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| 基于分位数回归的武威市居民癌症健康素养现状及影响因素分析 |
| Analysis of the Current Status and Influencing Factors of Cancer Health Literacy of Wuwei Residents Based on Quantile Regression |
| 投稿时间：2026-01-12 修订日期：2026-04-22 |
| DOI： |
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| 中文关键词: 分位数回归 癌症健康素养 武威市 |
| 英文关键词:Quantile regression Cancer health literacy Wuwei |
| 基金项目:武威市科技计划项目(WW23B02SF049)；甘肃省科技计划项目(23JRRH0008) |
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| 中文摘要: |
| 目的 了解武威市居民癌症健康素养现状,并分析其相关影响因素。方法 采用横断面调查研究结合方便抽样的方法,抽取武威市常住居民进行癌症健康素养问卷调查,共纳入3001例研究对象。比较不同人口学特征的居民癌症健康素养水平；采用分位数回归模型分析居民癌症健康素养的影响因素。结果 武威市居民癌症健康素养的平均得分为75.00(68.92~85.14)分,其中6.26%的居民处于偏低水平,63.88%的居民处于中等水平,29.86%的居民处于较高水平。不同年龄、文化程度、职业、家庭收入、婚姻状况、有无慢性疾病、有无肿瘤家族史、自身健康状况的居民癌症健康素养水平差异有统计学意义(P<0.05)。分位数回归模型结果显示,年龄在低癌症健康素养群体有显著负向影响(P<0.05),在中高癌症健康素养群体影响不显著(P>0.05)；文化程度对癌症健康素养有显著的正向影响(P<0.05)；全家年收入在低癌症健康素养群体有显著的正向影响(P<0.05),在中高健康素养群体影响不显著(P>0.05)；患有慢性疾病对低癌症健康素养群体有显著负向影响(P<0.05),但对高分位群体影响不显著(P>0.05)；有肿瘤家族史对中高癌症健康素养群体有显著的负向影响(P<0.05),尤其在P80分位影响最大；自身健康状况对癌症健康素养的影响主要集中在高水平得分群体中(P<0.05),且自评自身健康状况越差,其癌症健康素养水平也越低；除军人外,医疗卫生职业群体癌症健康素养得分高于其他职业(P<0.05)。结论 武威市居民癌症健康素养水平处于中等,不同因素对居民癌症健康素养的作用效果表现出明显的分位数特异性,提示公共卫生政策需要实施精准干预,对低健康素养人群应重点改善基本医疗可及性和健康知识普及,并加强慢病管理,而对高健康素养群体则应着重提供肿瘤防治的专业指导和心理支持,同时针对不同职业特点制定差异化的健康促进措施。 |
| 英文摘要: |
| Objective To learn the current status of cancer health literacy among residents of Wuwei and to analyze its related influencing factors. Methods A cross-sectional survey combined with convenience sampling was used to select permanent residents of Wuwei for a cancer health literacy questionnaire survey, and a total of 3,001 subjects were included in the study. The cancer health literacy levels of residents with different demographic characteristics were compared; the quartile regression model was used to analyze the influencing factors of residents" cancer health literacy.? Results The average cancer health literacy score of Wuwei residents was 75.00 (68.92-85.14), of which 6.26% were at a low level, 63.88% were at a medium level, and 29.86% were at a high level. The differences in cancer health literacy levels among residents of different ages, educational levels, occupations, family incomes, marital status, the presence or absence of chronic diseases, the presence or absence of family history of tumors, and their own health status were statistically significant (P<0.05). The results of the quantile regression model showed that age had a significant negative effect in the low cancer health literacy group (P< 0.05), and an insignificant effect in the middle and high cancer health literacy group (P>0.05); literacy had a significant positive effect on cancer health literacy (P< 0.05); annual income of the whole family had a significant positive effect in the low cancer health literacy group (P<0.05), and an insignificant effect in the middle and high cancer health literacy group (P<0.05). The effect of having chronic diseases had a significant negative effect on the low cancer health literacy group (P<0.05), but not on the high tertile group (P>0.05); having a family history of tumors had a significant negative effect on the middle and high cancer health literacy groups (P<0.05), and the effect was greatest in the P80 tertile; and the effect of one"s own health on cancer health literacy was mainly concentrated in the high and middle tertile groups (P<0.05). The influence of self-assessed health status on cancer health literacy was mainly concentrated in the high level score group (P<0.05), and the worse the self-assessed self-health status was, the lower the level of cancer health literacy was; with the exception of military personnel, the cancer health literacy scores of the medical and health care occupational groups were higher than those of other occupations (P<0.05). Conclusion The cancer health literacy level of Wuwei residents is in the middle, and the effect of different factors on cancer health literacy of residents shows obvious interquartile specificity, suggesting that public health policies need to implement precise interventions, which should focus on improving the accessibility of basic medical care and health knowledge popularization for low-health literacy populations and strengthening the management of chronic diseases, whereas for the high-health literacy groups, the focus should be on providing professional guidance for tumor prevention and treatment and For groups with high health literacy, emphasis should be placed on providing professional guidance and psychological support for the prevention and treatment of tumours, while differentiated health promotion measures should be developed for different occupational characteristics. |
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