2019年四川省居民健康素养水平及影响因素分析  

Analysis on the health literacy and influencing factors of residents in Sichuan Province 2019

作　　者：包静梅[1] 彭玮 刘兆炜[1] 李志新[1] BAO Jing-mei;PENG Wei;LIU Zhao-wei;LI Zhi-xin(Sichuan Center for Disease Control and Prevention,Chengdu 610041,Sichuan Province,China)

机构地区：[1]四川省疾病预防控制中心,成都610041

出　　处：《预防医学情报杂志》2022年第6期803-809,共7页Journal of Preventive Medicine Information

摘　　要：目的 旨在深入了解四川省居民健康素养水平,分析其影响因素,为健康素养水平提升提供依据。方法 2019年采用多阶段分层抽样调查方法并使用《全国居民健康素养监测调查问卷》对四川省14个县(市、区)15~69岁居民进行入户调查,采用EpiData 3.1软件建立数据库,采用SPSS 19.0软件进行χ^(2)检验和二元Logistic回归统计分析,检验水准α=0.05。结果 2019年四川省共被调查2 946名,居民健康素养水平为19.42%;其中健康生活方式与行为素养(20.36%)、健康技能素养(19.52%)、基本医疗素养(22.78%)、传染病防治素养(20.56%)和慢性病防治素养(20.30%)较为薄弱。多因素Logistic回归分析结果表明:以65~69岁为参照,15~24、25~34、35~44和45~54岁组健康素养水平相对较高,OR值分别是3.403、2.488、3.170和2.246;以大专/本科及以上为参照,初中及以下、高中/职高/中专健康素养水平相对较低,OR值分别是0.237、0.536;职业方面,以“其他”为参照,医务人员以及企事业单位人员的健康素养水平高于“其他”,OR值分别是1.583;以家庭人均年收入30 000~为参照,<5 000、5 000~10 000和20 000~30 000家庭人均年收入的人员健康素养水平较低,OR值分别是0.567、0.655和0.601。组间差别具有统计学意义(P均<0.05)。结论 四川省居民健康生活方式与其行为素养、健康技能素养、基本医疗素养、传染病防治素养和慢性病防治素养较为薄弱,中老年人、低收入人群、文化水平程度偏低者、农民和工人等是提升健康素养工作的重点人群。Objective To understand the health literacy level of residents in Sichuan province and analyze its influencing factors,and to provide a basis for the improvement of health literacy Methods In 2019,residents aged 15-69 years old from 14 counties/districts of Sichuan province were surveyed by multi-stage stratified sampling method and the National Health Literacy Monitoring Questionaire at the same time.Epidata 3.1 software was used to establish database SPSS 19.0 software was used forχ^(2) test and binary Logistic regression statistical analysis.Test leveα=0.05.Results A total of 2 946 people were investigated.In 2019,the health literacy level of Sichuan residents was 19.42%;The literacy of healthy lifestyle and behavior (20.36%),health skills(19.52%),basic medical literacy (22.78%),infectious disease prevention and control literacy(20.56%) and chronic disease prevention and control literacy (20.30%) were relatively weak.The results of multi-factor Logistics regression analysis showed that:took 65-69 years old as the reference,the health literacy level of 15-24 years old,25-34 years old,35-44 years old and 45-54 years old groups were relatively high,and the OR value was 3.403,2.488,3.170 and 2.246respectively.Took college/bachelor degree or above as reference,the health literacy level of junior high school and below,senior high school/vocational high school/technical secondary school groups were relatively low,OR value was 0.237,0.536 respectively.In terms of occupation,took“others”as the reference,the health literacy level of medical staffs and staffs of enterprises and institutions groups were higher than“others”,OR value was 1.583 respectively.Took annual per capita household income of 30 000-as reference,the health literacy level of people with per capita annual income of less than 5 000,5 000-10 000 and 20 000-30 000 were low,and the OR value was0.567,0.655 and 0.601,respectively.The difference between groups was statistically significant (P<0.05).Conclusions The healthy lifestyle and behavior liter

关 键 词：居民健康素养 影响因素 四川省 

分 类 号：R181[医药卫生—流行病学]