四川省理县居民健康素养水平及影响因素分析

doi:10.3969/j.issn.1006-3110.2022.04.018

摘要
图/表
参考文献
相关文章 (15)

全文: PDF (713 KB) HTML (1 KB)
输出: BibTeX | EndNote (RIS)

摘要目的分析四川省理县居民健康素养水平状况,并探讨其影响因素。方法采用多阶段整群随机抽样的方法,主要分为四个阶段,阶段一采用单纯随机抽样方法,随机抽取3个乡镇;阶段二在每个抽中的乡镇内,采用单纯随机抽样方法,随机抽取3个行政村(居委会);阶段三在每个抽中的行政村(居委会)内,采用单纯随机抽样方法抽取居民户;阶段四按照“生日法”方法,抽取居民。问卷采用《四川省2018年健康促进县(区)建设项目方案》中人群调查问卷对理县选取15～69岁居民进行调查。采用logistics回归模型分析健康素养影响因素。结果理县居民总体健康素养具备率为24.38%。从6类问题健康素养的具备率来看,从高到低依次为科学健康观(40.25%)、基本医疗(37.19%)、健康信息(27.90%)、传染病防治(25.62%)、安全与急救(25.50%)和慢性病防治(22.69%)。经logistics分析,理县居民健康水平的影响因素是:民族(OR_羌族=2.463, 95%CI:1.133~5.352)和文化程度(OR_初中=4.997, 95%CI:1.093~3.884;OR_{大专及以上}=6.138, 95%CI: 1.249~6.747)。结论四川省理县居民健康水平已达到《“健康中国2030”规划纲要》要求,但健康素养各维度模块水平存在较大差异。可从年龄、民族、文化程度、本地户籍和是否患慢性病等方面,采取针对性防控措施。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	班玉萍
	余石花
	黄健

关键词 ：健康素养, 影响因素, 居民

Abstract：Objective To analyze the health literacy level of residents in Li County, Sichuan Province, and to explore its influencing factors. Methods A multi-stage cluster random sampling method was used in the study with four stages. A simple random sampling method was employed to randomly select three towns in the first stage. Three administrative villages (neighborhood committees) were randomly selected in each selected town by a random sampling method in the second stage. A random sampling method was applied to selecting resident households in each selected administrative village (neighborhood committee) in the third stage. Residents were selected according to the birthday method in the fourth stage. Residents aged 15-69 years selected in Li County were investigated by the population survey questionnaire from a Project Plan for Construction of Health Promotion County (District) in Sichuan Province in 2018. A logistic regression model was used to analyze the factors influencing health literacy. Results The overall health literacy rate of residents in Li County was 24.38%. As for the health literacy rates of six items, the order from high to low was scientific health concept (40.25%), basic medical treatment (37.19%), health information (27.90%), prevention and treatment of infectious diseases (25.62%), safety and first aid (25.50%), and prevention and treatment of chronic diseases (22.69%). Logistic regression analysis indicated that the factors influencing residents’ health level in Li County were ethnic group (OR_{Qiang ethnic group}=2.463, 95%CI:1.133-5.352) and education level (OR_{junior middle school}=4.997, 95%CI:1.093-3.884; OR_{junior college or above}=6.138, 95%CI:1.249-6.747). Conclusion The health level of residents in Li County, Sichuan Province has reached the requirements of “Healthy China 2030” Planning Outline, but the level of each dimension module of health literacy is quite different. Targeted prevention and control measures should be taken from age, ethnic group, education level, registered residence and having or having no chronic diseases.

Key words： health literacy influencing factor resident

收稿日期: 2021-06-04

R193

作者简介: 班玉萍(1997-),女,四川省小金县人,本科,研究方向:传染病和地方病防治。

引用本文:

班玉萍, 余石花, 黄健. 四川省理县居民健康素养水平及影响因素分析[J]. 实用预防医学, 2022, 29(4): 455-458. BAN Yu-ping, YU Shi-hua, HUANG Jian. Health literacy and its influencing factors among residents in Li County, Sichuan Province. , 2022, 29(4): 455-458.

