Investigation on infectious disease-specific health literacy of Chinese expatriates in engineering construction enterprises
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摘要:
目的 了解中国工程建设企业海外员工的传染病健康素养水平及其影响因素,为中资企业海外员工传染病防治工作提供依据。 方法 采取整群抽样,选取某大型石油公司所属工程建设企业2019年9月-12月参加出国培训的员工,采用自行设计的传染病健康素养问卷进行调查。 结果 员工传染病健康素养水平为51.5%。单因素分析显示,女性员工传染病健康素养高于男性(χ2 =4.559, P=0.045),年龄<50岁者高于年龄≥50岁者(χ2 =6.027, P=0.015),管理人员高于操作人员(χ2 =53.025, P<0.001)。多因素分析显示,文化程度和职业类型是影响传染病健康素养的主要因素。相较小学文化程度,初中(OR=3.847, 95% CI: 0.476~31.086, P=0.206)、高中/中专/职高(OR=7.439, 95% CI: 0.932~59.377, P=0.058)、大专/本科(OR=15.887, 95% CI: 1.992~126.673, P=0.009)、硕士及以上(OR=14.581, 95% CI: 1.681~126.479, P=0.015)者传染病健康素养较高;管理人员素养高于操作人员(OR=1.588, 95% CI: 1.105~2.281, P=0.012)。 结论 工程建设企业海外员工的传染病健康素养水平较低,主要影响因素为文化程度、职业类型和年龄。建议企业在员工出国前开展传染病防治的健康教育,重点教育对象应为高中及以下学历者、操作人员和≥50岁员工。 Abstract:Objective To investigate the infectious disease-specific health literacy (IDSHL) level of Chinese expatriates in engineering construction enterprises and its influencing factors, providing evidence-based recommendation for infection prevention and control practices. Methods A cluster sampling design was adopted to select employees of China National Petroleum Pipeline Engineering Corporation who participated in overseas training from September to December 2019. A self-designed questionnaire was conducted to explore the IDSHL level and influencing factors among employees. Results Overall, the employee's IDSHL rate was 51.5%. Univariate analysis showed that the IDSHL rate of female employees was higher than that of male employees (χ2 =4.559, P=0.045), IDSHL rate of those aged < 50 was higher than those aged ≥50 (χ2 =6.027, P=0.015), and IDSHL rate of managers was higher than operators (χ2 =53.025, P < 0.001). Multivariate logistic regression analysis showed that education level and occupation type were the main factors influencing IDSHL. Compared with employees with primary school education, IDSHL rates were higher in those with junior high school (OR=3.847, 95% CI: 0.476-31.086, P=0.206), high school/technical secondary school/vocational high school (OR=7.439, 95% CI: 0.932-59.377, P=0.058), junior college/ university (OR=15.887, 95% CI: 1.992-126.673, P=0.009) education and those have master's degree or above (OR=14.581, 95% CI: 1.681-126.479, P=0.015). IDSHL rates of managers were higher than operators (OR=1.588, 95% CI: 1.105-2.281, P=0.012). Conclusion The IDSHL level of Chinese expatriates in engineering construction enterprises is relatively low, and the main influencing factors are education level, occupation type and age. Our study recommends that enterprises should carry out health education training on infectious diseases prevention and control before their employees go abroad. The training should pay more attention on those with high school education or less, operators and employees over 50 years old. -
Key words:
- Expatriates /
- Infectious disease /
- Health literacy
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表 1 调查对象的社会人口学特征和传染病健康素养水平分布情况
Table 1. Demographic and sociological characteristics of respondents and their infectious disease-specific health literacy level
变量 人数(例) 构成比(%) 健康素养水平(%) χ2值 P值 性别 4.559 0.045 男性 879 95.9 50.7 女性 38 4.1 68.4 年龄(岁) 7.485 0.058 18~<30 150 16.4 52.0 30~<40 414 45.1 54.3 40~<55 313 34.1 49.8 50~≤55 40 4.4 32.5 文化程度 35.242 <0.001 小学 11 1.2 9.1 初中 161 17.6 27.3 高中/中专/职高 228 24.9 39.0 大专/本科 462 50.4 50.4 硕士及以上 55 6.0 52.7 职业类型 53.025 <0.001 管理人员 299 32.6 68.9 操作人员 618 67.4 43.0 表 2 传染病健康素养影响因素的Logistic回归分析模型分析结果
Table 2. Multivariate logistic analysis of the factors influencing the infectious disease-specific health literacy
变量 β值 Wald χ2值 OR(95% CI)值 P值 性别 女性 1.000 男性 -0.380 0.984 0.684(0.323~1.449) 0.321 年龄(岁) 18~<30 1.000 30~<40 0.214 1.125 1.239(0.834~1.842) 0.289 40~<50 0.209 0.965 1.233(0.812~1.871) 0.326 50~≤55 -0.474 1.412 0.622(0.284~1.361) 0.235 文化程度 小学 1.000 初中 1.347 1.597 3.847(0.476~31.086) 0.206 高中/中专/职高 2.007 3.585 7.439(0.932~59.377) 0.058 大专/本科 2.765 6.816 15.887(1.992~126.673) 0.009 硕士及以上 2.680 5.911 14.581(1.681~126.479) 0.015 职业类型 操作人员 1.000 管理人员 0.462 6.242 1.588(1.105~2.281) 0.012 -
