济宁市中学生健康素养现况及影响因素分析  

Health literacy status and influencing factors of middle school students in Jining

作　　者：许雅茹 顾怀婷[2] 宋峰[1] 江顺利 刘甜甜 魏继尧 王梅[3] XU Ya-ru;GU Huai-ting;SONG Feng;JIANG Shun-li;LIU Tian-tian;WEI Ji-yao;WANG Mei(School Health Monitoring and Evaluation Section,Jining Center for Disease Control and Prevention,Shandong 272000,China;Department of Public Health.Jining Medical University;Department of Chronic Non-communicable Disease Prevention and Control.Jining Center for Disease Control and Prevention)

机构地区：[1]济宁市疾病预防控制中心学校卫生监测评价科,山东272000 [2]济宁医学院公共卫生学院 [3]济宁市疾病预防控制中心慢性非传染性疾病防制科

出　　处：《预防医学论坛》2024年第10期726-731,共6页Preventive Medicine Tribune

基　　金：山东省医药卫生科技发展计划项目(202212031053)。

摘　　要：目的了解济宁市中学生健康素养水平及其影响因素,为制定提高中学生健康素养干预措施提供依据。方法2023年2月,采用多阶段分层整群抽样法抽取济宁市11县市区中学生6600人,使用在线问卷调查中学生健康素养及影响因素状况,采用多因素logistic回归进行健康素养的影响因素分析。结果济宁市中学生健康素养具备率为23.20%(1430/6165),女生(χ^(2)=10.13,P<0.001)、普通高中生(χ^(2)=282.63,P<0.001)、城区(χ^(2)=90.95,P<0.001)、患有学生常见病(χ^(2)=66.53,P<0.001)、不患有慢性病(χ^(2)=10.84,P<0.001)、吸烟(χ^(2)=4.53,P=0.033)、独生子女(χ^(2)=62.15,P<0.001)、父亲高中及以上文化程度(χ^(2)=89.83,P<0.001)、母亲高中及以上文化程度(χ^(2)=66.12,P<0.001)、核心家庭(χ^(2)=20.52,P<0.001)的中学生总体健康素养具备率高于参照组。多因素分析显示,女生(OR=1.20,95%CI:1.06~1.37)、普通高中(OR=2.39,95%CI:2.11~2.72)、城区户籍(OR=1.51,95%CI:1.31~1.74)、患有学生常见病(OR=1.59,95%CI:1.37~1.84)、独生子女(OR=1.42,95%CI:1.22~1.65)、父亲高中以上文化程度(OR=1.36,95%CI:1.17~1.59)、母亲高中以上文化程度(OR=1.21,95%CI:1.04~1.41)为中学生健康素养的正向因素(P<0.05)。职业高中(OR=0.52,95%CI:0.37~0.74)、患慢性病(OR=0.45,95%CI:0.26~0.79)、隔代家庭(OR=0.61,95%CI:0.41~0.88)为中学生健康素养的负向因素(P<0.05)。结论性别、学段、户籍所在地、患病情况、父母文化程度、家庭结构是中学生健康素养的主要影响因素。建议建立家庭、学校、社区等多部门联合干预网络,多方面多维度加强中学生健康素养培养。Objective To understand the health literacy level of middle school students in Jining city and its influencing factors, and to provide evidence for the development of intervention measures to improve the health literacy of middle school students. Methods In February 2023,6,600 middle school students from 11 counties and urban areas in Jining City were selected by the multi-stage stratified cluster random sampling method.An online questionnaire was used to investigate the health literacy status of middle school students, and multivariate logistic regression was adopted to analyze the influencing factors of the health literacy of middle school students. Results The total level of health literacy of middle school students in Jining city was 23.20%.Female students(χ^(2)=10.13,P<0.001),ordinary senior high school students(χ^(2)=282.63,P<0.001),urban students(χ^(2)=90.95,P<0.001),contracted common diseases(χ^(2)=66.53,P<0.001),not contracted chronic diseases(χ^(2)=10.84,P<0.001),smoking(χ^(2)=4.53,P=0.033),only children(χ^(2)=62.15,P<0.001),father has an educational attainment of high school or above(χ^(2)=89.83,P<0.001),mother has an educational attainment of high school or above(χ^(2)=66.12,P<0.001),nuclear families(χ^(2)=20.52,P=0.03) have a higher overall health literacy rate than the reference group.Multivariate analysis showed that female students(OR=1.20,95%CI:1.06~1.37),ordinary senior high school students(OR=2.39,95%CI:2.11~2.72),urban students(OR=1.51,95%CI:1.31~1.74),contracted common diseases(OR=1.59,95%CI:1.37~1.84),only children(OR=1.42,95%CI:1.22~1.65),father has an educational attainment of high school or above(OR=1.36,95%CI:1.17~1.59),mother has an educational attainment of high school or above(OR=1.21,95%CI:1.04~1.41) were positive factors in evaluating the health literacy of middle school students.The P values are all less than 0.05.Vocational high school(OR=0.52,95%CI:0.37~0.74),contracted chronic diseases(OR=0.45,95%CI:0.26~0.79),intergenerational family(OR=0.68,95%CI:0.46~0.995) are the

关 键 词：健康素养 中学生 核心家庭 隔代家庭 影响因素 

分 类 号：R181.3+7[医药卫生—流行病学] G478[医药卫生—公共卫生与预防医学]