湖北省15～69岁居民健康素养现况调查  

A cross-sectional study on the status of health literacy among residents aged 15-69 years old in Hubei Province

作　　者：罗彦[1] 马丽娜[1] 镇重[1] 卞晨阳 余惠红[1] 李玲[1] LUO Yan;MA Li-na;ZHEN Zhong;BIAN Chen-yang;YU Hui-hong;LI Ling(Provincial Center for Disease Control and Prevention,Wuhan430017,China)

机构地区：[1]湖北省疾病预防控制中心,湖北武汉430079

出　　处：《中国健康教育》2018年第2期99-104,共6页Chinese Journal of Health Education

基　　金：2015年中央补助地方健康素养促进行动项目

摘　　要：目的分析湖北省15~69岁居民健康素养水平现况,为制定健康教育政策和措施提供科学依据。方法 2015年9—12月,采用多阶段分层随机抽样方法,抽取湖北省12个县(市、区)2878名15~69岁常住居民进行入户调查,使用第六次人口普查数据对调查数据进行复杂抽样加权调整。结果湖北省15~69岁城乡居民健康素养水平为10.7%。城市居民素养水平(17.8%)高于农村居民(6.5%)(P<0.01);35~44岁居民素养水平最高(16.5%),65~69岁居民素养水平最低(2.7%)(P<0.01)。文化程度越高的居民,健康素养水平越高(χ~2=303.731,P<0.01)。机关事业单位人员素养水平高于其他职业人员(P<0.01)。患慢性病的居民健康素养水平(5.1%)低于没有患慢性病的居民(11.8%)(P<0.01)。健康基本知识和理念、健康生活方式与行为、健康技能素养水平分别为34.7%、14.2%和22.1%。6类健康问题的健康素养具备率从高到低依次为安全与急救素养48.6%、健康信息素养38.8%、基本医疗素养37.1%、科学健康观素养24.9%、传染病防治素养14.9%和慢性病防治素养10.0%。结论湖北省居民健康素养水平有待提升,农民、青少年、老年人、低文化程度者,农村地区和少数名族地区应该作为今后健康教育和健康促进工作的重点人群与重点地区。Objective To understand the status of health literacy among residents aged 15-69 years old in Hubei Province,and to provide scientific evidence for making further health education strategies and measures.Methods stratified clustering random sampling was used,and a questionnaire survey in 12 surveillance conducted from Sep to Dec 2015,a total of 2878 residents aged 1 5-6 9 years were selected,and the data of 6th national population census were used for the complex sampling weighting adjustments.Results The level of health literacy(LHL)of residents aged 15-69 years was 10.7%.The LHL of the urban residents(17.8%)was higher than urban residents(6.5%)(P<0.01).Residents aged 35-44 years old had the highest LHL(16.5%),while residents aged 60-69 years old hadthelowest LHL(2.7%)(P<0.01).Residents with better education had higher LHL(X=303.731,P<0.01).Residents who worked in organizations and institutions had higher LHL than other occupation of residents with chronic disease(5.1%)was lower than who had not((1.8%)(P<0.01).The LHL of basic health concepts and knowledge,health lifestyle and behaviors,and health skills were 34.7%,14.2%and 22.1%,respectively.6 health issues from high to low were safety and first aid literacy(48.6%),health information medical care literacy(37.1%),scientific view literacy(24.9%),infectious diseases prevention literacy(14.9%),and chronic diseases prevention literacy((0.0%).Conclusion The LHL of residents in Hubei Province need to be improved.Farmer,teenagers,the elderly,people with low level of education,the rural area,and the ethnic the key population and areas.

关 键 词：城乡居民 健康素养 现况调查 

分 类 号：R193[医药卫生—卫生事业管理]