摘要
目的 调查了解海南省城乡居民的健康素养水平,为制定海南省健康教育干预措施提供科学依据。方法 采用与人口规模成比例的整群抽样(PPS)、多阶段分层整群随机抽样、Kish表法等方法抽取全省22个市县区11 884名15~69岁常住居民开展健康素养调查。结果 2020年海南省城乡居民健康素养水平为20.2%;在3个方面健康素养水平中,基本知识和理念水平最高,为30.6%;健康技能最低,为18.1%;健康生活方式与行为为20.0%。Logistic回归分析结果提示,海南省健康素养水平受居民性别、文化程度等因素的影响,男性高于女性,OR值为1.178(95%CI:1.055~1.316);文化程度越高则素养水平越高,以不识字或少识字为参照,小学、初中、高中/职高/中专、大专/本科及以上具备健康素养的OR值分别为1.731(95%CI:1.057~2.834)、3.456(95%CI:2.160~5.528)、5.987(95%CI:3.707~9.670)、12.218(95%CI:7.460~20.012)。结论 海南省健康素养水平在人群间的分布差异较大,农村居民、老年人的素养水平较低,提高居民健康素养水平需要各级各部门共同努力。
Objective To understand the health literacy level of residents in Hainan Province, and to provide a scientific basis for developing health education intervention strategies. Methods Probability Proportionate to Size Sampling(PPS),stratified cluster random sampling and kish table method were adopted in the surveillance, 11 884 permanent residents aged 15-69 years from 22 counties were investigated. Results The overall level of adjusted health literacy(AHL)among the Hainan provincial residents in 2020 was 20.2%. The AHL rates in the three aspects of health literacy, from high to low, basic heath concept and knowledge, health lifestyle and behaviors, and health related skills were 30.6%,20.0% and 18.1%. The Logistic regression analysis results indicate that the health literacy level of Hainan Province is affected by factors such as gender, education level of residents. The health literacy level of males are higher than females(OR=1.178,95%CI:1.055-1.316). The health literacy level increased with education levels referring to people who was illiterate or less literate, OR value of primary school, junior high school, high school/vocational high school/technical secondary school, college/bachelor degree and above were 1.731(95%CI: 1.057-2.834),3.456(95%CI:2.160-5.528),5.987(95%CI:3.70-9.670),12.218(95%CI:7.460-20.012)respectively. Conclusion In Hainan Province, the uneven distribution of health literacy levels between populations still exists. The health literacy levels of rural residents and the elderly were relatively low. Improving the health literacy level of residents requires the joint efforts of various government departments.
作者
孙乐成
高颖
王莉莉
黄银凤
SUN Le-cheng;GAO Ying;WANG Li-li;HUANG Yin-fong(Hainan.Health Publicity and Education Center,Haikou 570226,China)
出处
《中国健康教育》
北大核心
2022年第4期299-303,共5页
Chinese Journal of Health Education
基金
国家基本公共卫生项目-健康危害因素监测项目-健康素养监测项目。
关键词
居民
健康素养
监测
Residents
Health literacy
Monitoring
