2021年河北省居民健康素养水平及其影响因素分析  

A study on the current status and influential factors of health literacy of urban and rural residents in Hebei province in 2021

作　　者：张海容[1] 于飞 贺蕾 温博强 谭鹆昕 卢安[1] 王君懿 程蔼隽[1] ZHANG Hai-rong;YU Fei;HE Lei;WEN Bo-qiang;TAN Yu-xin;LU An;WANG Jun-yi;CHENG Aijun(Hebei Provincial Center for Disease Control and Prevention,Shijiazhuang 050021,China)

机构地区：[1]河北省疾病预防控制中心健康教育所,河北石家庄050021

出　　处：《中国健康教育》2023年第11期1033-1038,共6页Chinese Journal of Health Education

基　　金：2014年度河北省医学科学研究课题(ZD20140231)。

摘　　要：目的了解2021年河北省居民健康素养水平现状,探讨相关影响因素,为调整健康促进政策提供依据。方法采用电子问卷系统,对全省29206名城乡常住居民进行入户调查,采用复杂抽样模块下的描述性分析、χ^(2)检验、Logistic回归分析,探讨不同特征人群的健康素养水平及影响因素。结果2021年河北省城乡居民健康素养水平为26.82%。多因素Logistic回归分析结果表明:男性健康素养水平低于女性(OR=0.815,95%CI:0.715~0.930);以65~69岁年龄组为参照,25~34岁、35~44岁年龄组的健康素养水平较高,OR值分别为1.663(95%CI:1.034~2.675)、1.786(95%CI:1.434~2.226);与不识字/识字较少学历相比,本科及以上、大专、高中/职高/中专、初中、小学的OR值分别为21.234(95%CI:9.584~47.046)、10.528(95%CI:5.919~18.725)、7.955(95%CI:3.618~17.491)、4.244(95%CI:2.534~7.109)、1.807(95%CI:1.313~2.487);医务人员和其他人员健康素养水平高于农民,OR值分别为1.434(95%CI:1.035~1.987)、1.443(95%CI:1.022~2.039)。结论男性、高龄、低文化程度、职业为农民为河北省居民健康素养水平的主要影响因素,应以上述人群为重点,开展更有针对性的健康教育与促进活动。Objective To understand the current status of residents′health literacy in Hebei people.Methods The health literacy level of urban and rural residents in Hebei Province in 2021 was 26.82%.Results The results of multivariate Logistic regression analysis showed that the health literacy level of men was lower than that of women(OR=0.815,95%CI:0.715--0.930).Compared with the group 65-69 year-old,the group 25-34 year-old and the group 35-44 year-old were more likely to have the health literacy,and their ORs(95%CI)were1.663(95%CI:1.034-2.675)and 1.786(95%CI:1.434-2.226).Compared with illiterate/less literate education,the OR values of bachelor′s degree or above,junior college,senior high school/vocational high school/technical secondary school,junior high school and primary school were 21.234(95%CI:9.584-47.046),10.528(95%CI:5.919-18.725),7.955(95%CI:3.618-17.491),4.244(95%CI:2.534-7.109),1.807(95%CI:1.313-2.487)respectively.The health literacy level of medical staff and other public institutions is higher than that of farmers,and the OR values are 1.434(95%CI:1.035--1.987),1.029(95%CI:0.618-1.713).Conclusion Male,old age,low education level,famer are the main risk factors for the health literacy level of residents in Hebei Province.Targeted health education and health promotion activities should be carried out with such residents as the key population.

关 键 词：河北省 健康素养 影响因素 

分 类 号：R193[医药卫生—卫生事业管理]