Leicester Diabetes Centre, Leicester General Hospital, Leicester, UK.
Diabet Med. 2020 Jun;37(6):982-990. doi: 10.1111/dme.14275. Epub 2020 Mar 28.
To examine the influence of sociodemographic factors of interest on preference for a particular health education format among people with type 2 diabetes and/or cardiovascular disease.
A questionnaire was used to collect information on the influence of six sociodemographic factors of interest on the preference for health education formats in people with type 2 diabetes and/or cardiovascular disease. Chi-squared tests were used to examine the distribution of preferences between groups. The characteristics of the population preferring the online format were then examined in more detail using logistic regression.
Responses were received from 1559 participants. Overall the preferred health education format was one-to-one learning from a doctor or nurse (67%). Age, gender, diagnosis and educational level all affected the preferences expressed. The characteristics showing most consistent and significant influence were age and educational level. Overall, 29% ranked the online format highly (scores 1 or 2). This group were more likely to be aged < 65 years (P < 0.001) and to have a higher level of educational attainment (upper secondary education or higher; P < 0.001).
Significant differences between sociodemographic groups exist in preferences for health education formats among people with type 2 diabetes and/or cardiovascular disease. Preferences should be considered when designing educational interventions to ensure they are accessible to the target group and to avoid increases in health inequality.
探讨 2 型糖尿病和/或心血管疾病患者对特定健康教育形式的偏好受社会人口学因素影响的情况。
采用问卷形式收集 6 项社会人口学因素对 2 型糖尿病和/或心血管疾病患者健康教育形式偏好的影响信息。采用卡方检验比较组间偏好的分布情况。然后采用 logistic 回归详细分析偏好在线形式的人群特征。
共收到 1559 名参与者的回复。总体而言,人们更喜欢的健康教育形式是医生或护士的一对一学习(67%)。年龄、性别、诊断和教育水平均影响表达的偏好。显示出最一致和显著影响的特征是年龄和教育水平。总体而言,29%的人高度评价在线形式(评分 1 或 2)。这组人更年轻(<65 岁;P<0.001),教育程度更高(中学后教育或更高;P<0.001)。
2 型糖尿病和/或心血管疾病患者对健康教育形式的偏好存在显著的社会人口学差异。在设计教育干预措施时应考虑到这些偏好,以确保其对目标人群具有可及性,并避免健康不平等的加剧。