山东省农村居民健康素养及影响因素分析  

Health literacy and its influencing factors among rural residents in Shandong provicince

作　　者：韩志琰[1,2] 谷景亮[1,2] 赵芳[1,2] 宋奎勐[1,2] 窦伟洁[1,2] 马霞[1,2] 温楠[1,2] 李静丽[1,2] 甄天民[1,2] 

机构地区：[1]山东省医药卫生科技信息研究所卫生政策研究室山东省软科学研究基地 [2]山东省医学科学院,济南250062

出　　处：《中国公共卫生》2015年第5期648-651,共4页Chinese Journal of Public Health

基　　金：山东省医学科学院青年基金(2013-41);山东省软科学一般项目(2014RKC03018;2014RKC03021);山东省软科学重点项目(2014RZC03001)

摘　　要：目的了解山东省农村居民健康素养现况及影响因素,为有针对性的制定健康素养干预策略提供依据。方法采用多级分层整群随机抽样方法抽取山东省6个地区72个行政村的1 096名16～85岁的农村居民进行健康素养问卷调查,利用健康素养综合评分进行评价,采用logistic回归分析健康素养的影响因素。结果山东省农村居民健康素养综合评分为（9.74±2.54）分,其中健康知识、阅读和理解、计算及交流沟通评分分别为（3.99±1.33）、（1.98±0.95）、（2.12±1.00）、（1.65±0.56）分;单因素分析结果显示,不同年龄、家庭人口规模、教育程度及婚姻状况的农村居民健康素养综合评分差异有统计学意义（P〈0.05）;非条件logistic回归分析结果显示,农村居民年龄越低健康素养水平越高（OR=1.03）,小学及以下、初中和高中及中专组比大专及以上组健康素养水平低（OR=27.84、11.99、5.70）,未婚组健康素养水平高于丧偶组（OR=4.03）。结论山东省农村居民健康素养总体处于中等水平,年龄、教育程度与婚姻状况是山东省农村居民健康素养的重要影响因素。Objective To analyze the health literacy and its influencing factors among rural residents and to provide evidences for making specific intervention strategy. Methods By using multistage stratified cluster random sampling,1 096 rural residents aged 16- 85 years were selected from 72 villages in 6 administrative regions of Shandong province and surveyed with a self-designed questionnaire. Results The average comprehensive health literacy score was 9. 74 ± 2. 54 for the residents and the scores for know ledge,reading and comprehension,calculation,and communication about health were 3. 99 ± 1. 33,1. 98 ± 0. 95,2. 12 ± 1,and 1. 65 ± 0. 56,respectively. Single factor analyses revealed that age,family size,education level,and marital status were significant influencing factors of health literacy in the rural residents（ all P〈0. 05）. Non-conditional logistic regression analyses show ed that the health literacy level was significantly influenced by age inversely and by the education level of the residents positively（ all P〈0. 05） and the unmarried residents were more likely to have a higher health literacy compared to the w idow ed residents（ P〈0. 05）. Conclusion Health literacy is at a medium level and mainly influenced by age,family size,and education level among the rural residents in Shandong province.

关 键 词：农村居民 健康素养 影响因素 

分 类 号：R195[医药卫生—卫生统计学]