摘要
目的 通过健康素养监测了解北京市海淀区产妇健康素养水平及其影响因素,为海淀区妇幼健康教育工作和健康素养研究提供依据.方法 2017年9月至11月采用二阶段随机抽样法选取北京市海淀区1054名新生儿初访产妇作为研究对象,采用统一设计的产妇健康素养监测调查问卷进行面对面问卷调查,采用多因素Logistic回归进行分析.结果 共回收有效问卷1054份(100%).2017年北京市海淀区产妇健康素养水平为26.57%,按内容维度分类,健康素养水平由高到低依次为健康生活方式与行为素养(41.56%)、基本健康知识和理念素养(38.43%)、基本健康技能素养(27.80%);按健康问题分类,由高到低依次为科学健康观素养(72.68%)、安全与急救素养(71.35%)、传染病防治素养(53.89%)、慢性病防治素养(41.37%)、基本医疗素养(37.76%)和健康信息素养(15.37%);多因素Logistic回归分析结果显示,产妇是大专及本科学历、硕士及以上学历、参加过孕妇学校、妊娠期有并发症者与健康素养的具备有统计学关联,其OR值及95%C I分别为9.386(3.403~25.889)、28.128(10.135~78.067)、1.849(1.186~2.881)、1.586(1.052~2.390).结论 文化程度、是否参加孕妇学校及妊娠期有无并发症是影响北京市海淀区产妇健康素养水平的主要因素,应有针对性地开展健康教育工作,提高产妇健康素养水平,尤其注重提高产妇基本健康技能素养和健康信息素养水平.
Objective To investigate health literacy status of perinatal women in Haidian district of Beijing city and its influencing factors based on the monitoring data of health literacy,so as to provide evidence for improving the heath literacy and health education of the perinatal women.Methods A two-stage random sampling method was used and 1054 perinatal women who received their first visit in Haidian district of Beijing city from September to November in 2017 were selected as study subjects.A face-to-face questionnaire survey was conducted for each woman.Multivariate logistic regression analysis was used for analysis.Results A total of 1054 valid questionnaires(100%)were collected.The level of health literacy of perinatal women was 26.57%in Haidian district of Beijing city in 2017.Classified by content dimension of three aspects of health literacy,the health literacy levels in order from high to low were health lifestyle and behavior literacy(41.56%),basic health knowledge and concept literacy(38.43%),and basic health skill literacy(27.80%)respectively.Classified by health issues,the health literacy levels of six health literacy issues in order from high to low were scientific health perspectives literacy(72.68%),safety and first aid literacy(71.35%),literacy in prevention and treatment of infectious diseases(53.89%),literacy in control and prevention of chronic diseases(41.37%),basic medical care literacy(37.76%),health information literacy(15.37%)respectively.The results of multivariate logistic regression analysis showed that junior college and bachelor’s degrees,master’s degree and above,having had attended maternity school,and those with complications during pregnancy were statistically related to maternal health literacy.The ORs(95%CI)were 9.386(3.403~25.889),28.128(10.135~78.067),1.849(1.186~2.881)and 1.586(1.052~2.390)respectively.Conclusion Educational level,having had attended maternity school and having or not having complications during pregnancy were the influencing factors of health literacy level of the perinatal women in Haidian district of Beijing city.Various forms of health education activities should be carried out to improve the health literacy level of the perinatalwomen,especially their levels of basic health skill literacy and health information literacy.
作者
许丽娜
李海生
韩萍
江初
XU Lina;LI Haisheng;HAN Ping;JIANG Chu(Haidian District Ceuter for Disease Prevention and Control,Beijing 100094,China;Haidian Districst Maternity and Child Health Hospital.Brijing 100080,China)
出处
《中国妇幼健康研究》
2020年第7期895-901,共7页
Chinese Journal of Woman and Child Health Research
关键词
产妇
健康素养
现况调查
影响因素
perinatal women
health literacy
current status survey
influencing factor
