{"title":"中国石油企业员工健康素养与慢性疾病患病率关系的横断面研究","authors":"Huifen Ma, Yiming Su, Shichao Zhao, Ying Wang, Xiaolin Wei, Haiyan Qu","doi":"10.2147/RMHP.S514409","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Employees in the petrochemical industry are exposed to numerous occupational hazards, contributing to a higher prevalence of chronic diseases. Health literacy, which reflects an individual's ability to access, understand, and use health information, is a critical factor in managing chronic diseases. However, its specific role in this workforce is not well understood.</p><p><strong>Objective: </strong>This study investigates the associations between health literacy and the prevalence and number of chronic diseases among employees in a Chinese petrochemical company.</p><p><strong>Methods: </strong>In March 2022, a cross-sectional survey collected 39,491 valid responses from employees of a large petrochemical company in Shandong Province, China. Health literacy was measured using the National Health Literacy Monitoring Questionnaire, while chronic disease prevalence and number were self-reported. Logistic and linear regression were used to examine associations between health literacy and chronic disease prevalence and count, respectively.</p><p><strong>Results: </strong>Among respondents, 72.1% reported at least one chronic disease, and 53.9% were classified as having adequate health literacy. The domain of Health-Related Skills had the lowest qualification rate (46.4%), and the dimension of Chronic Disease Prevention and Control was the lowest-scoring dimension (33.0%). Overall health literacy was not significantly associated with chronic disease prevalence but was negatively associated with the number of chronic diseases (B = -0.05, 95% CI: -0.08 - -0.02, p < 0.001). Notably, higher literacy in Chronic Disease Prevention and Control was significantly associated with both reduced prevalence (OR = 0.95, 95% CI: 0.90-1.00, p = 0.034) and fewer chronic diseases (B = -0.01, 95% CI: -0.02-0.00, p = 0.004).</p><p><strong>Conclusion: </strong>While overall health literacy was not significantly associated with chronic disease prevalence, it was negatively associated with the number of chronic diseases. Moreover, health literacy in Chronic Disease Prevention and Control showed significant associations with both lower prevalence and fewer chronic diseases.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"1515-1526"},"PeriodicalIF":2.7000,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12063634/pdf/","citationCount":"0","resultStr":"{\"title\":\"Associations Between Health Literacy and Chronic Disease Prevalence Among Employees in Chinese Petroleum Companies: A Cross-Sectional Study.\",\"authors\":\"Huifen Ma, Yiming Su, Shichao Zhao, Ying Wang, Xiaolin Wei, Haiyan Qu\",\"doi\":\"10.2147/RMHP.S514409\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Employees in the petrochemical industry are exposed to numerous occupational hazards, contributing to a higher prevalence of chronic diseases. Health literacy, which reflects an individual's ability to access, understand, and use health information, is a critical factor in managing chronic diseases. However, its specific role in this workforce is not well understood.</p><p><strong>Objective: </strong>This study investigates the associations between health literacy and the prevalence and number of chronic diseases among employees in a Chinese petrochemical company.</p><p><strong>Methods: </strong>In March 2022, a cross-sectional survey collected 39,491 valid responses from employees of a large petrochemical company in Shandong Province, China. Health literacy was measured using the National Health Literacy Monitoring Questionnaire, while chronic disease prevalence and number were self-reported. Logistic and linear regression were used to examine associations between health literacy and chronic disease prevalence and count, respectively.</p><p><strong>Results: </strong>Among respondents, 72.1% reported at least one chronic disease, and 53.9% were classified as having adequate health literacy. The domain of Health-Related Skills had the lowest qualification rate (46.4%), and the dimension of Chronic Disease Prevention and Control was the lowest-scoring dimension (33.0%). Overall health literacy was not significantly associated with chronic disease prevalence but was negatively associated with the number of chronic diseases (B = -0.05, 95% CI: -0.08 - -0.02, p < 0.001). Notably, higher literacy in Chronic Disease Prevention and Control was significantly associated with both reduced prevalence (OR = 0.95, 95% CI: 0.90-1.00, p = 0.034) and fewer chronic diseases (B = -0.01, 95% CI: -0.02-0.00, p = 0.004).</p><p><strong>Conclusion: </strong>While overall health literacy was not significantly associated with chronic disease prevalence, it was negatively associated with the number of chronic diseases. Moreover, health literacy in Chronic Disease Prevention and Control showed significant associations with both lower prevalence and fewer chronic diseases.