摘要
目的了解2016—2020年杭州市居民健康素养水平变化趋势,并分析其影响因素,为提高居民健康素养水平提供依据。方法收集2016—2020年杭州市居民健康素养监测资料,分析杭州市居民健康素养具备率、5年累计增长量和平均增长速度;采用复杂抽样的多因素Logistic回归模型分析居民健康素养水平的影响因素。结果2016—2020年杭州市居民健康素养具备率分别为26.91%、29.49%、31.83%、34.73%和38.00%;5年累计增长量为11.09%,年平均增长速度为9.01%。基本知识和理念、健康生活方式与行为素养水平呈上升趋势(P<0.05),年平均增长速度分别为15.12%和2.92%。六类健康问题中,慢性病防治、基本医疗、科学健康观、健康信息和安全与急救素养水平均呈上升趋势(P<0.05),年平均增长速度分别为32.76%、15.82%、8.41%、7.12%和1.53%。多因素Logistic回归分析结果显示,文化程度(初中,OR=5.359,95%CI:1.151~24.953;高中/职高/中专,OR=9.214,95%CI:2.906~29.213;大专及以上,OR=29.977,95%CI:9.689~92.741)和职业(学生,OR=2.564,95%CI:1.113~5.907)是居民健康素养的影响因素。结论2016—2020年杭州市居民健康素养水平呈上升趋势,文化程度高和职业为学生的居民健康素养水平相对较高。
Objective To understand the changing trend and influencing factors of health literacy among residents in Hangzhou from 2016 to 2020,so as to provide basis for health literacy promotion.Methods The monitoring data of health literacy of residents in Hangzhou from 2016 to 2020 were collected.The five year cumulative growth and average growth rate were used to reflect the changing trend.The multivariate logistic regression model under complex survey design was used to analyze the influencing factors for health literacy.Results From 2016 to 2020,the health literacy levels of Hangzhou residents were 26.91%,29.49%,31.83%,34.73%and 38.00%,respectively.The five year cumulative growth was 11.09%and the average growth rate was 9.01%.Among three aspects of health literacy,the levels of basic knowledge and concept as well as healthy lifestyle and behaviors increased year by year(P<0.05),with the average growth rates of 15.12%and 2.92%.Among six types of health problems,the levels of chronic disease prevention and treatment,basic medical treatment,scientific view,health information as well as safety and first aid increased year by year(P<0.05),with the average growth rates of 32.76%,15.82%,8.41%,7.12%and 1.53%,respectively.The multivariate logistic regression analysis showed that education level(junior high school,OR=5.359,95%CI:1.151-24.953;high school/vocational high school/technical secondary school,OR=9.214,95%CI:2.906-29.213;college or above,OR=29.977,95%CI:9.689-92.741)and occupation(students,OR=2.564,95%CI:1.113-5.907)were the influencing factors for health literacy.Conclusion The health literacy levels of Hangzhou residents from 2016 to 2020 have been increasing year by year.The residents with higher education levels and students may have higher health literacy levels.
作者
何晓燕
王勐
姜彩霞
陈玉阳
黄阳梅
俞锋
刘晓峰
HE Xiaoyan;WANG Meng;JIANG Caixia;CHEN Yuyang;HUANG Yangmei;YU Feng;LIU Xiaofeng(Department of Health Education,Hangzhou Center for Disease Control and Prevention,Hangzhou,Zhejiang 310021,China)
出处
《预防医学》
2021年第7期670-674,共5页
CHINA PREVENTIVE MEDICINE JOURNAL
关键词
健康素养
监测
健康促进
影响因素
health literacy
surveillance
health promotion
influencing factor
作者简介
何晓燕,硕士,副主任医师,主要从事健康教育与健康促进工作;通信作者:王勐,E-mail:stonehard@yeah.net
