乌鲁木齐市居民健康素养现状及影响因素  

Level and associates of health literacy among residents of Urumqi municipality,2018

作　　者：韩金慧 梅建军[2] 胡筱蕾 王晓黎 文国新 HAN Jin-hui;MEI Jian-jun;HU Xiao-lei(Department of Epidemiology and Health Statistics,School of Public Health,Xinjiang Medical University,Urumqi,Xinjiang Uygur Autonomous Region 830000,China;不详)

机构地区：[1]新疆医科大学公共卫生学院流行病与卫生统计学教研室,乌鲁木齐830000 [2]新疆乌鲁木齐市疾病预防控制中心 [3]新疆乌鲁木齐市头屯河区疾病预防控制中心

出　　处：《中国公共卫生》2020年第5期802-806,共5页Chinese Journal of Public Health

摘　　要：目的了解新疆维吾尔自治区乌鲁木齐市居民健康素养水平现状及影响因素。方法于2018年9—10月采用多阶段随机抽样,对乌鲁木齐市4000名15~69岁常住居民进行调查,不同特征人群健康素养水平采用χ^2检验进行比较,影响因素分析采用非条件二分类变量的logistic回归方法。结果乌鲁木齐市居民健康素养水平为13.1%。3个维度水平依次为基本技能(25.7%)、基本知识和理念(19.2%)、健康生活方式与行为(16.6%);6类健康问题的水平最高为安全与急救知识(40.1%)、最低为健康信息素养(8.6%)。健康素养水平25~34岁年龄段最高(19.6%),文化程度越高健康素养水平越高(χ^2=238.96,P<0.05);事业单位人员健康素养水平最高(17.2%)。logistic回归分析结果显示:35~44岁年龄组素养水平高于15~24岁年龄组(OR=1.82,95%CI=1.18~2.80);本科及以上组健康素养水平最高(OR=8.75,95%CI=5.30~14.45);其他职业健康素养水平高于工人/职员(OR=1.58,95%CI=1.21~2.07)。结论乌鲁木齐市居民健康素养水平仍有待提升,年龄、文化程度、职业均是健康素养水平影响因素。Objective To examine the status quo and influencing factors of health literacy among residents in Urumqi municipality of Xinjiang Uygur Autonomous Region.Methods Using multistage random sampling,we conducted a survey among 4000 permanent residents aged 15–69 years in Urumuqi municipality with the national health literacy questionnaire between September and October 2018.Chi-square test was used to analyze disparities in health literacy level and unconditional logistic regression for categorical variables was adopted to explore influencing factors of health literacy.Results Among the 3719 respondents with valid information,13.1%were assessed with adequate overall health literacy and the proportions with adequate major health literacy domains were 19.2%for basic knowledge and theory,16.6%for healthy lifestyles and 25.7%for fundamental skills,with the highest proportion(40.1%)for safety and first aid and the lowest(8.6%)for health information among the 6 health literacy aspects.The proportion of with adequate health literacy was higher among the respondents aged 25–34 years(19.6%)and working in public institutions(17.2%)and the health literacy level was positively correlated with education among the respondents(χ^2=238.96,P<0.05).Logistic regression analysis demonstrated that following respondents were more likely to have a higher health literacy:aged 35–44 years(compared to the aged 15–24 years:odds ratio[OR]=1.82,95%confidence interval[95%CI]:1.18–2.80),with the education of undergraduate and above(OR=8.75[95%CI:5.30–14.45]),and with the occupation of other than worker/office clerk(OR=1.58[95%CI:1.21–2.07]).Conclusion The health literacy needs to be improved among residents in Urumqi city and age,education,and occupation are main factors influencing health literacy in the residents.

关 键 词：健康素养 LOGISTIC回归 乌鲁木齐 

分 类 号：R193[医药卫生—卫生事业管理]