陕北偏僻农村常住居民健康素养水平及其影响因素  

The health literacy level and its influencing factors in remote rural permanent residents of North Shaanxi

作　　者：张大海 马改平[2] 樊霞[1] 何进伟[1] 高雅妮 牛娜 李晓凤 ZHANG Da-hai;MA Gai-ping;FAN Xia;HE Jin-wei;GAO Ya-ni;NIU Na;LI Xiao-feng(Medical College of Yan′an University;Affilliated Hospital of Yan′an University,Yan′an 716000,China)

机构地区：[1]延安大学医学院 [2]延安大学附属医院,陕西延安716000

出　　处：《延安大学学报（医学科学版）》2019年第4期14-18,共5页Journal of Yan'an University:Medical Science Edition

基　　金：陕西省教育厅专项科研基金(12JK0714);延安大学资政育人调研项目(YDZZYB17-081)

摘　　要：目的了解陕北偏僻农村常住居民健康素养水平及其主要影响因素,找出薄弱环节,为农村健康素养水平的发展提供科学依据。方法采用抽样调查研究方案对1120人进行健康素养问卷调查,以每个人的总得分达到总满分的80%及以上为具备健康素养,达到总满分的60%~80%为初步具备健康素养。用非条件Logistic回归进行多因素分析。结果调查对象健康素养具备率2.29%(25/1092),其95%CI(1.40%~3.18%),初步具备率22.96%(245/1067),其95%CI(20.44%~25.48%);三个维度健康素养中健康生活方式与行为的具备率(5.49%)和初步具备率(19.57%)均较低;六类问题健康素养中健康信息获取素养的具备率(2.47%)和初步具备率(7.79%)均非常低。健康素养最重要的影响因素是文化程度,其OR及95%CI是5.23和2.32~11.82。结论陕北偏僻农村常住居民健康素养水平极其低,是健康素养的薄弱环节,急需大力发展。Objective To evaluate the health literacy level in remote rural permanent residents of North Shaanxi,find out the influencing factors and weakness of population health,and provide a scientific basis for improving health literacy level in remote rural.Methods A questionnaire survey was conducted among 1120 rural permanent residents in North Shaanxi by random sampling.With a total score of 80%or more of the total score of each person as having a healthy literacy,multivariate analysis was performed by unconditional logistic regression.Results 2.29%(95%CI:1.40%~3.18%)of rural permanent residents have healthy literacy,and 22.96%(95%CI:20.44%~25.48%)of them were evaluated as primary healthy literacy.Among three dimensionalities of healthy literacy,the rates of basic knowledge and concept literacy,healthy lifestyle and behavior,basic skill were 3.48%,5.49%and 11.36%respectively.The lowest rate of 6 health issues was health information acquisition,just 2.47%.The most important factor influencing health literacy is the level of education,and its OR was 5.23(95%CI:2.32~11.82).Conclusion The health literacy level was very low in remote rural permanent residents of North Shaanxi.It is urgently need to improve the health literacy of such population.

关 键 词：陕北 农村常住居民 健康素养水平 影响因素 

分 类 号：R193[医药卫生—卫生事业管理]