摘要
目的分析武汉市居民健康信息素养水平和影响因素,为制定相关政策提供科学依据。方法2018年11—12月,采用多阶段分层随机抽样的方法,在武汉市15个区204个社区(居委会)/行政村抽取15~69岁居民共5300人,进行面对面问卷调查。结果2018年武汉市居民健康信息素养平均得分为(4.84±2.09)分,41.00%的居民具备健康信息素养。多因素Logistic回归分析显示,农村居民具备健康信息素养水平的几率低于城市居民,OR值为0.810(P=0.005);文化程度越高,具备健康信息素养水平的几率越高,以不识字或很少识字者为参照,小学、初中、高中/职高/中专、大专/本科和硕士及以上文化程度者健康信息素养的OR值分别为2.550、3.393、5.111、8.947和11.685(P<0.05);不同职业人群健康信息素养水平差异较大,以职业是公务员为对照,医务人员健康信息素养水平较高(OR=1.972,P=0.034),而职业为农民(OR=0.489,P=0.007)、工人(OR=0.519,P=0.010)和其他企业人员(OR=0.521,P=0.008)的居民健康信息素养水平相对较低。结论2018年武汉市居民健康信息素养水平取得一定进步,但还有待提高,应以农村地区、低学历人群以及农民、工人和其他企业人员作为重点,提高居民健康信息素养水平。
Objective To understand the prevalence of health information literacy and its influencing factors among rural residents.Methods Using multi-stage stratified cluster random sampling method,5300 residents aged 15 to 69 years from 204 Communities or administrative villages in 15 districts of Wuhan were selected to conduct a face-to-face questionnaire from November to December,2018.Results The level of health information literacy in Wuhan was 41.00%,with average score(4.84±2.09).Multivariate Logistic regression analysis showed that the rural residents(OR=0.810)had a lower level of health information literacy than urban resident.The higher the level of education,the higher level of health information literacy.Comparing to the illiterate or less literate,the people in education level of primary school,junior high school,senior high school/vocational high school or specialized middle school,junior college or undergraduate and master degree or above had a higher level of health information literacy,OR values were 2.550,3.393,5.111,8.947 and 11.685(P<0.05),respectively.There is a big difference in health information literacy levels among different occupational groups.Comparing to the civil servant,medical staff(OR=1.972,P=0.034)have a higher level of health information literacy,but farmers(OR=0.489,P=0.007),workers(OR=0.519,P=0.010)and other business personnel(OR=0.521,P=0.008)have a lower level of health information literacy.Conclusion In 2018,the health information literacy level of residents in Wuhan has made some progress,but it still needs to be improved.Health literacy education should be promoted according to different characteristics of residents to improve the quality of life of rural residents.Health literacy education should be promoted according to different characteristics of residents to improve the quality of life of rural residents.Rural residents,low-education populations,farmers,workers,and other business personnel should be the key to improve the health information literacy level in Wuhan.
作者
梅欣
陈功
李俊林
李毅琳
王亮
MEI Xin;CHEN Gong;LI Jun-lin;LI Yi-lin;WANG Liang(Wuhan Center for Disease Control and Prevention,Wuhan 430024,China)
出处
《中国健康教育》
北大核心
2020年第6期506-510,525,共6页
Chinese Journal of Health Education
关键词
武汉市
健康信息素养
影响因素
Wuhan
Health information literacy
Influencing factors
作者简介
梅欣(1990-),女,湖北黄冈人,硕士,医师,主要从事健康教育研究工作;通信作者:王亮,男,副主任医师,研究方向:流行病学。E-mail:519918393@qq.com
