长沙高校大学生健康素养影响因素的有序logistic回归分析  

Ordinal regression analysis on influence factors of health literacy among college students in Changsha

作　　者：明辉 牟劲松[2] 张淑君[3] 

机构地区：[1]湖南省胸科医院,湖南长沙410013 [2]长沙医学院 [3]湖南省疾病预防控制中心

出　　处：《实用预防医学》2016年第5期557-560,共4页Practical Preventive Medicine

基　　金：湖南省教育厅高校科研项目(12C0491)

摘　　要：目的探讨长沙市高校在校大学生健康素养现状及其影响因素,为优化高校健康教育提供科学依据。方法采用分层整群随机抽样的方法抽取长沙市大学生2 680名进行问卷调查,并对健康素养相关影响因素进行单因素和有序logistic回归分析。结果对2 284份有效问卷(问卷回收率85.2%)分析,学校类别、年级、性别、专业和父亲受教育程度为影响大学生健康素养水平的独立因素,其表现为:随年级升高而降低(OR=1.14);一本院校高于二本、三本及专科院校(OR=0.50、0.60、0.77);女生高于男生(OR=0.77);医学专业高于非医学专业(OR=0.83);父亲受教育程度越高健康素养水平越高,父亲接受大学及以上教育的大学生健康素养最高(OR=0.20)。结论父亲受教育程度对长沙市大学生形成良好的健康素养有非常积极的意义;不同类别的院校应采取不同的策略开展健康教育,非重点院校与非医学院校(或非医学专业)尤其要加大健康教育力度;重点关注新生、高年级学生及男生健康素养状况。Objective To investigate the status of health literacy among college students and its influence factors in Changsha, so as to provide scientific evidence for optimization of health education in colleges. Methods A questionnaire survey was con- ducted among 2,680 college students selected by stratified cluster random sampling from colleges in Changsha. Single factor anal- ysis and ordinal logistic regression analysis were used to explore its influence factors. Results Totally, 2,284 effective ques- tionnaires were recovered, and the recovery rate was 85.2 %. Analysis of the 2,181 effective questionnaires indicated that college category, grade, gender, major and the education degree of fathers were the independent factors influencing health literacy of col- lege students （P〈0.05）. The health literacy tended to get poorer as age increased（ OR = 1.14）. Students in the first- class u- niversities had the highest health literacy, followed by students in the second- class universities, the third- class universities and those in the associate colleges（ OR = 0. 50, 0.60, 0.77）. Female students had better health literacy than males（ OR = 0. 77）, and medical students had better health literacy than non- medical students（ OR = 0.83）. The higher the fathers＇ education lev- el, the better the college students＇ health literacy. Students whose fathers had received college education or above had the best health literacy（ OR = 0.20）. Conclusions The health literacy of college students in Changsha is positively related with their fathers＇ education level. Different types of colleges and universities should take different strategies to carry out health education. Particularly, non- key colleges and universities and non - medical ones should strengthen and improve health education. The health literacy of freshmen, high grade students and male students should be paid more attention.

关 键 词：健康素养 影响因素 有序logistic回归 大学生 

分 类 号：R193[医药卫生—卫生事业管理]