高原军人健康素养现况调查及影响因素分析  

Investigation on current health literacy among military personnel on plateau and analysis of influencing factors

作　　者：金鹏[1] 荣红辉 张玲[1] 郑传芬 陈济安[1] JIN Peng;RONG Honghui;ZHANG Ling;ZHENG Chuanfen;CHEN Ji’an(Department of Military Health Education,Faculty of Military Preventive Medicine,Army Medical University(Third Military Medical University),Chongqing,400038,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

出　　处：《陆军军医大学学报》2024年第11期1306-1315,共10页Journal of Army Medical University

基　　金：陆军军医大学后勤科研专项(2021HQZX10)。

摘　　要：目的了解高原军人的健康素养水平,并分析其影响因素。方法采用《全国居民健康素养监测调查问卷》(2015版),通过查阅文献设计人口学资料,加入心理弹性量表、简易应对方式量表、正性负性情绪量表3种心理问卷,采用“问卷星”对2516名高原军人健康素养进行现况调查并分析其影响因素。结果调查显示,2516名高原军人的总体健康素养水平为20.03%。基本知识和理念、健康生活方式与行为、健康技能素养水平分别为31.08%、26.23%、26.63%;科学健康观、传染病防治、慢性病防治、安全与急救、基本医疗、健康信息素养水平依次为40.58%、19.36%、9.62%、82.75%、29.61%、45.03%。多元非条件Logistic回归分析结果显示:高原军人健康素养水平的影响因素为工作年限(OR=1.857,95%CI:1.391~2.479;OR=4.657,95%CI:3.297~6.578)、民族(OR=0.394,95%CI:0.251~0.620)、婚姻(OR=0.609,95%CI:0.430~0.861)、独生子女(OR=0.759,95%CI:0.585~0.985)、家庭所在地(OR=0.545,95%CI:0.359~0.827)、吸烟(OR=1.579,95%CI:1.254~1.988)、文化程度(OR=3.638,95%:1.500~8.822)、每周网络游戏时间(OR=0.517,95%CI:0.365~0.731;OR=0.351,95%CI:0.172~0.716)、每年体检次数(OR=3.251,95%CI:1.359~7.778;OR=4.545,95%CI:1.841~11.221)、父亲职业(OR=5.185,95%CI:1.800~14.933;OR=3.229,95%CI:1.261~8.270)、母亲职业(OR=0.221,95%CI:0.086~0.568;OR=0.218,95%CI:0.081~0.587;OR=0.046,95%CI:0.018~0.118)、积极应对(OR=1.052,95%CI:1.033~1.072)、消极应对(OR=0.950,95%CI:0.929~0.972)。结论该部队高原军人健康素养水平整体较低,相关部门应根据健康素养的影响因素,积极探索有效的干预措施,全面提升其健康素养。Objective To investigate the status quo of health literacy among military personnel stationing on plateau and analyze its influencing factors.Methods National Health Literacy Monitoring Questionnaire(2015),self-made questionnaire for demographic data based on literature,Connor-Davidson Resilience Scale,Simplified Coping Style Questionnaire,and Positive and Negative Affect Scale were employed to survey 2516 officers and soldiers stationing on plateau with aid of a WeChat APP Questionnaire Star.Their current status of health literacy and its influencing factors were analyzed.Results The survey results showed that the overall health literacy level was 20.03%among the 2516 participants.The literacy levels of basic knowledge and concepts,healthy lifestyles and behaviors,and health skills were 31.08%,26.23%,and 26.63%,respectively,and the health literacy levels of scientific health concepts,infectious disease prevention and treatment,chronic disease prevention and treatment,safety and first aid,basic medical care,and health information were 40.58%,19.36%,9.62%,82.75%,29.61%,and 45.03%,respectively.Multivariate unconditional logistic regression analysis indicated that the influencing factors of health literacy level were years of working(OR=1.857,95%CI:1.391~2.479;OR=4.657,95%CI:3.297~6.578),ethnicity(OR=0.394,95%CI:0.251~0.620),marriage(OR=0.609,95%CI:0.430~0.861),only-child family(OR=0.759,95%CI:0.585~0.985),home location(OR=0.545,95%CI:0.359~0.827),smoking(OR=1.579,95%CI:1.254~1.988),education level(OR=3.638,95%CI:1.500~8.822),weekly online game time(OR=0.517,95%CI:0.365~0.731;OR=0.351,95%CI:0.172~0.716),number of physical checkups per year(OR=3.251,95%CI:1.359~7.778;OR=4.545,95%CI:1.841~11.221),father’s occupation(OR=5.185,95%CI:1.800~14.933;OR=3.229,95%CI:1.261~8.270),mother’s occupation(OR=0.221,95%CI:0.086~0.568;OR=0.218,95%CI:0.081~0.587;OR=0.046,95%CI:0.018~0.118),positive coping(OR=1.052,95%CI:1.033~1.072),and negative coping(OR=0.950,95%CI:0.929~0.972).Conclusion The overall health literacy level is quite

关 键 词：高原 健康素养 现况调查 影响因素 

分 类 号：R339.54[医药卫生—人体生理学] R821.21[医药卫生—基础医学] R821.6