2019年北京市顺义区妇联女性职工健康素养水平及影响因素分析  

Health Literacy and Its Influencing Factors Among Female Employees in Shunyi District Women’s Federation of Beijing in 2019

作　　者：胡建功 赵莹颖[1] 李长青[1] 李印东[1] 李囡 HU Jiangong;ZHAO Yingying;ZHANG Yanyan;LI Yingdong;LI Nan(Shunyi District Centre for Disease Control and Prevention,Beijing 101300,Beijing,China;Beijing Shunyi District Women’s Federation,Beijing 101300,Beijing,China)

机构地区：[1]北京市顺义区疾病预防控制中心,北京101300 [2]北京市顺义区妇女联合会,北京101300

出　　处：《预防医学情报杂志》2021年第4期532-538,共7页Journal of Preventive Medicine Information

摘　　要：目的了解北京市顺义区妇联女性职工健康素养水平及其影响因素,为制定健康素养干预措施提供科学依据。方法采用普查的方法,于2019-11对北京市顺义区妇联系统的全部在职女性职工使用全国统一的《全国居民健康素养监测调查问卷》进行问卷调查并对调查结果进行统计学描述分析。结果北京市顺义区妇联女性职工具备健康素养率是48.4%。基本知识和理念、健康生活方式与行为、基本技能3个方面健康素养具备率分别是66.3%、40.4%和49.3%。6类问题素养具备率由高到低依次为安全与急救75.1%、科学健康观68.1%、传染病防治66.9%、慢性病防治50.0%、健康信息42.0%和基本医疗38.9%。多因素Logistic回归分析结果显示,年龄(P=0.002;18~40岁:OR=1.770,95%CI:1.199~2.612;41~50岁:OR=1.931,95%CI:1.329~2.807)、文化程度(P<0.01;高中/中专/技校:OR=2.397,95%CI:1.522~3.776;大专及以上:OR=2.910,95%CI:1.840~4.602)、家庭年收入(P<0.01;9万元~:OR=2.957,95%CI:1.651~5.299;12万及以上:OR=3.040,95%CI:1.720~5.374)和慢性病患病情况(P=0.004)是影响顺义区妇联女性职工健康素养水平的因素。结论 2019年北京市顺义区妇联女性职工的总体健康素养水平较高,但健康信息和基本医疗素养偏低。应着重加强健康信息和基本医疗方面的专业知识传播,并引导妇联女性职工如何选择和利用正确的健康信息和基本医疗方面知识,尤其是要对文化程度偏低、家庭年收入不高、年龄偏大的患有慢性病的妇联女性职工群体给予关注。Objective To understand the health literacy of female workers in Shunyi District and its influencing factors so as to provide scientific supports for developing intervention strategies of health literacy.Methods All female employees in Shunyi District women’s federation system were investigated by using the national unified questionnaire on health literacy monitoring of residents.Results The overall rate of health literacy in female employees is 48.4%.The awareness rates of basic knowledge and concepts,healthy lifestyle and behaviors,and basic skills are 66.3%,40.4%and 49.3%,respectively.The awareness rates of six health literacy issues from high to low were as follows:safety and first-aid(75.1%),scientific health concepts(68.1%),infectious disease prevention(66.9%),chronic disease prevention(50.0%),health information(42.0%),and basic medical care(38.9%).Logistic regression analysis showed that age(18-40 years old:OR=1.770,95%CI:1.199-2.612;41-50 years old:OR=1.931,95%CI:1.329-2.807),education level(High school/Technical secondary school/Technical School:OR=2.397,95%CI:1.522-3.776;college and above:OR=8.717,95%CI:1.042-72.908),annual household income(90000~:OR=2.957,95%Cl:1.651-5.299;120000 or above:OR=3.040,95%CI:1.720-5.374)and chronic diseases(P=0.004)are the influencing factors of the health literacy in female employees.Conclusion The health literacy of female employees was generally higher in Shunyi District women’s federation in 2019,but the health information and basic medical literacy were lower.We should focus on the dissemination of professional knowledge in health information and basic medical knowledge,and guide women’s Federation employees to choose and use correct health information and basic medical knowledge.Especially,more attention should be paid to women’s federation employees with chronic diseases,low education,low annual family income and old age.

关 键 词：健康素养 妇联女性职工 影响因素 

分 类 号：R193[医药卫生—卫生事业管理]