摘要
目的了解2017年陕西省居民健康素养现状,分析影响居民健康素养的影响因素,为提高居民健康素养水平提供依据。方法于2017年7—11月采用多阶段分层整群随机抽样法,选取陕西省非集体居住的15~69岁常住居民为调查对象,采用国家卫生健康委员会《中国公民健康素养监测调查问卷》进行问卷调查,分析居民健康素养水平,采用多因素Logistic回归模型分析居民健康素养水平的影响因素。结果共发放问卷2400份,有效问卷2352份,问卷有效率为98.00%。2017年陕西省居民健康素养水平为10.54%。居民三个方面健康素养具备率由高到低依次为基本知识和理念24.81%、健康生活方式与行为9.33%和基本技能14.52%。居民六类健康问题素养具备率由高到低依次为科学健康观42.81%、安全与急救42.73%、健康信息19.11%、传染病防治18.30%、基本医疗16.25%和慢性病防治8.22%。多因素Logistic回归分析结果显示,初中及以上文化程度(OR:6.660~29.077,95%CI:2.050~97.355)是健康素养水平的促进因素;居住在农村(OR=0.621,95%CI:0.442~0.872)是健康素养水平的阻碍因素。结论2017年陕西省居民整体健康素养水平为10.54%,初中及以上文化程度、居住在农村是陕西省居民健康素养水平的影响因素。
Objective To learn the health literacy level and its influencing factors among permanent residents in Shaanxi Province in order to improve it.Methods From July to November of 2017,multi-stage stratified cluster sampling method was used to select 15-69 year-old permanent residents in Shaanxi Province.A survey was conducted using“Chinese citizen health literacy monitoring questionnaire”issued by National Health Commission.The influencing factors for health literacy were analyzed by the multivariate logistic regression model.Results Totally 2352 valid questionnaires were collected with a response rate of 98.00%.The health literacy level of permanent residents in Shaanxi Province was 10.54%.The levels of basic knowledge,healthy lifestyle and behaviors,and health related skills were 24.81%,9.33%and 14.52%,respectively.The levels of scientific health views,safety and first aid,health information,infectious diseases prevention,basic medical care and chronic diseases prevention were 42.81%,42.73%,19.11%,18.32%,16.27%and 8.24%,respectively.The results of multivariate logistic regression analysis showed that educational background of junior high school or above(OR:6.660-29.077,95%CI:2.050-97.355)was a promoting factor of health literacy,yet rural residency(OR=0.621,95%CI:0.442-0.872)was a constraining factor.Conclusion The heath literacy level of Shaanxi residents in 2017 was 10.54%.Educational background of junior high school or above and rural residency were influencing factors for health literacy.
作者
吴艳梅
南海涛
铁云丽
郭健
WU Yan-mei;NAN Hai-tao;TIE Yun-li;GUO Jian(Shaanxi Education Center of Health and Family Planning,Xi'an,Shaanxi 710016,China)
出处
《预防医学》
2019年第12期1210-1214,共5页
CHINA PREVENTIVE MEDICINE JOURNAL
关键词
健康素养
健康教育
影响因素
Health literacy
Health education
Influencing factor
