%)。多因素Logistic回归分析结果表明, 少数民族、生物医学专业与医学生生态环境与健康素养均呈负相关(OR值分别为0.61, 0.52), 女生、公共卫生专业、大二和大四年级与医学生生态环境与健康素养均呈正相关(OR值分别为1.44, 1.95, 2.16, 2.24, P值均 < 0.05)。结论十堰市医学生生态环境与健康素养总体水平较低。学校应多角度多层次地开展环境健康知识的普及, 提高医学生环境健康素养的整体水平。
- 环境 /
- 健康教育 /
- 回归分析 /
- 学生
Abstract: Objective To investigate the current situation and related factors of the ecological environment and health literacy level of medical college students in Shiyan City, so as to propose relevant countermeasures and suggestions for improvement in these domains. Methods From May to June 2023, 1 312 medical students from Hubei University of Medicine in Shiyan City were selected by accidental sampling to investigate the level and influencing factors of the ecological environment and health literacy among this population.The Chi-square test and binary multivariate Logistic regression analysis were performed to analyze the different characteristics and main influencing factors of the ecological environment and health literacy levels in this population. Results The level of the ecological environment and health literacy level among medical students in Shiyan City was 24.3%.Different levels of ecological environmental and health literacy were observed among medical students by gender, grade, major and ethnicity (χ²=5.13, 54.87, 64.71, 5.99, P < 0.05).Higher rates were also observed among public health major students than among students of other majors.The first three classification literacy levels consisting of basic literacy, basic knowledge, and basic skills were 4.6%, 49.5% and 50.4%, respectively.The possession rates of six secondary classification indicators were as follows: basic cognition (53.2%), basic attitudes (34.5%), scientific knowledge (3.0%), behavioral knowledge (22.5%), cognitive skills (59.5%) and operational skills (48.6%).The results of multivariate Logistic regression showed that ethnic minorities and biomedical majors were negatively correlated with medical students' ecological environment and health literacy (OR=0.61, 0.52), while female students, public health majors, sophomores and seniors were positively correlated with medical students' ecological environment and health literacy (OR=1.44, 1.95, 2.16, 2.24, P < 0.05). Conclusions The overall level of ecological environment and health literacy among medical students in Shiyan City is low.Schools should popularize environmental health knowledge from different perspectives in order to improve the overall literacy level of environmental health literacy among medical students.Environment; Health education; Regression analysis; Students
- Environment /
- Health education /
- Regression analysis /
- Students
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

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表 1 不同人口学特征医学生生态环境与健康素养二级指标具备率比较

Table 1. Comparison of six secondary classification of ecological environment and health literacy among medical students with different demographic characteristics

人口学指标		人数	统计值	基本认知	基本态度	科学知识	行为知识	认知技能	操作技能
性别	男	481		218(45.3)	147(30.6)	15(3.1)	83(17.3)	270(56.1)	225(46.8)
	女	831		480(57.8)	306(36.8)	24(2.9)	212(25.5)	510(61.4)	412(49.6)
			χ²值	18.94	5.28	0.06	11.91	3.47	0.96
			P值	< 0.01	0.02	0.81	< 0.01	0.06	0.33
年级	大一	862		435(50.5)	257(29.8)	14(1.6)	180(20.9)	488(56.6)	408(47.3)
	大二	216		130(60.2)	115(53.2)	12(5.6)	56(25.9)	151(69.9)	117(54.2)
	大三	135		73(54.1)	42(31.1)	4(3.0)	29(21.5)	79(58.5)	58(43.0)
	大四	99		60(60.6)	39(39.4)	9(9.1)	30(30.3)	62(62.6)	54(54.5)
			χ²值	9.05	43.67	23.28	6.29	13.14	6.35
			P值	0.03	< 0.01	< 0.01	0.10	< 0.01	0.10
专业	临床	418		241(57.7)	138(33.0)	9(2.2)	108(25.8)	250(59.8)	228(54.5)
	护理	132		57(43.2)	39(29.5)	3(2.3)	27(20.5)	72(54.5)	42(31.8)
	公共卫生	219		139(63.5)	120(54.8)	18(8.2)	64(29.2)	161(73.5)	127(58.0)
	口腔	114		60(52.6)	30(26.3)	0	18(15.8)	69(60.5)	54(47.4)
	药学	164		75(45.7)	45(27.4)	0	35(21.3)	90(54.9)	73(44.5)
	生物医学	108		45(41.7)	27(25.0)	9(8.3)	12(11.1)	51(47.2)	51(47.2)
	心理学	157		81(51.6)	54(34.4)	0	31(19.7)	87(55.4)	62(39.5)
			χ²值	27.55	53.05	17.04^*	20.46	28.55	34.99
			P值	< 0.01	< 0.01	< 0.01	< 0.01	< 0.01	< 0.01
民族	汉族	1 159		624(53.8)	414(35.7)	34(2.9)	274(23.6)	682(58.8)	557(48.1)
	少数民族	153		74(48.4)	39(25.5)	5(3.3)	21(13.7)	98(64.1)	80(52.3)
			χ²值	1.63	6.26	0.00	7.62	1.52	0.97
			P值	0.20	0.01	1.00	0.01	0.22	0.33
注： ()内数字为具备率/%；采用Fisher精确检验。

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表 2 医学生生态环境与健康素养相关因素多因素Logistic回归分析(n=1 312)

Table 2. Multifactor Logistic regression analysis of related factors of ecological environment and health literacy among medical students(n=1 312)

自变量		β值	标准误	Wald χ²值	P值	OR值(95%CI)
民族	少数民族	-0.49	0.24	4.22	0.04	0.61(0.39~0.98)
性别	女	0.37	0.15	6.28	0.01	1.44(1.08~1.92)
专业	公共卫生	0.67	0.19	12.35	< 0.01	1.95(1.34~2.83)
	口腔	0.02	0.26	0.01	0.93	1.02(0.62~1.70)
	心理学	-0.23	0.24	0.99	0.32	0.79(0.50~1.25)
	护理	-0.50	0.27	3.52	0.06	0.61(0.36~1.02)
	生物医学	-0.66	0.31	4.65	0.03	0.52(0.29~0.94)
	药学	-0.38	0.24	2.48	0.12	0.69(0.43~1.10)
年级	大二	0.77	0.18	18.90	< 0.01	2.16(1.53~3.06)
	大三	0.32	0.23	2.07	0.15	1.38(0.89~2.15)
	大四	0.81	0.24	11.74	< 0.01	2.24(1.41~3.55)

下载: 导出CSV

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