广西医学

目的调查我国居民非传染性疾病防治医学素养水平并分析其影响因素。方法采取分层多阶段抽样方法，在全国范围内抽取26 389名15~69岁居民进行问卷调查。采用单因素分析和多因素Logistic回归分析了解我国居民非传染性疾病防治医学素养水平的影响因素。结果最终纳入23 720名居民进行分析。我国居民非传染性疾病防治医学素养具备率为5.40%。不同性别、年龄、常住地、受教育水平、家庭税前年收入、常住地区和供养子女情况居民的非传染性疾病防治医学素养水平差异有统计学意义（P<0.05）。多因素Logistic回归分析显示，年龄、常住地、受教育水平、家庭税前年收入、常住地区是居民非传染性疾病防治医学素养水平的影响因素（P<0.05），其中，年龄25~<35岁、常住地为城镇、家庭税前年收入≥60 000元、初中及以上学历、常住东部地区居民的非传染性疾病防治医学素养水平较高。结论我国居民非传染性疾病防治医学素养水平较低，年龄、常住地、受教育水平、家庭税前年收入、常住地区是居民非传染性疾病防治医学素养水平的影响因素。应针对不同特征人群开展更具针对性的医学科普传播活动。

Objective To investigate the level of medical literacy regarding non⁃communicable disease prevention and treatment among Chinese residents, and to analyze its influencing factors. Methods A stratified multi⁃stage sampling method was adopted to conduct a questionnaire survey among 26 389 residents aged 15-69 years nationwide. Univariate and multivariate Logistic regression analyses were employed to identify factors influencing the level of medical literacy regarding non⁃communicable disease prevention and treatment among Chinese residents. Results A total of 23 720 residents were finally enrolled for analysis. The rate of medical literacy possession regarding non⁃communicable disease prevention and treatment among Chinese residents was 5.40%. Statistically significant differences were observed in levels of medical literacy regarding non⁃communicable disease prevention and treatment across groups stratified by gender, age, place of residence, educational level, annual household pre⁃tax income, region of residence, and status of supporting children (P<0.05). Multivariate Logistic regression analysis results revealed that age, place of residence, educational level, annual household pre⁃tax income, and region of residence were the influencing factors for medical literacy level regarding non⁃communicable disease prevention and treatment among residents (P<0.05). Among which, residents who were aged 25-<35 years, resided in urban areas, had an annual household pre⁃tax income ≥60 000 CNY, possessed educational attainment of junior high school or above, or lived in Eastern China exhibited higher level of medical literacy regarding non⁃communicable disease prevention and treatment. Conclusion The level of medical literacy regarding non⁃communicable disease prevention and treatment among Chinese residents is relatively low. Age, place of residence, educational level, annual household pre⁃tax income, and region of residence are the influencing factors for medical literacy level regarding non⁃communicable disease prevention and treatment among residents. More targeted medical science communication activities should be implemented for populations with different characteristics.