| 高彩云,李 燕,聂筱瑜,等.基于分位数回归的甘肃省武威市居民肿瘤健康素养现状及影响因素分析[J].肿瘤学杂志,2026,32(9):781-786. |
| 基于分位数回归的甘肃省武威市居民肿瘤健康素养现状及影响因素分析 |
| Quantile Regression-Based Analysis of Tumor Health Literacy and Its Influencing Factors Among Residents of Wuwei City of Gansu Province |
| 投稿时间：2026-01-12 |
| DOI：10.11735/j.issn.1671-170X.2026.09.B011 |
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| 中文关键词: 肿瘤健康素养 分位数回归 影响因素 甘肃 |
| 英文关键词:tumor health literacy quantile regression influencing factor Gansu |
| 基金项目:武威市科技计划项目（WW23B02SF049） |
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| 中文摘要: |
| 摘 要：［目的］ 调查甘肃省武威市居民肿瘤健康素养现状，并探索其影响因素。［方法］ 采用方便抽样的方法，对武威市凉州区选取常住居民较多的3~5个社区以及1~2个乡镇3 001名居民进行肿瘤健康素养问卷调查，比较不同人口学特征居民的肿瘤健康素养水平；采用分位数回归模型分析居民肿瘤健康素养的影响因素。［结果］ 武威市居民肿瘤健康素养的平均得分为75.00［95%置信区间（confidence interval，ＣＩ）：68.92~85.14］分。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肿瘤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，年龄在低分位肿瘤健康素养得分群体有显著负向影响（P<0.05）；文化程度对肿瘤健康素养得分有显著的正向影响（P<0.05）；家庭收入在低分位肿瘤健康素养得分群体有显著的正向影响（P<0.05）；患有慢性疾病对低分位肿瘤健康素养得分群体有显著负向影响（P<0.05）；肿瘤家族史对中高分位肿瘤健康素养得分群体有显著的负向影响（P<0.05），尤其在P80分位影响最大；自身健康状况对肿瘤健康素养的影响主要集中在高分位得分群体中（P<0.05），且自评自身健康状况越差，其肿瘤健康素养得分也越低。除军人外，医疗卫生职业群体肿瘤健康素养得分高于其他职业（P<0.05）。［结论］ 武威市居民肿瘤健康素养各影响因素的作用强度随健康素养分布的不同分位点而变化。未来干预应针对低肿瘤健康素养群体强化健康宣教与医疗可及性，对高肿瘤健康素养群体侧重精准的肿瘤防治指导与心理支持，并实施基于职业特征的差异化策略。 |
| 英文摘要: |
| Abstract： ［Objective］ To investigate the current status of tumor health literacy among residents of Wuwei City of Gansu Province and identify its influencing factors. ［Methods］ A convenience sampling method was used to conduct a tumor health literacy questionnaire survey among 3 001 local residents from 3-5 communities and 1-2 townships with a high density of permanent residents in Liangzhou District， Wuwei City. The tumor health literacy levels of residents with different demographic characteristics were compared， and a quantile regression model was used to analyze the influencing factors. ［Results］ The median tumor health literacy score of residents in Wuwei City was 75.00 ［95% confidence interval(CI )： 68.92-85.14］. Statistically significant differences in tumor health literacy levels were observed across different age groups， educational levels， occupations， household income levels， marital statuses， presence or absence of chronic diseases， presence or absence of family history of cancer， and self-rated health status(all P<0.05). Quantile regression results showed that age had a significant negative effect on tumor health literacy scores in the low-quantile group (P<0.05). Educational level had a significant positive effect across all quantiles (P<0.05). Household income showed a significant positive effect in the low-quantile group (P<0.05). Having a chronic disease had a significant negative effect in the low-quantile group(P<0.05). A family history of cancer had a significant negative effect in the middle- to high-quantile groups(P<0.05)， with the largest effect observed at the 80th percentile. Self-rated health status significantly affected tumor health literacy scores mainly in the high-quantile group (P<0.05)， with poorer self-rated health associated with lower scores. With the exception of military personnel， healthcare workers had significantly higher tumor health literacy scores than other occupational groups (P<0.05). ［Conclusion］ The effect sizes of various influencing factors on tumor health literacy vary across quantiles of the literacy distribution. Future interventions should strengthen health education and healthcare accessibility for populations with low literacy， provide precise cancer prevention and treatment guidance alongside psychological support for those with high literacy， and implement occupation-specific differentiated strategies. |
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