首页资讯西宁市城西、城中区居民气候变化健康素养及干预效果评估研究

西宁市城西、城中区居民气候变化健康素养及干预效果评估研究

来源：泰然健康网时间：2026年02月11日 11:10

华晓娟, 马玉花, 王裕, 何淑珍, 马春光, 吴晶, 宁振旭, 李根山, 张建秀, 陈佳伶. 西宁市城西、城中区居民气候变化健康素养及干预效果评估研究[J]. 环境卫生学杂志, 2026, 16(2): 157-163. DOI: 10.13421/j.cnki.hjwsxzz.2026.02.009

引用本文: 华晓娟, 马玉花, 王裕, 何淑珍, 马春光, 吴晶, 宁振旭, 李根山, 张建秀, 陈佳伶. 西宁市城西、城中区居民气候变化健康素养及干预效果评估研究[J]. 环境卫生学杂志, 2026, 16(2): 157-163. DOI: 10.13421/j.cnki.hjwsxzz.2026.02.009

HUA Xiao-juan, MA Yu-hua, WANG Yu, HE Shu-zhen, MA Chun-guang, WU Jing, NING Zhen-xu, LI Gen-shan, ZHANG Jian-xiu, CHEN Jia-ling. Assessment of climate change health literacy and intervention effectiveness among residents in Chengxi and Chengzhong districts, Xining, China[J]. Journal of Environmental Hygiene, 2026, 16(2): 157-163. DOI: 10.13421/j.cnki.hjwsxzz.2026.02.009

Citation: HUA Xiao-juan, MA Yu-hua, WANG Yu, HE Shu-zhen, MA Chun-guang, WU Jing, NING Zhen-xu, LI Gen-shan, ZHANG Jian-xiu, CHEN Jia-ling. Assessment of climate change health literacy and intervention effectiveness among residents in Chengxi and Chengzhong districts, Xining, China[J]. Journal of Environmental Hygiene, 2026, 16(2): 157-163. DOI: 10.13421/j.cnki.hjwsxzz.2026.02.009

西宁市城西、城中区居民气候变化健康素养及干预效果评估研究

华晓娟1, 马玉花2, 王裕3, 何淑珍4, 马春光4, 吴晶4, 宁振旭1, 李根山1, 张建秀1, 陈佳伶1

1. 青海大学医学院公共卫生系, 西宁 810016;

2. 西宁市第三人民医院;

3. 中国疾病预防控制中心环境与健康相关产品安全所;

4. 西宁市疾病预防控制中心

详细信息

作者简介:

华晓娟,硕士研究生,主要从事气候变化与健康研究;Email:2212482749@qq.com

中图分类号: R122

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Assessment of climate change health literacy and intervention effectiveness among residents in Chengxi and Chengzhong districts, Xining, China

1. Department of Public Health, Medical College of Qinghai University, Xining 810016, China;

2. The Third People's Hospital of Xining;

3. National Institute of Environmental Health, Chinese Center for Disease Control and Prevention;

4. Xining Center for Disease Control and Prevention

摘要

目的评估西宁市城西区、城中区居民气候变化健康素养干预效果。方法 2024年7月—2025年1月,采用分层随机抽样方法在青海省西宁市随机选取两个社区分别作为干预组和对照组,从每组中随机抽取≥18岁常住居民作为研究对象并进行问卷调查(干预组148人,对照组158人),调查期间对干预组开展气候变化健康干预服务。采用双重差分模型评估干预的净效应。结果对照组(女性89人,男性69人)和干预组(女性107人,男性41人)平均年龄均为(39±1)岁。干预后,干预组在基本知识和理念、基本技能及总得分方面分别提高了35.86%(t=5.74,P＜0.001)、10.34%(t=4.92,P＜0.001)和13.40%(t=4.26,P＜0.001)。然而,生活方式与行为维度未见明显改变(t=1.02,P＞0.05),存在"知行分离"现象。多元线性回归分析表明,年龄、文化程度、家庭年收入及是否在户外工作是影响健康素养干预效果的主要因素。结论综合健康教育能有效提升居民气候变化健康知识理念与技能,但行为生活方式转变效果不明显,未来需在加强理论教育的基础上进一步结合技能训练、社会和环境支持的综合策略,搭建从"知"到"行"的桥梁。

Objective To evaluate the effectiveness of intervention on climate change health literacy among residents in Chengxi and Chengzhong districts of Xining, China. Methods Using a stratified random sampling method, two communities in Xining, Qinghai Province, were selected as the intervention group and the control group, respectively from July 2024 to January 2025. Permanent residents aged 18 and above were randomly selected from each group as research subjects and surveyed through questionnaires (148 people in the intervention group and 158 people in the control group). During the survey period, climate change health intervention services were provided to the intervention group.A difference-in-differences model was used to assess the net effect of the intervention.Results The control group (89 females and 69 males) and the intervention group (107 females and 41 males) had an average age of 39±1 years. After the intervention, the intervention group showed significant improvements of 35.86% (t=5.74, P<0.001), 10.34% (t=4.92, P<0.001), and 13.40% (t=4.26, P<0.001) in basic knowledge and concepts, basic skills, and total scores compared to the control group, respectively. However, there was no significant change in the lifestyle and behavior dimension (t=1.02, P>0.05), indicating a gap between knowledge and practice. Multiple linear regression analysis revealed that age, education level, annual household income, and whether one works outdoors were the main factors influencing the effectiveness of the health literacy intervention. Conclusion Comprehensive health education can effectively improve residents' knowledge, concepts, and skills regarding climate change and health. However, the effects on behavioral and lifestyle changes remain limited. Future interventions should adopt comprehensive strategies combining theoretical education with skill training, social support, and environmental support to bridge the gap between knowledge and practice.

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