| 郑文静,么鸿雁,于石成,刘剑君,胡跃华,王晶晶.国家卫生城市居民获得感现状及影响因素分析[J].中华流行病学杂志,2023,44(3):457-462 |
| 国家卫生城市居民获得感现状及影响因素分析 |
| Residents' sense of acquisition and influencing factors in China's Sanitary City Initiative |
| 收稿日期:2022-08-26 出版日期:2023-03-14 |
| DOI：10.3760/cma.j.cn112338-20220826-00739 |
| 中文关键词: 多元多水平模型 居民获得感 影响因素 |
| 英文关键词: Multivariate multilevel model Residents' sense of acquisition Influencing factors |
| 基金项目:中国疾病预防控制中心公共卫生应急反应机制的运行（131031001000150001）；中国卫生城市向健康城市升级的推进模式及政策研究（GJ2-2021-WHOSO-02） |
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| 中文摘要: |
| 目的 了解国家卫生城市居民获得感（认可度、感知度、满意度）的基本情况及影响因素。方法 采用横断面调查方法，于2020年12月至2021年2月，从全国东部、中部、西部地区分别选取31、14和16个国家卫生城市，选择2 465名年龄≥18岁且在所调查社区生活≥1年居民，利用国家卫生城市居民获得感调查问卷，收集其对国家卫生城市居民获得感（认可度、感知度和满意度）评价的基本情况。使用MLwinN 2.30软件，利用多元多水平模型分析国家卫生城市居民获得感的影响因素。结果 国家卫生城市居民获得感总分为（231.15±32.45）分，将获得感3个维度的得分做百分制标准化处理后，认可度、感知度、满意度得分分别为85.02、59.08和61.42分。多元多水平模型影响因素分析结果显示，文化程度、性别、婚姻状况、年龄、是否经常参加体育锻炼和自评健康状况与居民认可度得分之间存在相关关系（β值范围为1.24~2.54，均P<0.05）；可吸入细颗粒物年平均浓度、建成区绿化覆盖率、人均地区生产总值、居住类型、是否经常参加体育锻炼、自评健康状况与居民感知度得分之间存在相关关系（β值范围为1.76~8.86，均P<0.05）；建成区绿化覆盖率、可吸入细颗粒物年平均浓度、人均地区生产总值、居住类型、文化程度、是否经常参加体育锻炼、自评健康状况与居民满意度得分之间存在相关关系（β值范围为1.34~6.26，均P<0.05）。结论 国家卫生城市居民获得感总体得分相对较高，说明国家卫生城市政策本身得到了居民的广泛认可，但是未来应加强政策实施方面的细节管理，关注政策覆盖人群的实际需求，进一步提高国家卫生城市创建所带来的居民获得感。 |
| 英文摘要: |
| Objective To analyze the residents' sense of acquisition (recognition, perceptibility and satisfaction) and influencing factors in China's Sanitary City Initiative. Methods A cross-sectional survey was conducted from December 2020 to February 2021. The data about the residents' sense of acquisition were collected by using questionnaire from 2 465 residents who were aged ≥ 18 years and had lived in local communities for at least one year in 31, 14 and 16 cities with national sanitary city title in eastern, central and western China the influencing factors of residents' sense of acquisition in China's Sanitary City Initiative were analyzed by using multivariate multilevel model. Results The total score of residents' sense of acquisition in China's Sanitary City Initiative was 231.15±32.45. After converting the scores according to the 100-score standardized method, the results showed that the recognition score, perception score and the satisfaction score were 85.02, 59.08 and 61.42, respectively. The results of influencing factors analysis showed that education level, gender, marital status, age, prevalence of physical exercise and self-assessment of health status were correlated with the scores of residents' recognition (β:1.24-2.54, all P<0.05); the concentration of inhalable fine particles, the green coverage of built-up area, the level of GDP per capita and the type of residential community, prevalence of physical exercise and self-assessment of health status were correlated with the score of residents' perception (β:1.76-8.86, all P<0.05); the concentration of inhalable fine particles, the green coverage of built-up area, the level of GDP per capita and the type of residential community, education level, prevalence of physical exercise and self-assessment of health status were correlated with the score of residents' satisfaction (β:1.34-6.26, all P<0.05).Conclusions The total score of residents' sense of acquisition in China's Sanitary City Initiative was relatively high, indicating that the policy has been widely recognized. The detailed management of policy implementation should be strengthened in the future, and more attention needs to be paid to actual needs of the residents to further improve the residents' sense of acquisition in China's Sanitary City Initiative. |
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