健康体检人群的电子健康素养现状及影响因素  

Status and influencing factors of eHealth literacy in health examination population

作　　者：吴盛忠 高点 王冬 WU Shengzhong;GAO Dian;WANG Dong(School qf Health Management,Southern Medical University,Guangzhou 510515,China)

机构地区：[1]南方医科大学卫生管理学院,广州510515

出　　处：《实用医学杂志》2022年第9期1141-1146,共6页The Journal of Practical Medicine

基　　金：2021年度广东省基础与应用基础研究基金自然科学基金(编号:2021A1515011973);广东省高校哲学社科“公共卫生政策研究与评价”重点实验室(编号:2015WSY0010);广州市公共卫生服务体系建设重点研究基地(编号:2021-2023年)。

摘　　要：目的分析健康体检人群的电子健康素养现状及其影响因素,为提高健康体检人群的电子健康素养提供依据。方法选取2021年7-10月广东省某三级甲等医院1200例健康体检人员为调查对象,运用简体中文版电子健康素养量表(simplified Chinese eHealth Literacy Scale,SC-eHEALS)调查其电子健康素养现状,根据得分是否合格将其分为合格组和不合格组,并采用logistic回归分析健康体检人员电子健康素养合格的影响因素。结果共发放问卷及量表1200份,收回有效问卷及量表1027份,有效率为85.9%。电子健康素养平均得分为(28.64±5.81)分,合格率为36.4%;条目均分为(3.58±0.73)分。网络健康信息与服务的应用能力、评判能力及决策能力三个维度的条目均分为(3.63±0.83)、(3.54±0.85)、(3.40±0.90)分。年龄>50岁(OR=0.41,95%CI:0.21~0.80)、职业类别(国有企业)(OR=1.51,95%CI:1.03~2.21)、体检次数≥4次(OR=0.62,95%CI:0.40~0.98)、对自身心理健康状态比较关注和非常关注(OR=2.45,95%CI:1.34~4.49;OR=4.38,95%CI:2.12~9.04)是健康体检人员电子健康素养合格的影响因素(P<0.05)。结论健康体检人员的电子健康素养水平有待提高,应关注健康体检人员的年龄、职业类别、体检次数、心理健康状态,以提升电子健康素养水平。Objective To investigate the status and influencing factors of eHealth literacy in health examination population,in order to provide a basis for improving the eHealth literacy of the health examination population.Methods A total of 1200 health examination population in a tertiary hospital in Guangdong Province were selected from July to October 2021.The simplified Chinese version of eHealth Literacy Scale(SC-eHEALS)was used to investigate their eHealth literacy.The Subjects were divided into qualified group and unqualified group according to their scores,and logistic regression was used to analyze the influencing factors of eHealth literacy.Results The survey obtained a response rate of 85.9%(1027/1200).The total score of the scale was(28.64±5.81),with a pass rate of 36.4%,and the mean score of the items was(3.58±0.73).The entries for the three dimensions of the ability to apply,judge and make decisions about online health information and services were(3.63±0.83),(3.54±0.85)and(3.40±0.90).Logistic regression analysis showed that age(above 50 yearsold:OR=0.41,95%CI:0.21~0.80),type of occupation(State-owned enterprises:OR=1.51,95%CI:1.03~2.21),frequncey of health examination(4 th and above:OR=0.62,95%CI:0.40~0.98),and concern for one’s own mental health state(moreconcern:OR=2.45,95%CI:1.34~4.49;mostconcern:OR=4.38,95%GI:2.12~9.04)_were the influencing factors of health examination population(P<0.05).Conclusion The eHealth literacy level of health examination population needs to be improved.Attention should be paid to the age,occupation,frequency of health examination and mental health status of this population.

关 键 词：电子健康素养 健康体检人员 影响因素 

分 类 号：R194.3[医药卫生—卫生事业管理]