摘要
目的通过分析2019、2021年新疆维吾尔自治区新源县哈萨克族居民健康素养水平的变化,评价两年间健康素养综合干预效果,探讨今后健康促进工作改进策略。方法采用分层整群抽样的方法,于2019、2021年分别抽取新源县1695和1872名18~75岁哈萨克族常住居民进行居民健康素养问卷调查,采用卡方检验、多因素logistic回归等统计学方法进行统计分析。结果2021年新源县哈萨克族居民总体健康素养较2019年有所提升,P<0.05。居民的健康知识与理念、健康生活方式与行为素养水平均有所提高,P<0.05。2021年健康技能素养水平较2019年变化无统计学意义。2021年居民的科学健康观、健康信息素养、慢性病防治素养水平均有所提升,安全与急救素养水平有所下降,P<0.05。传染病防治素养和基本医疗素养变化无统计学意义。多因素logistic回归分析结果显示,文化程度为大专及本科以上者、家庭人均月收入大于2000元及未患慢性病者的健康素养水平较高,P<0.05。结论新源县哈萨克族居民健康素养有所提升,但人群分布不平衡,应将低学历者、家庭收入较低者作为健康干预的重点人群,并加强安全与急救素养方面的健康教育,多角度探索健康素养干预方式。
Objective To evaluate the effect of comprehensive intervention on health literacy Kazakh residents in Xinyuan County,Xinjiang in 2019 and 2021,and explore the further effective measures for improving health literacy.Methods In 2019 and 2021,1695 and 1872 Kazakh residents aged 18 to 75 in Xinyuan County were sampled by stratified multi-stage cluster sampling and were asked to fill out health literacy questionnaire.Chi-square test and multivariate logistic regression were used for statistical analysis.Results In 2021,the overall health literacy of Kazakh residents in Xinyuan County,Xinjiang was higher than that in 2019,and the difference was statistically significant,P<0.05.The level of the health knowledge and concept rose,and the health lifestyle and behavior rose,the differences were statistically significant P<0.05.There was no statistical significance in health skills literacy level in 2021 compared with 2019.The level of the scientific health concept,the health information,the prevention and treatment of chronic diseases rose respectively;the level of the safety and first aid decreased,and the differences were statistically significant P<0.05.There was no statistical significance in the changes of infectious disease prevention literacy and basic medical literacy.Multivariate logistic regression analysis showed that people with college background or bachelor′s degree or above,family per capita monthly in comemore than 2000 and without chronic diseases had higher health literacy level,and both had statistical significance(P<0.05).Conclusion The health literacy of Kazak residents in Xinyuan County,Xinjiang improved,but the crowd distribution was not balanced,so people with low educational degrees and low family income should be regarded as the key group of health intervention,and health education in safety and first aid literacy should be strengthened,so as to explore health literacy intervention methods from multiple perspectives.
作者
陈天琪
萨拉·达合斯坦
刘波
CHEN Tianqi;Sala Dahesitan;LIU Bo(School of Health Management,Xinjiang Medical University,Urumqi 830000,Xinjiang Uygur Autonomous Region,P.R.China;Graduate Management Department,the First Clinical Medical College,Xinjiang Medical University,Urumqi 830000,Xinjiang Uygur Autonomous Region,P.R.China;Health Management Center,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830000,Xinjiang Uygur Autonomous Region,P.R.China)
出处
《滨州医学院学报》
2022年第4期305-310,共6页
Journal of Binzhou Medical University
基金
国家社会科学基金(17BGL187)
新疆维吾尔自治区科技支疆计划(2018E02057)。
关键词
哈萨克族
健康素养
干预效果
影响因素
Kazak
health literacy
intervention effect
influencing factor
