摘要
目的探讨北京市房山区居民健康素养水平及其影响因素,为制定健康教育政策和措施提供科学依据。方法采用分层多阶段随机抽样方法抽取房山区24个街道/乡镇共计4374名15~69岁常住人口进行健康素养问卷调查。结果根据北京市2010年人口普查资料进行标准化处理后,本次房山区居民健康素养水平为29.55%,基本知识和理念素养、健康生活方式与行为素养和基本健康技能素养水平分别为42.69%、30.24%和32.00%;6类健康问题素养水平由高到低分别是:安全与急救素养58.80%、科学健康观素养55.77%、传染病预防素养46.95%、慢性病预防素养33.82%、基本医疗素养27.60%、健康信息素养26.74%。多因素Logistic回归分析显示:文化程度(F=19.77,P=0.00)、职业(F=5.29,P=0.00)、自评健康状况(F=3.32,P=0.02)是健康素养水平的影响因素。结论应大力发展教育事业,重视专业性较强的基本医疗知识和健康信息的普及,开展有针对性的健康教育,不断提升居民健康素养水平。
Objective To discuss the health literacy level and its influencing factors of residents in Fangshan district of Beijing,and to provide scientific basisor formulating health education policies and measures.Method The multistage stratified random sampling method was adopted in this surveillance.A total of 4374 residents who aged 15-69 years old from 24 Street/township were investigated by the health literacy questionnaire in Fangshan district.Result After weighted adjustment according to Beijing 2010 census data,the overall level of health literacy status was 29.55%,the three aspects of health literacy as basic health knowledge and concept,healthy lifestyle and behavior,health related skills were 42.69%,30.24%and 32.00%respectively.The levels of health literacy in six health issues ranged from high to low:safety and first aid(58.80%),scientific health literacy(55.77%),infectious disease prevention and control(46.95%),chronic disease prevention and control literacy(33.82%),basic medication(27.60%),acquiring health information(26.74%).Multivariate logistic regression analyses showed that education(F=19.77,P=0.00),occupation(F=5.29,P=0.00)and self-rated health status(F=3.32,P=0.02)were major influence factors of health literacy among the population.Conclusion We should vigorously develop education,pay attention to the popularization of professional basic medical knowledge and health information,carry out health education among the targeted population,and constantly improve the health literacy level of residents.
作者
高美丽
张美凤
郭艳梅
张雨
张卫秀
赵清水
黄少平
GAO Mei-li;ZHANG Mei-feng;GUO Yan-mei;ZHANG Yu;ZHANG Wei-xiu;ZHAO Qing-shui;HUANG Shao-ping(Beijing Fangshan District Center for Disease Control and Prevention,Beijing 102488,China)
出处
《慢性病学杂志》
2019年第12期1814-1818,共5页
Chronic Pathematology Journal
基金
北京市房山区居民健康素养监测项目(20180308-03).
关键词
健康素养
监测
分析
Health literacy
Surveillance
Analysis
