目的明确吉林省初中生健康素养水平并分析其影响因素。方法应用多阶段分层整群抽样结合便利抽样的方法,采用余小鸣教授等开发的健康素养问卷以无记名自填问卷方式对吉林省5所初中882名学生进行问卷调查,利用Epi Data 3.0软件录入和校正...目的明确吉林省初中生健康素养水平并分析其影响因素。方法应用多阶段分层整群抽样结合便利抽样的方法,采用余小鸣教授等开发的健康素养问卷以无记名自填问卷方式对吉林省5所初中882名学生进行问卷调查,利用Epi Data 3.0软件录入和校正数据,应用SPSS 19.0软件进行统计分析。结果我国初中生健康素养总分平均分为(0.74±0.11)分,处于中上等水平,其健康知识、健康理念、健康技能和健康行为4个维度均具有较高的得分,分别为(0.75±0.14)、(0.75±0.18)、(0.74±0.20)和(0.71±0.10)分;经单因素方差分析,性别(t=3.957,P=0.047)、民族(t=37.041,P<0.01)、留守(t=22.551,P<0.01)、居住地(t=72.869,P<0.01)等人口学特征差异均具有统计学意义(P<0.05)。多元线性回归方程结果显示,与农村、成绩中等、住宿、初一的初中生相比,城市、成绩中等偏下和偏上、非住宿生、初二及年龄稍大的初中生健康素养要高。其回归方程R^2=0.224,P<0.01。结论吉林省初中生具备较好的健康素养,有必要对初中生健康素养展开更高层次的研究。展开更多
Patient involvement in the health care process has been documented as a critical component of successful disease management. However, inadequate functional health literacy among patients is a well-known barrier to eff...Patient involvement in the health care process has been documented as a critical component of successful disease management. However, inadequate functional health literacy among patients is a well-known barrier to effective doctor-patient communication, which has an adverse effect on health outcomes. This study aimed at investigating the association of functional health literacy and doctor-patient communication among HIV/AIDS patients in Homa Bay County, Kenya. It was a cross-sectional hospital-based survey conducted among 362 HIV/AIDS patients receiving care at the eight sub-county hospitals of Homa Bay county. Data was collected using a self-administered structured questionnaire. Cronbach’s alpha and confirmatory factor analysis tests were used to ascertain the reliability and validity of study instruments, while Logistic regression logistic analysis was used to measure the association between functional health literacy and doctor-patient communication. 51% of the respondents were females, and the majority (30.9%) of respondents fell in the age group of 45 years and above. The respondents’ functional health literacy levels were inadequate at weighted means scores of 3.23 [SD 1.31]. The study further established that functional health literacy significantly influenced doctor-patient communication [Nagelkerke R square = 0.318]. There is, therefore, a need to document the determinants of functional health literacy to improve it and make doctor-patient interaction an enjoyable and meaningful experience.展开更多
文摘目的明确吉林省初中生健康素养水平并分析其影响因素。方法应用多阶段分层整群抽样结合便利抽样的方法,采用余小鸣教授等开发的健康素养问卷以无记名自填问卷方式对吉林省5所初中882名学生进行问卷调查,利用Epi Data 3.0软件录入和校正数据,应用SPSS 19.0软件进行统计分析。结果我国初中生健康素养总分平均分为(0.74±0.11)分,处于中上等水平,其健康知识、健康理念、健康技能和健康行为4个维度均具有较高的得分,分别为(0.75±0.14)、(0.75±0.18)、(0.74±0.20)和(0.71±0.10)分;经单因素方差分析,性别(t=3.957,P=0.047)、民族(t=37.041,P<0.01)、留守(t=22.551,P<0.01)、居住地(t=72.869,P<0.01)等人口学特征差异均具有统计学意义(P<0.05)。多元线性回归方程结果显示,与农村、成绩中等、住宿、初一的初中生相比,城市、成绩中等偏下和偏上、非住宿生、初二及年龄稍大的初中生健康素养要高。其回归方程R^2=0.224,P<0.01。结论吉林省初中生具备较好的健康素养,有必要对初中生健康素养展开更高层次的研究。
文摘Patient involvement in the health care process has been documented as a critical component of successful disease management. However, inadequate functional health literacy among patients is a well-known barrier to effective doctor-patient communication, which has an adverse effect on health outcomes. This study aimed at investigating the association of functional health literacy and doctor-patient communication among HIV/AIDS patients in Homa Bay County, Kenya. It was a cross-sectional hospital-based survey conducted among 362 HIV/AIDS patients receiving care at the eight sub-county hospitals of Homa Bay county. Data was collected using a self-administered structured questionnaire. Cronbach’s alpha and confirmatory factor analysis tests were used to ascertain the reliability and validity of study instruments, while Logistic regression logistic analysis was used to measure the association between functional health literacy and doctor-patient communication. 51% of the respondents were females, and the majority (30.9%) of respondents fell in the age group of 45 years and above. The respondents’ functional health literacy levels were inadequate at weighted means scores of 3.23 [SD 1.31]. The study further established that functional health literacy significantly influenced doctor-patient communication [Nagelkerke R square = 0.318]. There is, therefore, a need to document the determinants of functional health literacy to improve it and make doctor-patient interaction an enjoyable and meaningful experience.