上海市郊区45~65岁女性骨健康素养现状及人群分布特征  

Current status of bone health literacy and its population distribution characteristics among women aged 45-65 years in suburban Shanghai

作　　者：孙玉兰 陈映文 金晨阳 杜莉 赵琦 朱丽萍[5] 徐飚 SUN Yu-lan;CHEN Yin-wen;JIN Chen-yang;DU Li;ZHAO Qi;ZHU Li-ping;XU Biao(Shanghai Chongming Maternity and Children Care Institute,Shanghai 202150,China;Shanghai Jinshan Maternity and Children Care Institute,Shanghai 201599,China;Department of Epidemiology,School of Public Health,Fudan University,Shanghai 200032,China;Key Lab of Health Technology Assessment,National Health Commission Fudan University,Shanghai 200032,China;Shanghai Center for Women and Childrens Health,Shanghai 200062,China)

机构地区：[1]上海市崇明区妇幼保健所,上海202150 [2]上海市金山区妇幼保健所,上海201599 [3]复旦大学公共卫生学院流行病学教研室,上海200032 [4]复旦大学国家卫生健康委员会卫生技术评估重点实验室,上海200032 [5]上海市妇幼保健中心,上海200062

出　　处：《中华骨质疏松和骨矿盐疾病杂志》2023年第5期429-435,共7页Chinese Journal Of Osteoporosis And Bone Mineral Research

基　　金：上海市公共卫生体系建设三年行动计划(2020-2022)妇幼整链式全生命周期健康管理服务模式优化(GWV-9.4)。

摘　　要：目的 掌握上海市郊区45~65岁女性骨健康素养现况,识别可能影响骨健康素养水平的因素。方法 基于世界卫生组织健康素养框架编制骨健康素养问卷,对上海市两个郊区45~65岁围绝经期和绝经早期女性进行骨健康素养调查,依据欧洲健康素养调查计分标准进行骨健康素养评估,采用SAS 9.4软件进行统计学分析。结果 691名调查对象的骨健康素养平均分为(43.1±9.9)分,14.5%具有基本健康素养(≥54分);在疾病预防(39.2%),健康促进(4.0%)和医疗服务(35.5%)3个领域中,健康促进及格率最低。3个领域得分及格率在不同年龄、不同文化水平和不同收入人群间的分布差异有统计学意义(P<0.05);年龄(OR=1.61,95%CI:1.04~2.50)、受教育水平(OR=0.12,95%CI:0.05~0.29)、家庭人均月收入(OR=0.39,95%CI:0.20~0.77)与女性健康素养水平显著相关(P<0.05)。结论 上海市郊区45~65岁女性健康素养水平较低;年龄超过55岁、高中以下文化和低收入家庭女性是骨健康素养提升的重点干预对象。Objective To understand the current status of bone health literacy among women aged 45-65 years in suburban Shanghai and to identify factors that may affect the level of bone health literacy.Methods Based on the health literacy framework of the World Health Organization,a bone health literacy questionnaire was developed to investi⁃gate the bone health literacy of perimenopausal and early menopausal women aged 45-65 years in two suburbs of Shanghai.The assessment of bone health literacy was conducted according to the European Health Literacy Survey scoring standard.SAS 9.4 software was used for statistical analysis.Results The average score of bone health literacy of 691 subjects was(43.1±9.9),and 145%had basic health literacy(≥54 points).Among the three fields of disease prevention,health promotion,and medical service(39.2%,4.0%,35.5%),the passing rate of health promotion was the lowest.There were significant differences in the distribution of the pass rate of the three fields among people of different ages,different educational levels,and different incomes(P<0.05).Age(OR=1.61,95%CI:1.04-2.50),education level(OR=0.12,95%CI:0.05-0.29),per capita monthly income(OR=0.39,95%CI:0.20-0.77)were significantly correla⁃ted with womens health literacy(P<0.05).Conclusion Women aged 45-65 years in suburban Shanghai had lower health literacy levels;women aged over 55 years,with less than high school education,and from low⁃income families could be the priority intervention targets for bone health literacy.

关 键 词：骨健康素养 女性 现况调查 影响因素 

分 类 号：R681[医药卫生—骨科学]