湖北省十堰市35岁及以上自我报告高血压患者健康素养水平及影响因素分析  

Analysis of health literacy level and influencing factors of self-reported hypertension patients aged 35 and above in Shiyan City

作　　者：冯寸 校益章 谢松洪 黄卉[2] 刘冰[1] FENG Cun;XIAO Yizhang;XIE Songhong;HUANG Hui;LIU Bing(Center of Health Administration and Development Studies,Hubei University of Medicine,Hubei Province,Shiyan442000,China;Institute of Health Education,Shiyan Center for Disease Control and Prevention,Hubei Province,Shiyan442000,China)

机构地区：[1]湖北医药学院卫生管理与卫生事业发展研究中心,湖北十堰442000 [2]湖北省十堰市疾病预防控制中心健康教育所,湖北十堰442000

出　　处：《中国医药导报》2024年第8期64-68,共5页China Medical Herald

基　　金：国家自然科学基金资助项目(71774049)。

摘　　要：目的 了解湖北省十堰市自我报告高血压患者健康素养水平及影响因素,为进一步提升其素养水平提供参考。方法 2022年7月至10月采用分层多阶段随机抽样方法,对湖北省十堰市35~69岁居民进行健康素养问卷调查,发放问卷4 421份,回收有效问卷4 239份,将自我报告高血压患者纳入研究。结果 4 239名调查对象中,自我报告患有高血压者711名,健康素养水平为30.80%。不同性别人群健康素养、健康生活方式与行为、健康技能比例比较,差异有统计学意义(P<0.05)。不同年龄、文化程度、职业、家庭年收入、自评健康人群健康素养、基本知识和理念、健康生活方式与行为、健康技能比例比较,差异有统计学意义(P<0.05)。多因素logistic回归显示,文化程度和自评健康是高血压患者健康素养水平的独立影响因素(P<0.05)。结论 针对高血压患者进行健康教育和健康促进工作时,应重点关注女性、低学历、低收入及农民群体,着重加强健康技能和传染病防治素养的提升。Objective To investigate the health literacy level and influencing factors of self-reported hypertension patients in Shiyan City,Hubei Province,and to provide reference for further improving their literacy level.Methods From July to October 2022,a stratified multi-stage random sampling method was used to investigate the health literacy of residents aged 35 to 69 in Shiyan City,Hubei Province.A total of 4421 questionnaires were distributed,4239 valid questionnaires were collected,and self-reported hypertension patients were included in the study.Results Among the 239 subjects,711 had self-reported hypertension,and the level of health literacy was 30.80%.There were statistically significant differences in the proportion of health literacy,healthy lifestyle,behavior,and health skills among different gender groups(P<0.05).There were statistically significant differences among different age,education level,occupation,family annual income,health literacy,basic knowledge and concept,healthy lifestyle and behavior,and health skills among self-rated health groups(P<0.05).Multivariate logistic regression showed that education level and self-rated health were independent factors influencing health literacy level of hypertension patients(P<0.05).Conclusion The health education and health promotion for hypertensive patients should focus on women,low education,low income and farmers,and strengthen health skills and infectious disease prevention and control literacy.

关 键 词：高血压 健康素养 现况调查 影响因素 

分 类 号：R544.1[医药卫生—心血管疾病] R195[医药卫生—内科学]