The Current Status of Traditional Chinese Medicine Health Care Literacy of the Elderly and Its Influencing Factors--Based on a Survey of 460 Elderly People

Shaoyan Zhang
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Abstract

Objective: To understand the current status of knowledge and beliefs of Chinese medicine health care and its influencing factors among the elderly in Henan Province, and to provide reference for improving their Chinese medicine health care literacy. Methods: Using convenience sampling, 460 elderly people in Henan Province were selected to carry out a questionnaire survey on the current status of knowledge and beliefs of Chinese medicine and health care, and their influencing factors were analysed. Results: The standard score of knowledge of TCM health care for the elderly in Henan Province was (56.72±15.35), the standard score of attitude was (79.57±15.91), and the standard score of behaviour was (42.17±22.25); the residence place, education level, monthly disposable income, previous occupation, type of medical insurance, the presence of old-age insurance, the presence of chronic diseases, and the presence of relatives engaged in TCM-related occupations were statistically significant (P<0.05) in terms of the scores on the three dimensions of knowledge, attitude, and behaviour of TCM health care and the total score; senior high school/vocational high school/junior college (OR= 0.329, 95% CI: 0.137-0.791), workers (OR= 4.295, 95% CI: 1.023-18.044), and those who suffered from chronic diseases ( OR= 1.964, 95% CI: 1.171~3.294) significantly affect the knowledge score; business unit (OR= 0.135, 95% CI: 0.024~0.754), and having chronic disease (OR= 1.918, 95% CI: 1.168~3.151) significantly affect the attitude score; and 3001~5000 yuan (OR= 0.292, 95% CI: 0.105~0.812), workers (OR= 5.180, 95% CI: 1.311~20.47), others (OR= 4.698, 95% CI: 1.112~19.839), having old age insurance (OR= 1.641, 95% CI: 1.028~2.620), and suffering from chronic diseases (OR= 2.152, 95% CI: 1.280~3.617) and so on significantly influenced the behavioural scores. Conclusion: The attitude level of TCM health care among the elderly in Henan Province is good, and the knowledge and behaviour level needs to be improved. Long-term and stable health knowledge education for the elderly population should be carried out to strengthen the elderly's knowledge of TCM health care and further strengthen their beliefs in TCM health care in order to promote the formation of their TCM health care health behaviours.
老年人中医药保健素养现状及其影响因素--基于对 460 名老年人的调查
目的了解河南省老年人中医养生保健知识和信念的现状及其影响因素,为提高老年人中医养生保健素养提供参考。方法:采用方便抽样法,对河南省 460 名老年人进行调查:采用方便抽样法,选取河南省 460 名老年人进行中医养生保健知识与信念现状问卷调查,并分析其影响因素。结果显示河南省老年人中医养生保健知识标准分为(56.72±15.35)分,态度标准分为(79.57±15.91)分,行为标准分为(42.17±22.25);居住地、文化程度、月可支配收入、既往职业、医疗保险类型、有无养老保险、有无慢性病、有无从事中医药相关职业的亲属等因素对中医养生保健知识、态度、行为三个维度得分及总分的影响有统计学意义(P<0.05);高中/职高/中专(OR= 0.329,95% CI:0.137-0.791)、工人(OR= 4.295,95% CI:1.023-18.044)、慢性病患者(OR= 1.964,95% CI:1.171~3.294)显著影响知识得分;企业单位(OR= 0.135,95% CI:0.024~0.754)、患有慢性病(OR= 1.918,95% CI:1.168~3.151)明显影响态度得分;3001~5000 元(OR= 0.292,95% CI:0.105~0.812)、工人(OR= 5.180,95% CI:1.311~20.47)、其他人(OR= 4.698,95% CI:1.112~19.839)、有养老保险(OR= 1.641,95% CI:1.028~2.620)、患有慢性病(OR= 2.152,95% CI:1.280~3.617)等显著影响行为得分。结论河南省老年人对中医养生保健的态度水平较好,知识和行为水平有待提高。应开展长期稳定的老年人群健康知识教育,加强老年人对中医养生保健知识的了解,进一步坚定老年人的中医养生保健信念,以促进老年人中医养生保健健康行为的形成。
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