链接本文:

https://www.syyfyx.com/CN/10.3969/j.issn.1006-3110.2022.04.018 或 https://www.syyfyx.com/CN/Y2022/V29/I4/455

[1] 中国健康教育中心监督与评估部,中国健康教育中心.2017年中国居民健康素养监测结果发布[EB/OL].[2018-10-09].http://www.nihe.org.cn/portal/zyzx/xxxx/xmyyt/webinfo/2018/10/1542082291058014.htm.
[2] 中共中央、国务院.《“健康中国2030”规划纲要》[Z].2016-10-25.
[3] 国家卫生健康委.2019年全国居民健康素养水平升至19.17%[EB/OL].[2020-04-24].http://www.nhc.gov.cn/xcs/s3582/202004/df8d7c746e664ad783d1c1cf5ce849d5.shtml.
[4] 成都市卫生健康委员会.成都市居民健康素养水平逐年稳步提升[EB/OL].[2021-03-10].http://cdwjw.chengdu.gov.cn/cdwjw/gzdt/202103/10/content_5fda7f0a06934d92b762c665dfc2425b.shtml.
[5] 上海市人民政府.提前实现“健康上海行动”2022年目标市民总体健康素养水平32.31%[ EB/OL].[2020-03-29]. https://www.shanghai.gov.cn/nw4411/20200813/00014411_1435998.html.
[6] 天津市卫生健康委员会. 2019年居民健康素养监测结果公布:天津居民健康素养水平为26.29%居全国先进水平[EB/OL].[2020-03-29]. http://wsjk.tj.gov.cn/ZTZL1/ZTZL750/YQFKZL9424/FKDT1207/202012/t20201221_5097077.html.
[7] 徐倩倩,梅秋红,冯宏伟,等.2015—2019年宁波市居民健康素养变化及影响因素分析[J].预防医学,2021,33(1):35-40.
[8] 王思凌,李志新,刘兆炜.2017年四川省居民健康素养水平分析[J].预防医学情报杂志,2019,35(11):1234-1238.
[9] 吴仿东,吴华锋,钟秋雄,等.佛山市南海区居民健康素养现状及影响因素分析[J].华南预防医学,2021,47(2):248-252.
[10] 唐嘉阳,任宇,杨晓虹,等.成都市某区居民健康素养水平及影响因素分析[J].现代预防医学,2021,48(1):123-127.
[11] 张宝芳.2016年广州市番禺区居民健康素养现况及影响因素研究[D].广州:广东药科大学,2018.
[12] 魏建军,覃静,吴永海,等.2017年汉中市居民健康素养现状及其影响因素分析[J].实用预防医学,2020,27(3):323-326.
[13] 冉晓敏,崔雪莲,黎明强,等.2018年柳州市不同经济水平地区居民健康素养现状及影响因素[J].中华疾病控制杂志,2020,24(6):728-732.
[14] 何秋平,唐驰,陈燕萍,等.广西南宁市少数民族居民健康素养水平与健康状况的关系研究[J].中国健康教育,2020,36(10):933-937.
[15] 陈旭鹏,赵金慧,杨菲菲,等.2019年东西部两市居民健康素养水平现况与促进策略[J].中国健康教育,2020,36(7):602-605.
[16] 王聪. 民族地区传统村落的保护和发展[D].成都:西南民族大学,2017.
[17] 潘秋予,胡澜.对羌族医药文化保护与传承的思考[J].中国医疗管理科学,2021,11(3):90-93.
[18] 雷虹艳.羌医药在羌民族文化传承中的作用探析[J].中国民族民间医药,2016,25(13):4-6.
[19] 王帆,郑频频,傅华.新冠肺炎疫情中的健康传播与健康素养[J].健康教育与健康促进,2020,15(1):3-4,9.
[20] 周瑛瑛,胡劲松,周婧瑜,等.长沙市雨花区成年居民健康信息素养水平及其影响因素[J].实用预防医学,2018,25(4):492-495.