摘要
目的分析上海市居民健康素养水平及其影响因素,为针对性地开展健康素养干预提供参考依据。方法上海市15～69岁城乡常住人口为调查对象,采用多阶段分层随机抽样方法进行抽样,全市共计获得有效问卷27 527份。以第六次全国人口普查上海人口资料构成作为标准人口,按照性别、年龄、文化程度等3个因素进行率的标准化。单因素分析采用χ~2检验,多因素分析采用Logistic回归方法。结果 2017年上海市居民总体健康素养水平为25.36%,其中健康生活方式与行为素养(21. 16%)、慢性病防治素养(24.18%)、传染病防治素养(26.07%)和基本医疗素养(27.98%)相对偏低。各类人群细化分析时,各类健康素养的顺位与人群总体一致。多因素分析显示,高中及以上文化程度、医务人员、家庭年收入≥3万元是健康素养的保护因素。来自农村,年龄≥55岁,农民是健康素养的危险因素。结论健康生活方式与行为、慢性病防治、传染病防治和基本医疗素养是上海市民的薄弱方面。来自农村、年龄≥55岁、初中及以下文化程度、农民以及家庭年收入<3万元的居民是健康素养的薄弱人群。
Objective To analyze the health literacy level of Shanghai residents and its influencing factors,and to provide references for targeted health literacy intervention.Methods Urban and rural residents aged 15-69 year old were selected,and a multi-stage stratified random sampling method was used.A total of 27 527 valid questionnaires were collected.The population data of Shanghai in national census in 2010 were used as standard population,and the standardization was based on gender,age and education level.χ~2 test was used for univariate analysis and logistic regression were used for multiple factors analysis.Results In 2017,the overall health literacy level of Shanghai residents was 25.36%.Among them,healthy lifestyle and behavioral literacy(21.16%),chronic disease prevention literacy(24.18%),infectious disease prevention literacy(26.07%)and basic medical literacy(27.98%)were relatively low.When the various groups of people were refined and analyzed,the ranks of different health literacy were consistent with the population.Multi-factor analysis showed that high school education and above,the medical staff,and the annual income of the family≥30 000 RMB were protective factors for health literacy.Rural residency,aged≥55 years old,farmers were risk factors for health literacy.Conclusion Healthy lifestyles and behaviors literacy,chronic disease prevention literacy,infectious disease prevention literacy and basic medical care literacy were weak aspects of health literacy among residents in Shanghai.Residents from rural areas,aged≥55 years old,junior high school and below,farmers and households with an annual income of<30 000 RMB were weak in healthy literacy.
作者
胡亚飞
潘新锋
陈润洁
丁园
顾沈兵
HU Ya-fei;PAN Xin-feng;CHEN Run-jie;DING Yuan;GU Shen-bing;(Shanghai Center for Health Promotion,shanghai 200040,China)
出处
《中国健康教育》
北大核心
2019年第2期99-103,108,共6页
Chinese Journal of Health Education
基金
上海市第四轮公共卫生三年行动计划重点学科建设项目(15CWZK1001)
关键词
2017
上海
健康素养
影响因素
2017
Shanghai
Health literacy
Influencing factors