[1] 健康中国行动推进委员会. 健康中国行动(2019-2030年)[EB/OL]. (2019-07-15)[2020-08-15]. http://www.gov.cn/xinwen/2019-07/15/content_5409694.htm.Promotion Committee of Healthy China Initiative. Healthy China initiative (2019-2030)[EB/OL]. (2019-07-15)[2020-08-15]. http://www.gov.cn/xinwen/2019-07/15/content_5409694.htm. [2] 李英华, 毛群安, 石琦, 等. 2012年中国居民健康素养监测结果[J]. 中国健康教育, 2015, 31(2): 99-103. DOI: 10.16168/j.cnki.issn.1002-9982.2015.02.001.Li YH, Mao QA, Shi Q, et al. The level of health literacy of Chinese residents in 2012: surveillance results[J]. Chin J Heal Educ, 2015, 31(2): 99-103. DOI: 10.16168/j.cnki.issn.1002-9982.2015.02.001. [3] 中华人民共和国商务部. 中国对外投资发展报告[R]. 2018. http://fec.mofcom.gov.cn/arricle/tzhzcj/tzhz/20190102831043.Ministry of Commerce People's Republic of China. Report on development of China's outward investment[R]. 2018. http://fec.mofcom.gov.cn/arricle/tzhzcj/tzhz/20190102831043. [4] 中国对外承包工程商会. 中国对外承包工程发展报告(2017-2018)[R]. 2019. https://www.chinca.org/CICA/info/19030614463611.China international contractors association. Annual Report on China International Project Contracting (2017-2018)[R]. 2019. https://www.chinca.org/CICA/info/19030614463611. [5] McArthur DB. Emerging infectious diseases[J]. Nurs Clin North Am, 2019, 54(2): 297-311. DOI: 10.1016/j.cnur.2019.02.006. [6] MacKey TK, Liang BA. Threats from emerging and re-emerging neglected tropical diseases (NTDs)[J]. Infect Ecol Epidemiol, 2012;2. DOI: 10.3402/iee.v2i0.18667. [7] 徐兰英, 余志祥. 2010-2016年中国大陆法定传染病流行特征分析[J]. 河南预防医学杂志, 2018, 29(4): 244-247, 291. DOI: 10.13515/j.cnki.hnjpm.1006-8414.2018.04.002.Xu LY, Yu ZX. Epidemiological features analysis of notifiable infectious diseases in mainland China, 2010-2016[J]. Henan J Prev Med, 2018, 29(4): 244-247, 291. DOI: 10.13515/j.cnki.hnjpm.1006-8414.2018.04.002. [8] Freedman DO, Chen LH, Kozarsky PE. Medical considerations before international travel[J]. N Engl J Med, 2016, 375(3): 247-260. DOI: 10.1056/nejmra1508815. [9] Sun XY, Shi YH, Zeng QQ, et al. Determinants of health literacy and health behavior regarding infectious respiratory diseases: a pathway model[J]. BMC Public Health, 2013, 13: 261. DOI: 10.1186/1471-2458-13-261. [10] 李莉, 李英华, 聂雪琼, 等. 2012年中国居民健康素养影响因素分析[J]. 中国健康教育, 2015, 31(2): 104-107. DOI: 10.16168/j.cnki.issn.1002-9982.2015.02.002.Li L, Li YH, Nie XQ, et al. Influence factors of health literacy monitoring of Chinese residents on 2012[J]. Chin J Heal Educ, 2015, 31(2): 104-107. DOI: 10.16168/j.cnki.issn.1002-9982.2015.02.002. [11] 李伟, 郭艳军, 韩乐强, 等. 驻尼日尔劳务人员疟疾相关健康素养及影响因素分析[J]. 现代预防医学, 2016, 43(19): 3551-3555. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201619028.htmLi W, Guo YJ, Han LQ, et al. Chinese laborers' malaria health literacy and related factors, Niger[J]. Mod Prev Med, 2016, 43(19): 3551-3555. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201619028.htm [12] Cutilli CC, Simko LC, Colbert AM, et al. Health literacy, health disparities, and sources of health information in U.S. older adults[J]. Orthop Nurs, 2018, 37(1): 54-65. DOI: 10.1097/nor.0000000000000418. [13] Suka, Odajima T, Okamoto M, et al. Relationship between health literacy, health information access, health behavior, and health status in Japanese people[J]. Patient Educ Couns, 2015, 98(5): 660-668. DOI: 10.1016/j.pec.2015.02.013. [14] Jeong SH, Kim HK. Health literacy and barriers to health information seeking: a nationwide survey in South Korea[J]. Patient Educ Couns, 2016, 99(11): 1880-1887. DOI: 10.1016/j.pec.2016.06.015. [15] 刘君, 刘春芳, 刘春晓, 等. 深圳口岸出入境人员疟疾相关知识态度和行为的研究[J]. 中国国境卫生检疫杂志, 2013, 36(1): 11-14. DOI: 10.16408/j.1004-9770.2013.01.019.Liu J, Liu CF, Liu CX, et al. Study of KABP on malaria among international travelers at Shenzhen Ports[J]. Chin J Front Heal Quar, 2013, 36(1): 11-14. DOI: 10.16408/j.1004-9770.2013.01.019. [16] 田睿, 谢铮, 李琼, 等. 驻加纳劳务人员疟疾行为干预效果评价[J]. 中国国境卫生检疫杂志, 2016, 39(3): 213-216. DOI: 10.16408/j.1004-9770.2016.03.018.Tian R, Xie Z, Li Q, et al. Evaluate the effect of the behavioral intervention of malaria on long-term workers in Ghana[J]. Chin J Front Heal Quar, 2016, 39(3): 213-216. DOI: 10.16408/j.1004-9770.2016.03.018.