| Abstrakt: |
Objective To understand the awareness of core knowledge of Non-Communicable Chronic Diseases among multi-ethnic residents in Shimian County, a minority-concentrated area in southern Sichuan, and its influencing factors, and to provide strategic suggestions for Non-Communicable Chronic Diseases prevention and treatment. Methods A multi-stage cluster sampling method was used to conduct a questionnaire survey of 4 160 permanent residents aged 18 and above in Shimian County from May to November 2022. The scores and awareness rates of the core knowledge of Non-Communicable Chronic Diseases among Han and minority residents were calculated separately. A multiple logistic regression model was used to analyze the knowledge and awareness of the core Non-Communicable Chronic Diseases among residents of different ethnic groups and their influencing factors. Results The median score for the core knowledge of chronic diseases among the residents of Shimian County was 40 points. Among them, the median score for the core knowledge of chronic diseases among Han residents was 50 points, which was higher than the median score of 40 for ethnic minorities (Z = -3.905, P <0.001). The awareness rate of core knowledge of chronic diseases among the residents of Shimian County was 36.7%, and the awareness rate among Han residents (38.1 %) was higher than that of ethnic minorities (31.6%) (χ² = 12.544, P < 0.001). Both Han and ethnic minority residents had the highest correct answer rate for social responsibility for chronic disease prevention and control (Han: 68.89%; ethnic minorities: 67.67%), and the lowest correct answer rate for knowledge about cardiovascular disease prevention (Han; 18.60%; ethnic minorities: 19.47%). The results of multifactor logistic regression analysis showed that regardless of Han or ethnic minorities, having a bachelor' s degree or above (Han; OR = 3. 77, 95% CI: l.99-4.32; ethnic minorities: OR = 9. 98, 95%CI :5. 61-17.72) and sufficient physical activity (Han: OR = 2.30, 95% CI : 1.97-2.69; ethnic minorities: OR = 1.89, 95% CI: 1.36-2.62) were promoting factors for the awareness of core knowledge of chronic diseases, while engaging in non-physical labor(Han: OR = 0.63, 95% CI: 0.54-0.73; ethnic minorities: OR = 0.46, 95% CI: 0.33-0.64) was a hindrance factor for the awareness of core knowledge of chronic diseases, and being middle-aged and elderly was a hindrance factor for the awareness of core knowledge of chronic diseases among Han residents (OR = 0.76, 95% CI: 0.60-0.98). Conclusion The awareness level of core knowledge of chronic diseases among residents of all ethnic groups in Shimian County needs further improvement. Regardless of whether they are Han or ethnic minorities, with low educational levels, engaged in non-physical labor, and lacking physical activity, they should be the key populations for health education on core knowledge of Non-Communicable Chronic Diseases. [ABSTRACT FROM AUTHOR] |
