宁波市2018年居民健康素养水平及影响因素分析  

Status of health literacy and its influencing factors among residents in Ningbo City,2018

作　　者：梅秋红[1] 朱莹莹[1] 徐倩倩[1] 贺天锋[1] MEI Qiuhong;ZHU Yingying;XU Qianqian;HE Tianfeng(Ningbo Municipal Center for Disease Control and Prevention,Ningbo,Zhejiang 315010,China)

机构地区：[1]浙江省宁波市疾病预防控制中心,浙江宁波315010

出　　处：《中国农村卫生事业管理》2020年第5期364-368,共5页Chinese Rural Health Service Administration

基　　金：宁波市医疗卫生品牌学科(ppxk2018-10)。

摘　　要：目的了解宁波市居民健康素养水平及其影响因素,为卫生行政部门制定健康政策提供依据。方法采用分层多阶段随机抽样方法抽取6634名15~69岁非集体居民的常住居民,采用《2018年全国居民健康素养监测调查问卷》进行入户调查。结果宁波市居民健康素养具备率为27.60%。三个方面的健康素养具备率分别为基本知识和理念素养40.63%,健康生活方式与行为素养27.97%,基本技能素养29.55%。六类健康问题素养具备率由高到低依次为:安全与急救素养59.99%,科学健康观素养57.74%,健康信息素养41.77%,慢性病防治素养35.59%,基本医疗素养26.55%,传染病防治素养23.94%。城市居民健康素养高于农村居民(χ^2=26.22,P<0.05);文化程度越高,居民健康素养水平越高(χ^2=575.03,P<0.05)。logistic回归分析显示(P<0.01),城乡、文化程度是宁波市居民健康素养的影响因素。结论根据居民城乡、年龄、文化程度、职业特点有针对性地开展健康教育,提升居民健康素养水平。Objective To investigate the status of health literacy and its influencing factors among residents in Ningbo City,so as to provide reference for health policymaking of health administrative departments.Methods A total of 6634 non-collective residents aged from 15 to 69 were selected by stratified multi-stage random sampling method,and a household survey was conducted by using the National Health Literacy Surveillance Questionnaire in 2018.Results The health literacy rate of Ningbo residents was 27.60%.The rates for three items of health literacy were 40.63%for basic knowledge and conception,27.97%for healthy lifestyle and behavior,and 29.55%for basic skills.The literacy rates of six issues of health ranking from high to low were 59.99%for safety and first aid,57.74%for scientific attitude towards health,41.77%for access to health information,35.59%for prevention and treatment of chronic non-communicable diseases,26.55%for primary healthcare,and 23.94%for infectious disease prevention.The health literacy of urban residents was higher than that of rural residents(χ^2=26.22,P<0.05),and the higher the education level,the higher the health literacy level of residents(χ^2=575.03,P<0.05).Logistic regression analysis showed that the influencing factors of health literacy of residents in Ningbo City were urban or rural areas,and educational level.Conclusions Targeted health education should be carried out according to different areas,age,educational level,and occupation,so as to improve health literacy of residents.

关 键 词：居民 健康素养 影响因素 

分 类 号：R193[医药卫生—卫生事业管理]