2017年长葛市居民健康素养水平及影响因素分析  

Analysis on health literacy level and influencing factors among residents, Changge city,2017

作　　者：毛树存 李洁 唐丽红[1] 马华禹 郑亚南 MAO Shu-cun;LI Jie;TANG Li-hong;MA Hua-yu;ZHENG Ya-nan(Xuchang City Center for Disease Control and Prevetion,Xuchang,Henan 461000,China;不详)

机构地区：[1]许昌市疾病预防控制中心,河南许昌461000

出　　处：《预防医学论坛》2022年第3期227-230,共4页Preventive Medicine Tribune

摘　　要：目的 了解长葛市居民健康素养水平及其影响因素,为有针对性地提高健康素养水平提供科学依据。方法 采用多阶段分层随机抽样方法,选取2017年长葛市15~69岁常住人口为调查对象,进行现场入户问卷调查。使用SPSS 25.0复杂抽样模块对调查数据进行统计分析,分别采用复杂抽样模型的χ;检验和Logistic回归分析进行单因素和多因素分析。结果 调查长葛市常住居民996人,收回有效问卷982份,有效率为98.59%。其中城市居民303人(30.86%),农村居民679人(69.14%);男性473人(48.17%),女性509人(51.83%),调查对象平均年龄为(45.88±13.12)岁。2017年长葛市居民健康素养水平为11.61%,其中健康生活方式与行为素养(10.26%)、慢性病防治素养(11.78%)、传染病防治素养(15.26%)、健康信息素养(15.83%)和基本医疗素养(16.70%)处于相对较低水平。年龄低于45岁(OR=1.36)、高学历水平(OR=2.08)、职业为医务人员(OR=3.32)/公职人员(OR=4.21)/学生(OR=1.59)、高家庭年收入(OR=1.19)是居民健康素养提升的保护因素(P<0.05)。结论 健康生活方式与行为素养、慢性病防治素养、传染病防治素养、健康信息素养和基本医疗素养是长葛市居民的薄弱方面。Objective To understand the health literacy level and its influencing factors of residents in Changge city, so as to provide scientific basis for improving the health literacy level. Methods By using multi-stage stratified random sampling method, the resident population of 15-69 years old in Changge city was selected as the survey object in 2017,and the questionnaire survey was carried out on the spot.SPSS 25.0 complex sampling module was used to analyze the survey data, in which chi-square and Logistic regression analysis were used to analyze single factor and multi-factor respectively. Results A total of 996 permanent residents were surveyed, 982 questionnaires were collected, the effective rate was 98.59%.Among these residents, 303 were urban residents(30.86%),679 were rural residents(69.14%);473 were males(48.17%),509 were females(51.83%),the average age was(45.88±13.123) years.The health literacy level of Changge residents in 2017 was 11.61%,among them, healthy lifestyle and behavior literacy(10.26%),chronic disease prevention literacy(11.78%),infectious disease prevention literacy(15.26%),health information literacy(15.83%) and basic medical literacy(16.70%) were relatively low.Under 45 years of age(OR=1.36),high education level(OR=2.08),occupation as medical staff(OR=3.32)/public officials(OR=4.21)/students(OR=1.59),high family annual income(OR=1.19)was a protective factor for the improvement of residents’ health literacy(P<0.05). Conclusion Healthy lifestyle and behavior literacy, chronic disease prevention literacy, infectious disease prevention literacy, health information literacy and basic medical literacy are the weak aspects of Changge residents.

关 键 词：健康素养 影响因素 复杂抽样 

分 类 号：R181.3[医药卫生—流行病学]