2018年广州市荔湾区居民健康素养水平及其影响因素  

Study on health literacy and its influencing factors of residents in Liwan District of Guangzhou city in 2018

作　　者：陈秋月 杨翠辉[1] 陆龙[1] CHEN Qiuyue;YANG Cuihui;LU Long(Guangzhou Liwan District Center for Disease Control and Prevention,Guangzhou,Guangdong 510176,China)

机构地区：[1]广州市荔湾区疾病预防控制中心,广东广州510176

出　　处：《现代医药卫生》2022年第6期929-934,共6页Journal of Modern Medicine & Health

基　　金：广东省广州市荔湾区科技工业和信息化局科技计划项目(201804012)。

摘　　要：目的了解广州市荔湾区居民健康素养情况并综合分析影响因素。方法通过分层多阶段随机抽样方法,对荔湾区1094名15~69周岁常住居民开展健康素养调查。结果2018年荔湾区居民的整体健康素养水平为20.93%。荔湾区居民基本知识和理念、健康生活方式与行为、健康技能三方面健康素养水平分别为38.12%、21.12%、20.38%,Kendall相关性分析结果显示,居民三方面健康素养具备情况两两间比较具有显著相关性(P<0.05)。六类健康问题健康素养水平最高的为安全与急救(52.19%),最低为传染病防治(15.81%)。logistic回归分析结果显示,与15~<20岁相比,60~69岁是居民健康素养水平的不利因素[比值比(OR)=0.261];与小学及以下文化程度相比,大专/本科、硕士研究生及以上是居民健康素养水平的促进因素(OR分别为3.187、3.912);与家庭年收入1万元以下的居民相比,年收入30万以上的居民健康素养水平最高(OR=5.552)。结论广州市荔湾区居民健康素养水平一般;居民三方面健康素养水平相互促进,需协同提升;传染病防治素养水平亟须提高;应对老年人、文化程度及家庭年收入较低的群体重点投入。Objective To understand the health literacy and analyze its influencing factors among residents in Liwan of Guangdong.Methods The method of stratified multi-stage random sampling were used to investigate the health literacy level of 1094 permanent residents aged 15-69 years old in Liwan District.Results The level of health literacy among residents in Liwan in 2018 was 20.93%.The health literacy levels of basic knowledge and concepts,healthy lifestyles and behaviors,health skills were 38.12%,21.12%,20.38%,respectively.Kendall correlation analysis showed that there was a significant correlation between the three aspects of health literacy(P<0.05).Among the six aspects of health problems,the highest level of health literacy was 52.19%for safety and first aid,and the lowest was 15.81%for the prevention and control of infectious diseases.Logistic regression analysis demonstrated that compared with 15-<20 years old,60-69 years old was a risk factor for health literacy[odds ratiol(OR)=0.261].Compared with elementary school and below,college/undergraduate,master and above were the protective factors of health literacy(OR=3.187,3.912,respectively).Compared with residents′families with an annual income of less than 10000,residents with an annual income of more than 300,000 had the highest level of health literacy(OR=5.552).Conclusion The health literacy level among residents in Liwan of Guangdong is ordinary.The three aspects of health literacy promote each other and need to be improved in coordination.It is urgent to improve the quality of infectious disease prevention and treatment.Key investments should be made to the elderly with low educational levels and family annual income.

关 键 词：健康素养 影响因素 调查报告 广东 

分 类 号：R126[医药卫生—环境卫生学]