检索历史 清除

目的：了解浙江省杭州市拱墅区老年人中医健康知识与行为现况及影响因素，为其他地区开展老年人中医健康教育提供参考依据。方法采用多阶段分层整群随机抽样法，使用自制调查问卷对杭州市拱墅区两个街道的600名社区老年人的中医健康知识与行为现状进行调查，内容包括人口学特征、中医健康知识和中医健康行为等。应用单因素、多因素分析方法对调查对象的中医健康知识、行为情况及影响因素进行分析。结果共发放问卷600份，收回问卷600份，回收率为100%。剔除无效应答问卷后，合格问卷为541份，有效率为90.2%。杭州市拱墅区社区老年人中医健康知识总体知晓率为94.7%（2562/2705），中医健康行为总体合格率为31.6%（171/541）。单因素分析结果显示，不同经济状况和体育锻炼情况的社区老年人，其中医健康行为合格情况的差异有统计学意义（χ2=6.606、10.243，P=0.037、0.001）。多因素logistic回归分析结果显示，年龄较轻、经常体育锻炼是老年人中医健康行为合格的保护因素（OR=1.836、2.249），经济状况一般是老年人中医健康行为合格的危险因素（OR=0.539）。结论杭州市拱墅区社区老年人中医健康知识知晓率较高，但中医健康行为总体合格率较低；年龄、经济状况和体育锻炼情况是社区老年人中医健康行为的重要影响因素。

Objective To investigate the health knowledge and behaviors related to traditional Chinese medicine (TCM) among the elderly of communities in national TCM health education pilot area of Zhejiang province and provide reference for TCM health education. Methods A survey about the health knowledge and behaviors status related to TCM was made among 600 elderly people in Gongshu District. The survey included demographic characteristics, health knowledge of TCM and health behaviors related to TCM. The univariate and multivariate analyses were used for analyzing the health knowledge and behavior status and influencing factors of the elderly. Results The awareness rate of knowledge about TCM health knowledge in elderly was 94.7%, the qualified rate of TCM behaviors was only 31.6%. It showed that the qualified TCM behaviors among the elders were significantly different in those of different economic status and physical exercise situation (χ2=6.606, 10.243, P=0.037, 0.001). The results of logistic regression model showed that the protective factors of qualified TCM behaviors were 60-year old and good physical exercise (OR=1.836, 2.249) and the risk factor was moderate economic status (OR=0.539). Conclusion The awareness rate of TCM health knowledge in Gongshu District was high, but the qualified rate of TCM behaviors was low. The age, economic status and physical exercise situation are the influencing factors of TCM behaviors.