首页|2017、2022年青岛市市北区居民健康素养水平比较及其影响因素分析

2017、2022年青岛市市北区居民健康素养水平比较及其影响因素分析

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目的 调查2017、2022年青岛市市北区居民的健康素养水平,比较两个年度居民的健康素养水平差异,并分析其影响因素.方法 用《全国居民健康素养监测调查问卷》,按多阶段分层随机抽样法,于2017、2022年分别对青岛市市北区15~69岁常住居民进行健康素养问卷调查,分析居民的健康素养水平,建立二分类logistic回归模型分析性别、年龄、文化程度等对居民健康素养水平的影响.结果 2017年调查1 515人,2022年调查911人.2017年居民的健康素养水平为21.30%,2022年为35.74%;35~44岁年龄居民的健康素养水平提升幅度大.2017、2022年居民的基本知识和理念素养分别为39.70%、46.59%,健康生活方式与行为素养分别为26.00%、37.39%,健康技能素养分别为27.30%、35.80%,科学健康观素养分别为46.80%、57.08%,传染病防治素养分别为21.85%、39.91%;慢性病防治素养分别为30.00%、39.38%,安全与急救素养分别为45.80%、64.82%,基本医疗素养分别为23.10%、29.96%,健康信息素养分别为45.80%、60.51%.2017年青岛市市北区健康素养水平的影响因素有文化程度、职业、家庭年收入,其中文化程度方面以大专/本科及以上OR值最高(OR=0.510,95%CI:0.357~0.728,P<0.01),职业方面以其他组OR值最高(OR=0.643,95%CI:0.440~0.940,P<0.05),家庭年收入方面1~2万元组差异有统计学意义(OR=0.086,95%CI:0.020~0.374,P<0.01).2022年的影响因素仅有文化程度,大专/本科及以上组差异有统计学意义(OR=4.944,95%CI:1.071~22.826,P<0.05).结论 与2017年比较,2022年青岛市市北区居民健康素养提升较快;文化程度、职业、家庭年收入是居民健康素养水平的影响因素.
Comparison on health literacy levels of residents in Shibei district,Qingdao city and analysis on influencing factors in 2017 and 2022
Objective To investigate the health literacy level of residents in Shibei district of Qingdao city in 2017 and 2022,to compare the differences in the health literacy level of residents between the 2 years,and to analyze the influencing factors.Methods By using the National Residents'Health Literacy Monitoring Questionnaire,a health literacy ques-tionnaire survey was conducted in 2017 and 2022 according to the multi-stage stratified random sampling method for per-manent residents aged 15-69 years old in Shibei district of Qingdao city.We analyze the health literacy level of the resi-dents,and to set up a binary logistic regression model to analyze the effects of gender,age,and literacy on the health litera-cy level.Results There were 1 515 people surveyed in 2017 and 911 people surveyed in 2022.The health literacy level of the population was 21.30%in 2017 and 35.74%in 2022.Health literacy levels increased significantly in 35-44 age group.In 2017 and 2022,the basic knowledge and concept literacy of the population was 39.70%and 46.59%respective-ly,the healthy lifestyle and behavior literacy was 26.00%and 37.39%respectively,the health skills literacy was 27.30%and 35.80%respectively,the scientific view of health literacy was 46.80%and 57.08%respectively,the infectious disease prevention and treatment literacy was 21.85%and 39.91%respectively;the chronic disease prevention and treatment lit-eracy was 30.00%and 39.39%respectively,the safety and first aid literacy was 45.80%and 64.82%respectively,the basic health care literacy was 23.10%and 23.10%respectively and 39.91%respectively;chronic disease prevention and treatment literacy was 30.00%and 39.38%respectively,safety and first aid literacy was 45.80%and 64.82%respective-ly,basic medical literacy was 23.10%and 29.96%respectively,and health information literacy was 45.80%and 60.51%respectively.The influencing factors of health literacy level in Shibei district of Qingdao city in 2017 were literacy,occupation,and annual household income,among which the OR of college/undergraduate and above was the highest in education level(OR=0.510,95%CI:0.357-0.728),and that of occupation was the highest in the other group(OR=0.643,95%CI:0.440-0.940).For annual household income,the difference was statistically significant in the 10 000 to 20 000 yuan group(P<0.01,OR=0.086,95%CI:0.020-0.374).The only influencing factor in 2022 was literacy,and the difference was statistically significant in the college/bachelor's degree and above group(P<0.05,OR=4.944,95%CI:1.071-22.826).Conclusion Compared to 2017,the health literacy of residents in Shibei district of Qingdao city increased faster in 2022;The level of health literacy of residents is associated to education level,occupation,and annual household income.

ResidentsHealth literacyCritical health literacyHealth education

孟铃洁、李玉华、吴若男、赵绪建、辛乐忠

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青岛市市北区疾病预防控制中心健康教育科,山东 266011

青岛市市北区疾病预防控制中心

居民 健康素养 临界健康素养 健康教育

2024

预防医学论坛
中华预防医学会

预防医学论坛

影响因子:0.645
ISSN:1672-9153
年,卷(期):2024.30(2)
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