摘要
目的了解2012—2019年我国农村居民健康素养水平变化趋势,探讨农村居民健康素养的影响因素,为制定适合农村地区的健康促进政策提供依据。方法对2012—2019年我国农村居民健康素养监测数据进行分析,对全国31个省(区、市)抽取的农村监测点的居民健康素养状况进行问卷调查。结果2012年、2015年、2017年、2019年我国农村居民健康素养水平分别为7.13%、7.44%、10.64%和15.67%。对2019年监测数据进行多因素Logistic回归分析,结果表明2019年我国农村居民健康素养水平,东部地区(OR=1.586,95%CI:1.396~1.801)、中部地区(OR=1.151,95%CI:1.001~1.324)高于西部地区。以15~24岁年龄段为参照,25~34岁(OR=1.466,95%CI:1.231~1.745)、35~44岁(OR=1.496,95%CI:1.262~1.773)、45~54岁(OR=1.196,95%CI:1.008~1.419)年龄段健康素养水平较高。文化程度越高,健康素养水平越高,以不识字/少识字为参照,小学、初中、高中/职高/中专、大专/本科及以上文化程度健康素养水平OR值分别为2.963(95%CI:2.170~4.046)、6.979(95%CI:5.163~9.432)、16.182(95%CI:11.843~22.110)、31.731(95%CI:23.061~43.661)。结论我国农村居民健康素养水平处于较低水平,文化程度、地区、年龄是健康素养水平的主要影响因素。
Objective To understand the changing trend and its influencing factors of health literacy in Chinese rural residents from 2012 to 2019,and to provide evidence for developing suitable health promotion policies for rural areas.Methods The health literacy monitoring data of rural residents were analyzed from 2012 to 2019,which were investigated on health literacy with questionnaire survey in monitor rural districts of 31 provinces.Results The levels of health literacy in rural residentsfrom 2012 to 2019 were 7.13%,7.44%,10.64%,15.67%,respectively.Multivariate logistic regression analysis on monitoring data in 2019 showed that eastern(OR=1.586,95%CI:1.396-1.801)and central(OR=1.151,95%CI:1.001-1.324)region had higher level of health literacy compared with rural residents in western.The higher education degree was,the higher health literacy had.Compared with group aged 15-24 years old,groups aged 25-34 years old,35-44 years old and 45-54 years old had higher levels of health literacy,with OR values of 1.466(95%CI:1.231-1.745),1.496(95%CI:1.262-1.773)and 1.196(95%CI:1.008-1.419).Compared with illiterate/less literate group,the rural residents in education level of primary school,middle school,high school,college/undergraduate and above had higher health literacy,the OR values were 2.963(95%CI:2.170-4.046),6.979(95%CI:5.163-9.432),16.182(95%CI:11.843-22.110)and 31.731(95%CI:23.061-43.661).Conclusion The health literacy of rural residents was at a low level.Its influencing factors included education level,regions and ages.
作者
石名菲
冯睿媛
李英华
刘莹钰
李莉
聂雪琼
张刚
王兰兰
SHI Ming-fei;FENG Rui-yuan;LI Ying-hua;LIU Ying-yu;LI Li;NIE Xue-qiong;ZHANG Gang;WANG Lan-lan(Chinese Center for Health Education,Beijing 100011,China)
出处
《中国健康教育》
北大核心
2021年第6期483-486,506,共5页
Chinese Journal of Health Education
关键词
农村居民
健康素养
影响因素
Rural resident
Health literacy
Influencing factor
