2008～2017上海市居民健康素养时序变化与孕产妇及婴幼儿死亡率的相关性  

Correlation between health literacy,maternal mortality and infant mortality in Shanghai residents from 2008 to 2017

作　　者：夏宇 陈任 陈菲[4] 李伯阳[5] 潘新锋 高翔 李程跃[7,8] 徐凌忠 XIA Yu;CHEN Ren;CHEN Fei;LI Boyang;PAN Xinfeng;GAO Xiang;LI Chengyue;XU Lingzhong(Department of Social Medicine and Maternal&Child Health,School of Public Health,Shandong University,Jinan 250012,Shandong,China;Center for Health Economics Experiment and Public Policy Research,Shandong University,Jinan 250012,Shandong,China;Department of Health Management,School of Health Services Management,Anhui Medical University,Hefei 230032,Anhui,China;Department of Public Utilities Management,School of Public Health and Management,Chongqing Medical University,Chongqing 400016,China;Department of Health Management,School of Medicine and Health Management,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,Hubei,China;Shanghai Center for Health Promotion,Shanghai 200040,China;Research Institute of Health Development Strategies,Fudan University,Shanghai 200032,China;Collaborative Innovation Center of Social Risks Governance in Health,Shanghai 200032,China)

机构地区：[1]山东大学公共卫生学院社会医学与妇幼保健系,山东济南250012 [2]山东大学卫生经济实验与公共政策研究中心,山东济南250012 [3]安徽医科大学卫生管理学院卫生管理系,安徽合肥230032 [4]重庆医科大学公共卫生与管理学院公共事业管理学系,重庆400016 [5]华中科技大学同济医学院医药卫生管理学院卫生管理系,湖北武汉430030 [6]上海市健康促进中心,上海200040 [7]复旦大学卫生发展战略研究中心,上海200032 [8]健康相关重大社会风险预警协同创新中心,上海200032

出　　处：《山东大学学报（医学版）》2019年第12期97-102,共6页Journal of Shandong University:Health Sciences

基　　金：国家自然科学基金(71673169、71673170、71974118)

摘　　要：目的探讨上海市居民健康素养水平与孕产妇死亡率和婴儿死亡率的关系。方法数据来源于上海统计局及其他相关文献。利用描述性统计分析三者变化趋势,采用Spearman秩相关和广义线性模型分析健康素养与孕产妇死亡率和婴幼儿死亡率的相关和回归结果。结果 2008年至2017年上海市居民健康素养水平由6.97%持续上升至25.36%,而孕产妇死亡率和婴幼儿死亡率发生了相反的变化。Spearman秩相关分析结果表明,居民健康素养水平、健康生活方式与行为、科学健康观素养水平、安全与急救素养水平与孕产妇死亡率呈负相关(相关系数分别为-0.817、-0.683、-0.783、-0.717,P<0.05),健康素养水平、健康生活方式与行为、科学健康观素养水平、安全与急救素养水平、基本医疗素养水平与婴儿死亡率呈负相关(相关系数分别为-0.833、-0.717、-0.883、-0.800、-0.683,P<0.05)。回归结果表明,居民健康素养水平、健康生活方式与行为、科学健康观素养水平、安全与急救素养水平对孕产妇死亡率和婴幼儿死亡率均有影响,另外基本医疗素养水平对婴幼儿死亡率有影响,均有统计学意义(P<0.05)。结论健康素养与孕产妇死亡率和婴幼儿死亡率分别呈负相关。从回归结果来看,它对母婴健康结果有重要影响。建议从政府政策、社区健康促进项目、健康素养监测活动方面促进健康素养提升。Objective To explore the relationship between health literacy(HL), maternal mortality rate(MMR) and infant mortality rate(IMR) among Shanghai residents. Methods The HL, MMR and IMR data from Shanghai Municipal Bureau of Statistics and other literatures were used for descriptive statistical analyses to show the changing trends. Correlation and regression results between HL, MMR and IMR were obtained from Spearman rank correlation and generalized linear model analyses. Results The HL level had increased continuously from 6.97% to 25.36% between 2008 and 2017, while MMR and IMR declined. Spearman rank correlation analyses showed that there was a significant negative correlation between HL, healthy lifestyle and behavior(HLB), level of scientific health concept literacy(LSHCL), level of safety and first aid literacy(LSFAL) and MMR(the correlation coefficients were-0.817,-0.683,-0.783,-0.717, P<0.05), and IMR(the correlation coefficients were-0.833,-0.717,-0.883,-0.800,-0.683, P<0.05). Regression results indicated that HL, HLB, LSHCL and LSFAL had affected MMR and IMR(P<0.05), and LBML could affect IMR(P<0.05). Conclusion There is a significant negative correlation between HL, MMR and IMR. HL has an important impact on maternal and infant health. We suggest that government policies, community health promotion programs and HL monitoring programs should pay due attention to HL.

关 键 词：健康素养 孕产妇死亡率 婴幼儿死亡率 相关性 

分 类 号：R193[医药卫生—卫生事业管理]