健康素养和慢性病患病率:中国江的年龄组差异
Qiuhua Zhang1, Zishuo Huang2,3, Tingke Xu1
1Department of Health Information, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Frontiers in public health
|October 9, 2025
概括
健康素养 (HL) 与中年成人慢性疾病的减少有关,但与老年人无关. 针对性HL干预可能有助于预防中年人群的早期慢性疾病.
科学领域:
- 公共卫生 公共卫生
- 卫生识字研究 研究 卫生识字研究
- 慢性疾病流行病学 慢性疾病流行病学
背景情况:
- 健康素养 (HL) 对于预防和管理慢性疾病至关重要.
- 现有研究证实HL对健康结果的影响.
- 有限的研究已经研究了HL和慢性疾病患病率之间的特定年龄关联.
研究的目的:
- 检查不同年龄段的健康素养和慢性疾病状况之间的关系.
- 为了比较HL与中年成人和年轻老年人的慢性疾病患病率之间的关联.
主要方法:
- 采用了江2023年中国健康素养调查 (CHLS) 的数据.
- 包括37,214名45岁及以上的参与者,分为中年 (45-59岁) 和年轻 (60-69岁) 两类.
- 使用奇平方测试和多项逻辑回归来分析特定年龄的HL-慢性疾病关联.
主要成果:
- 充足的HL与中年成人单一慢性疾病的几率较低有关 (OR=0.904),但不是多病症.
- 在年轻的老年人中,没有发现HL和慢性疾病状态之间的显著关联.
- 三个维度的HL (知识,行为,技能) 显示与这些发现一致的模式.
结论:
- 在HL-慢性疾病关联中存在与年龄相关的显著差异.
- 适当的HL可能有助于预防中年成年人的单一慢性疾病,但不能预防多病症.
- 建议针对中年人群进行有针对性的HL干预,以减少慢性疾病的早期发病.
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