Objective To investigate the associated factors for delivering health education interventions and job satisfaction in community chronic disease health educators in Guangzhou. Methods In this cross-sectional study conducted between January and March in 2017, using stratified clustering sampling, we enrolled community primary care providers (including general practitioners, public health doctors, and general nurses) responsible for chronic disease health education from 5 community health service centers and 50 community health service stations in Haizhu, Yuexiu district (developed areas) and Tianhe, Baiyun, Liwan district (urban fringe areas) in Guangzhou, China. Then, we carried out a questionnaire survey in the participants for obtaining their demographic characteristics, self-assessed associated factors for delivering chronic disease health education, subjects responsible for chronic disease health education, and job satisfaction. Results Of the 270 participants enrolled, 255 returned responsive questionnaires (121 from developed areas and 134 from urban fringe areas) with a response rate of 94.4%. The distribution of sex, educational level, professional and technical title, employment status, and monthly income differed significantly between participants from developed areas and those from urban fringe areas (P<0.05). All the participants agreed that lack of funding and equipment, insufficient support from responsible social institutions, policies and leaders, and insufficient residents' participation were the main factors for delivering health education interventions. In terms of major subjects responsible for delivering chronic disease heath education, participants from developed areas listed centers for disease prevention and control, health administrative departments, and community health service institutions, whereas those from urban fringe areas listed centers for disease prevention and control, health administrative departments and hospitals. The levels of satisfaction with working conditions, salary, and work competency were much lower in participants from urban fringe areas compared with those from developed areas (P<0.05). Conclusion The structure of the staff for delivering community chronic disease health education should be modified. Moreover, the factors affect the health education delivery should be improved, such as intensifying the perceptions of community chronic disease health education in the major responsible subjects, and advancing the level of job satisfaction in community chronic disease health educators from urban fringe areas by improving their working conditions and salary.%目的 了解广州市社区慢性病健康教育工作人员开展健康教育工作的影响因素及工作满意度现况.方法 2017年1—3月,采用分层整群抽样方法,在广州市海珠区、越秀区(经济发达地区)和天河区、白云区、荔湾区(城乡接合地区)各抽取1家社区卫生服务中心、10家社区卫生服务站,以社区卫生服务中心、站负责慢性病管理的全科医生、公共卫生医师、全科护士为调查对象进行问卷调查.调查问卷包括一般人口学特征、健康教育工作开展的影响因素、健康教育的责任主体、工作满意度.结果 本研究共发放问卷270份,回收有效问卷255份(经济发达地区121份,城乡接合地区134份),有效回收率94.4%.经济发达地区、城乡接合地区调查对象性别、学历、职称、编制、月收入比较,差异有统计学意义(P<0.05).经济发达地区和城乡接合地区调查对象均认为,缺乏经费和设备、社会相关机构支持少、缺乏政策支持、居民参与意识不强和领导不重视是慢性病健康教育工作开展的主要影响因素.经济发达地区调查对象认为,疾病预防控制中心、卫生行政部门、社区卫生服务机构是慢性病健康教育的责任主体;而城乡接合地区调查对象认为,疾病预防控制中心、卫生行政部门、医院是慢性病健康教育的责任主体.城乡接合地区调查对象社区办公条件、工作报酬、工作胜任程度满意度得分低于经济发达地区(P<0.05).结论 广州市社区慢性病健康教育工作人员结构有待优化,改善影响健康教育工作开展的因素,加强对责任主体的认知,从办公条件、工作报酬等方面提高城乡接合地区健康教育工作人员的满意度.
展开▼
