军队人员健康素养水平及影响因素研究  

Health literacy level and its influencing factors in military personnel

作　　者：张泉 荣红辉 邹文博 胡晴晴 张玲[1] 郑传芬 陈济安[1] ZHANG Quan;RONG Honghui;ZOU Wenbo;HU Qingqing;ZHANG Ling;ZHENG Chuanfen;CHEN Ji’an(Department of Health Education,Faculty of Military Preventive Medicine,Army Medical University(Third Military Medical University),Chongqing,400038;Medical Service Office,No.924 Hospital of PLA Joint Logistic Support Force,Guilin,Guangxi Zhuang Autonomous Region,541002;Second Retirement Home of Guangxi Military Command,Guilin,Guangxi Zhuang Autonomous Region,541004,China)

机构地区：[1]陆军军医大学(第三军医大学)军事预防医学系军队健康教育教研室,重庆400038 [2]联勤保障部队第924医院卫勤处,广西桂林541002 [3]广西军区桂林第二离职干部休养所,广西桂林541004

出　　处：《陆军军医大学学报》2023年第6期473-479,共7页Journal of Army Medical University

基　　金：陆军军医大学后勤科研专项(2021HQZX10)。

摘　　要：目的了解某部队军队人员健康素养水平并分析其影响因素,为部队制定健康教育和健康促进方案提供理论依据。方法于2022年4月至6月,采用整群抽样方法,利用中国健康教育中心2015年编制的《全国居民健康素养监测调查问卷》对某部队9768名军队人员进行横断面调查,包括健康知识和理念、健康生活方式与行为、基本技能3个方面素养,科学健康观、传染病防治、慢性病防治、安全与急救、基本医疗和健康信息6类问题素养;采用χ^(2)检验和多元Logistic回归模型分析数据。结果该部队人员健康素养总体水平为46.2%。在健康素养的3个方面中,基本知识与理念素养水平最高(57.8%),健康技能素养水平次之(50.2%),健康生活方式与行为素养水平最低(44.7%)。在健康素养的6类问题上,安全与急救素养水平最高(79.9%),慢性病防治素养水平最低(35.2%)。多元Logistic回归分析显示:士官、义务兵的健康素养水平低于军官(OR=0.342、OR=0.493),文职人员的健康素养水平高于军官(OR=2.078);工作6~8年的军队人员健康素养水平最高(OR=1.329);41~45岁的军队人员健康素养水平最高(OR=2.613);女性的健康素养水平高于男性(OR=1.472);自身文化程度越高,健康素养水平也越高,其中研究生及以上学历的军队人员健康素养水平最高(OR=3.212);父亲职业为教师的军队人员健康素养水平最高(OR=2.679);母亲职业为医务人员的军队人员健康素养水平最高(OR=1.681);父亲学历为大专/本科的军队人员健康素养水平最高(OR=1.398);母亲学历为研究生及以上的军队人员健康素养水平最低(OR=0.230)。结论该部队单位军队人员的健康素养水平整体处于较高水平,生活方式行为健康素养和疾病防治素养均较低,相关部门应根据健康素养的影响因素,积极采取有效干预措施,促进部队官兵健康素养全面提升。ObjectiveTo investigate the health literacy level of military personnel and analyze its influencing factors so as to provide theoretical reference for formulating health education and health promotion programs.MethodsFrom April to June in 2022,a cross-sectional survey was conducted on 9768 military staffs in an army unit using the National Health Literacy Monitoring Questionnaire(compiled by the China Health Education Center in 2015),for 3 aspects of health knowledge and concept,healthy lifestyle and behavior,and basic skills.Six types of questions were surveyed,including scientific health concept,prevention and treatment of infectious diseases,prevention and treatment of chronic diseases,safety and first aid,basic medical treatment and health information.Chi-square test and multivariate logistic regression model were used to analyze the obtained data.ResultsThe overall level of health literacy was 46.2%in the participants.For the 3 aspects,the basic knowledge and concept literacy level was the highest(57.8%),followed by health skill literacy level(50.2%),and the healthy lifestyle and behavior literacy level(44.7%).Among the 6 types of questions,the literacy level of safety and first aid was the highest(79.9%),and the literacy level of chronic disease prevention was the lowest(35.2%).Multivariate logistic regression analysis showed that the health literacy level of non-commissioned officers and conscripts was lower than that of officers(OR=0.342,OR=0.493),and that of civilian personnel was higher than that of officers(OR=2.078).The health literacy level of military personnel working for 6~8 years was the highest(OR=1.329).The health literacy level of military personnel aged 41 to 45 years was the highest(OR=2.613).The health literacy level was higher in the females than the males(OR=1.472).The higher the education level was,the higher the health literacy level was,among which the health literacy level of military personnel with postgraduate degree or above was the highest(OR=3.212).The military personnel whose fa

关 键 词：军队人员 健康素养 健康教育 影响因素 

分 类 号：R193[医药卫生—卫生事业管理] R195[医药卫生—公共卫生与预防医学] R821.2