嘉兴市初中学生健康素养水平及影响因素分析  

Health literacy of junior high school students in Jiaxing and its influencing factors

作　　者：郭飞飞 凌洁[1] 俞慧芳[1] 施秀珍[1] 徐漪 GUO Feifei;LING Jie;YU Huifang;SHI Xiuzhen;XU Yi(Department of Health Education,Jiaxing Center for Disease Control and Prevention,Jiaxing,Zhejiang 314050,China)

机构地区：[1]嘉兴市疾病预防控制中心健康教育所,浙江嘉兴314050

出　　处：《预防医学》2021年第4期349-353,共5页CHINA PREVENTIVE MEDICINE JOURNAL

基　　金：嘉兴市科技计划项目(2019AD32232)。

摘　　要：目的了解嘉兴市初中学生健康素养水平并分析影响因素,为提高青少年健康素养水平提供依据。方法采用多阶段整群随机抽样方法,选择在嘉兴市学习并连续居住≥6个月的初中学生为调查对象,采用自行设计的调查问卷收集嘉兴市初中学生的基本信息以及基本知识和理念、健康生活方式与行为、基本技能三个方面健康素养水平。采用多因素Logistic回归模型分析初中学生健康素养的影响因素。结果共回收问卷1773份,回收有效问卷1738份,回收有效率为98.03%。具备健康素养397人,具备率为22.84%(95%CI:20.87%~24.82%),其中基本知识和理念、健康生活方式与行为、基本技能具备率分别为55.29%(95%CI:52.95%~57.63%)、21.75%(95%CI:19.81%~23.69%)、53.05%(95%CI:50.70%~55.40%)。多因素Logistic回归分析结果显示,初二及以上年级(OR:1.609~1.835,95%CI:1.195~2.459)、母亲文化程度为中专或高中及以上(OR:1.965~1.976,95%CI:1.276~3.357)、自评学习成绩为中等及以上(OR:1.881~2.441,95%CI:1.359~3.335)是初中学生健康素养的促进因素;自评健康状况为不健康(OR=0.254,95%CI:0.089~0.721)是初中学生健康素养的阻碍因素。结论嘉兴市初中学生健康素养具备率为22.84%,健康生活方式与行为素养水平相对较低。年级、母亲文化程度、自评学习成绩和自评健康状况均可能影响初中学生的健康素养水平。Objective To learn the health literacy level and its influencing factors among junior high school students in Jiaxing,so as to provide basis for health promotion of adolescents.Methods The junior high school students who had been studying and living in Jiaxing for more than six months were selected by multistage cluster random sampling method.A questionnaire survey was conducted to collect general information and health literacy level(including basic knowledge and concept,healthy lifestyle and behaviors,and basic skills)of these selected students.The multivariate logistic regression model was used to analyze the influencing factors for health literacy.Results Of 1773 questionnaires collected,1738 were valid,accounting for 98.03%.The level of health literacy in the junior high school students in Jiaxing was 22.84%(95%CI:20.87%-24.82%),The levels of basic knowledge and concept,healthy lifestyle and behaviors,and basic skills were 55.29%(95%CI:52.95%-57.63%),21.75%(95%CI:19.81%-23.69%),53.05%(95%CI:50.70%-55.40%),respectively.Multivariate logistic regression analysis showed that the second grade and above(OR:1.609-1.835,95%CI:1.195-2.459),mother’s educational level of technical secondary school/senior high school and above(OR:1.965-1.976,95%CI:1.276-3.357),and self-rated academic achievement of medium and above(OR:1.881-2.441,95%CI:1.359-3.335)were the promoting factors for health literacy level of junior high school students;self rated health status as unhealthy(OR=0.254,95%CI:0.089-0.721)was an obstructive factor.Conclusions The health literacy level of the junior high school students in Jiaxing was 22.84%.The level of healthy lifestyle and behaviors was the lowest in three aspects.Grade,mother’s educational level,self-rated academic performance and self-rated health status may have impacts on health literacy level of junior high school students.

关 键 词：初中 健康素养 影响因素 

分 类 号：R193.3[医药卫生—卫生事业管理]