摘要
目的了解上海市松江区孕妇对碘缺乏病防治知识的认知情况及其变化趋势,探究主要影响因素。方法2020—2024年,根据上海市人群碘营养状况监测方案,采用分层抽样法,将上海市松江区划分为东、西、南、北、中5个抽样片区,每年从每片区抽取30名孕妇开展问卷调查。结果共计调查750名孕妇,碘缺乏病防治知识的整体知晓率为66.53%。孕妇对不同碘相关知识的知晓情况有统计学意义(χ^(2)=1819.248,P<0.001),2020—2024年5轮调查知晓率呈先升后降趋势,总体正确率呈先升后降再升的趋势,均在2023年处于最低水平。多因素logistic回归分析结果显示,区域(城区,OR=0.499,95%CI:0.342~0.727)、孕妇受教育年限(>9年,OR=2.174,95%CI:1.510~3.131)、家庭年收入(≥20万,OR=1.536,95%CI:1.074~2.196)、甲状腺相关疾病患病情况(患,OR=1.832,95%CI:1.147~2.926)、接受健康教育情况(接受,OR=2.217,95%CI:1.606~3.061)是影响孕妇知晓率的主要因素。结论松江区孕妇关于碘缺乏病防治知识知晓率仍有待提高,不同特征的孕妇知晓情况不同,应针对性开展相关健康教育与宣传。
Objective To understand the awareness and changing trends of iodine deficiency disorders prevention knowledge among pregnant women in Songjiang,and explore the main influencing factors.Methods From 2020 to 2024,following the Shanghai population iodine nutrition monitoring program,stratified sampling method was employed,dividing Songjiang District into five sampling areas:east,west,south,north and centre,thirty pregnant women were selected from each area for a questionnaire survey every year.Results A total of 750 pregnant women were surveyed,and the overall awareness rate of knowledge on iodine deficiency disorders was 66.53%.There were statistically significant differences in the awareness of different iodine-related knowledge among pregnant women(χ^(2)=1819.248,P<0.001),in the five rounds of surveys from 2020 to 2024,the awareness rate showed a trend of first increasing and then decreasing,while the overall correct rate showed a trend of first increasing,then decreasing,and then increasing again,both reached their lowest levels in 2023.Results of multiple-factor logistic regression analysis showed that the region(urban area,OR=0.499,95%CI:0.342-0.727),the educational years of pregnant women(>9 years,OR=2.174,95%CI:1.510-3.131),family annual income(≥200000 yuan,OR=1.536,95%CI:1.074-2.196),thyroidrelated disease status(affected,OR=1.832,95%CI:1.147-2.926),and health education(received,OR=2.217,95%CI:1.606-3.061)were the main factors influencing the knowledge awareness rate among pregnant women.Conclusion The awareness rate regarding iodine deficiency disorders prevention knowledge among pregnant women in Songjiang District needs improvement.Pregnant women with different characteristics have varying levels of awareness,thus targeted health education programs should be implemented accordingly.
作者
李欣潼
蒋元强
朱宇星
顾欣怡
邱香
LI Xintong;JIANG Yuanqiang;ZHU Yuxing;GU Xinyi;QIU Xiang(Songjiang District Center for Disease Control and Prevention(Songjiang District Health Supervision Institute),Shanghai 201620,China)
出处
《中国地方病防治》
2025年第4期285-288,共4页
Chinese Journal of Control of Endemic Diseases
基金
松江区科技攻关项目(2023SJKJGG023)。
关键词
孕妇
碘缺乏病防治知识
知晓率
影响因素
Pregnant women
Iodine deficiency disorders prevention knowledge
Awareness rate
Influencing factors