</p>\",\"PeriodicalId\":56009,\"journal\":{\"name\":\"Risk Management and Healthcare Policy\",\"volume\":\"18 \",\"pages\":\"1515-1526\"},\"PeriodicalIF\":2.7000,\"publicationDate\":\"2025-05-05\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12063634/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Risk Management and Healthcare Policy\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.2147/RMHP.S514409\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Risk Management and Healthcare Policy","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2147/RMHP.S514409","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0
摘要
背景：石化行业的员工暴露在许多职业危害中，导致慢性病的发病率较高。卫生素养反映了个人获取、理解和使用卫生信息的能力，是管理慢性病的一个关键因素。然而，它在劳动力中的具体作用还没有得到很好的理解。目的：探讨某石化企业员工健康素养与慢性病患病率及患病人数的关系。方法：在2022年3月，对中国山东省某大型石化公司的员工进行了一项横断面调查，收集了39,491份有效回复。健康素养采用国家健康素养监测问卷进行测量，慢性病患病率和数量采用自我报告。分别使用逻辑回归和线性回归来检验健康素养与慢性疾病患病率和计数之间的关系。结果：在调查对象中，72.1%的人报告了至少一种慢性病，53.9%的人被归类为具有足够的健康素养。健康相关技能领域的合格率最低（46.4%），慢性病预防与控制领域的合格率最低（33.0%）。总体健康素养与慢性病患病率无显著相关性，但与慢性病数量呈负相关（B = -0.05, 95% CI: -0.08 - -0.02, p < 0.001）。值得注意的是，慢性病预防和控制识字率的提高与患病率降低（OR = 0.95, 95% CI: 0.90-1.00, p = 0.034）和慢性病发病率降低（B = -0.01, 95% CI: -0.02-0.00, p = 0.004）显著相关。结论：总体健康素养与慢性疾病患病率无显著相关，但与慢性疾病数量呈负相关。此外，慢性病预防和控制方面的健康素养与较低的患病率和较少的慢性病有显著关联。
Associations Between Health Literacy and Chronic Disease Prevalence Among Employees in Chinese Petroleum Companies: A Cross-Sectional Study.
Background: Employees in the petrochemical industry are exposed to numerous occupational hazards, contributing to a higher prevalence of chronic diseases. Health literacy, which reflects an individual's ability to access, understand, and use health information, is a critical factor in managing chronic diseases. However, its specific role in this workforce is not well understood.
Objective: This study investigates the associations between health literacy and the prevalence and number of chronic diseases among employees in a Chinese petrochemical company.
Methods: In March 2022, a cross-sectional survey collected 39,491 valid responses from employees of a large petrochemical company in Shandong Province, China. Health literacy was measured using the National Health Literacy Monitoring Questionnaire, while chronic disease prevalence and number were self-reported. Logistic and linear regression were used to examine associations between health literacy and chronic disease prevalence and count, respectively.
Results: Among respondents, 72.1% reported at least one chronic disease, and 53.9% were classified as having adequate health literacy. The domain of Health-Related Skills had the lowest qualification rate (46.4%), and the dimension of Chronic Disease Prevention and Control was the lowest-scoring dimension (33.0%). Overall health literacy was not significantly associated with chronic disease prevalence but was negatively associated with the number of chronic diseases (B = -0.05, 95% CI: -0.08 - -0.02, p < 0.001). Notably, higher literacy in Chronic Disease Prevention and Control was significantly associated with both reduced prevalence (OR = 0.95, 95% CI: 0.90-1.00, p = 0.034) and fewer chronic diseases (B = -0.01, 95% CI: -0.02-0.00, p = 0.004).
Conclusion: While overall health literacy was not significantly associated with chronic disease prevalence, it was negatively associated with the number of chronic diseases. Moreover, health literacy in Chronic Disease Prevention and Control showed significant associations with both lower prevalence and fewer chronic diseases.
期刊介绍：
Risk Management and Healthcare Policy is an international, peer-reviewed, open access journal focusing on all aspects of public health, policy and preventative measures to promote good health and improve morbidity and mortality in the population. Specific topics covered in the journal include:
Public and community health
Policy and law
Preventative and predictive healthcare
Risk and hazard management
Epidemiology, detection and screening
Lifestyle and diet modification
Vaccination and disease transmission/modification programs
Health and safety and occupational health
Healthcare services provision
Health literacy and education
Advertising and promotion of health issues
Health economic evaluations and resource management
Risk Management and Healthcare Policy focuses on human interventional and observational research. The journal welcomes submitted papers covering original research, clinical and epidemiological studies, reviews and evaluations, guidelines, expert opinion and commentary, and extended reports. Case reports will only be considered if they make a valuable and original contribution to the literature. The journal does not accept study protocols, animal-based or cell line-based studies.
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