我国老年人健康素养相关因素的meta分析

摘要/Abstract

摘要： 目的通过meta分析我国老年人健康素养的相关因素,为老年人健康素养的提高提供有力的参考依据。方法检索Embase、PubMed、Cochrane Library、Web of Science、中国生物医学文献数据库、中国维普、万方和知网数据库,搜集关于老年人健康素养相关因素的文献,检索从建库开始,截止到2021年10月30日。2名分析者独立进行文献筛选、资料提取并用美国卫生保健和研究机构（agency for healthcare research and quality,AHRQ）建议的标准进行文献质量评价。使用RevMan 5.4进行meta分析。结果共纳入16篇文献、9项相关因素进行meta分析,样本量为60 067人。Meta分析结果显示,文化程度（OR=2.34,95%CI：1.69~3.24）、自我感知健康状况（OR=1.34,95%CI：1.14~1.58）、地理位置（OR=1.30,95%CI：1.17~1.44）、从事医疗工作（OR=16.98,95%CI：2.15~134.22）、慢性病（OR=1.72,95%CI：1.05~2.83）是我国老年患者健康素养的相关因素（均P<0.05）。结论低文化程度、自我感知健康状况差、西部地理位置、非医疗工作、无慢性病是老年人健康素养的危险因素。

关键词: 老年人, 健康素养, 相关因素, Meta分析, 循证护理学

Abstract: Objective To analyze the related factors of health literacy among the elderly in China through meta-analysis,so as to provide a strong reference basis for improving the health literacy of the elderly. Methods The Embase,PubMed,Cochrane Library,Web of Science,CBM,VIP,Wanfang,and CNKI database were searched to collect literature on factors related to the health literacy of the elderly. The retrieval time started from inception and ended on October 30,2021. Two analysts independently conducted literature screening,data extraction,and literature quality evaluation using the standards recommended by the agency for healthcare research and quality（AHRQ） in the United States. RevMan 5.4 was used for meta-analysis. Results A total of 16 articles and 9 related factors were included for meta-analysis,with a sample size of 6 067 people. The meta-analysis results showed that educational level（OR=2.34,95%CI：1.69-3.24）,self perceived health status（OR=1.34,95%CI：1.14-1.58）,geographical location（OR=1.30,95%CI：1.17-1.44）,engaged in medical work（OR=16.98,95%CI：2.15-134.22）,and chronic disease（OR=1.72,95%CI：1.05-2.83） were related factors for the health literacy of elderly patients in China（all P<0.05）. Conclusion Low educational level,poor self perceived health status,geographical location in the western region,non medical work,and absence chronic diseases are risk factors for health literacy among the elderly.

Key words: The elderly, Health Literacy, Related Factors, Meta analysis, Evidence based nursing

中图分类号:

R181.2

肖溪溪, 王云翠. 我国老年人健康素养相关因素的meta分析. [J]职业与健康, 2023, 39(17): 2417-2421.

XIAO Xixi, WANG Yuncui. Factors related to health literacy among the elderly in China：A meta-analysis. [J]OCCUPATION AND HEALTH, 2023, 39(17): 2417-2421.

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