扬州市小学生家长的儿童肥胖健康素养现状及影响因素分析  

Investigating the status quo and influencing factors of childhood obesity health literacy of primary school parents,Yangzhou

作　　者：朱维维 杨帆 姚庆兵 孙蕾 陈思羽 陆盛华 戴翔宇 ZHU Wei-wei;YANG Fan;YAO Qing-bing;SUN Lei;CHEN Si-yu;LU Sheng-hua;DAI Xiang-yu(Yangzhou Center for Disease Control and Prevention,Yangzhou,Jiangsu 225100,China)

机构地区：[1]扬州市疾病预防控制中心,江苏扬州225100

出　　处：《现代预防医学》2024年第18期3326-3331,共6页Modern Preventive Medicine

基　　金：扬州市科技局2022年市级计划-政策引导计划(YZ2022248)。

摘　　要：目的 了解扬州市小学生家长的儿童肥胖健康素养现状,分析相关影响因素,为优化我市儿童肥胖防控健康教育工作提出新思路。方法 采用分层整群随机抽样的方法,在扬州市6个县(市、区)每地随机抽取1个街道,再从每个街道随机抽取4所小学,每所小学每个年级(1~6年级)至少随机抽取1个班级,以整班为单位,对学生家长开展问卷调查。结果 本次共调查小学生家长6 097人,其中健康素养达标3 615人,达标率为59.29%。健康认知、健康行为、健康知识、操作技能和健康意识的达标率分别为66.54%、41.68%、69.99%、44.89%、32.97%。经χ^(2)检验,不同居住地、年龄、职业、文化程度、家庭收入、与学生关系、学生体重状态的家长健康素养达标率不同,差异均有统计学意义(均P<0.05)。多因素logistic回归分析结果显示,居住地、文化程度、职业、学生体重状态是小学生家长儿童肥胖健康素养的影响因素。家长居住在乡镇(OR=1.223,95%CI:1.092~1.369)、职业为生产/制造/修理业(OR=1.353,95%CI:1.059~1.729)和无业(OR=1.514,95%CI:1.126~2.036)以及其他(OR=1.404,95%CI:1.112~1.773)、学生体重状态为肥胖(OR=1.203,95%CI:1.060~1.366)是小学生家长的儿童肥胖健康素养的危险因素,家长学历为高中及以上(OR=0.265~0.649,95%CI:0.133~0.752)是小学生家长的儿童肥胖健康素养的保护因素。结论 我市小学生家长的儿童肥胖健康素养总体水平较高,但健康行为、操作技能和健康意识达标率较低。开展儿童肥胖防控宣教工作过程中需重点关注居住在乡镇、低文化程度、无业、肥胖学生的家长,并开展针对性的健康教育活动。Objective To understand the status quo of children's obesity health literacy among parents of primary school students in Yangzhou City,analyze related influencing factors,and put forward new ideas for optimizing health education of childhood obesity prevention and control.Methods Stratified cluster random sampling was used to randomly select 1 street from each of the 6 counties(cities and districts) in Yangzhou City,and then randomly select 4 primary schools from each street,and randomly select at least 1 class from each grade(grades 1-6) in each primary school.Questionnaire survey was conducted on parents of the students in the whole class.Results A total of 6 097 parents of primary school students were surveyed,among whom 3 615 reached the standard of health literacy,the rate of reaching the standard was 59.29%.The compliance rates of health cognition,health behavior,health knowledge,operation skills and health consciousness were 66.54%,41.68%,69.99%,44.89% and 32.97%,respectively.According to χ^(2) test,there were significant differences in parents' health literacy attainment rates among different places of residence,age,occupation,education level,family income,relationship with children,and student weight status(all P values <0.05).Multivariate logistic regression analysis showed that residence,educational level,occupation and students' weight status were the influencing factors of parents' childhood obesity health literacy.Living in towns and villages(OR=1.223,95%CI:1.092-1.369),profession of production/manufacturing/repair industry(OR=1.353,95%CI:1.059-1.729) and jobless person(OR=1.514,95%CI:1.126-2.036) or others(OR=1.404,95%CI:1.112-1.773),and students' weight status as obesity(OR=1.203,95%CI:1.060-1.366) are risk factors for childhood obesity health literacy of primary school parents,and parents' education of high school or above(OR=0.265-0.649,95%CI:0.133-0.752) are protective factors for childhood obesity health literacy of primary school parents.Conclusion The parents of primary school students in o

关 键 词：家长 儿童肥胖健康素养 健康教育 

分 类 号：R193[医药卫生—卫生事业管理] R589[医药卫生—公共卫生与预防医学]