摘要
目的:通过meta分析系统评价我国西部地区居民健康素养水平及影响因素,为有效开展健康教育,进一步提高西部地区居民的健康素养水平提供参考依据.方法:检索中国知网、万方、维普、中国生物医学数据库、PubMed、Embase和Web of Science 7个中英文数据库中西部地区居民健康素养水平的相关文献,检索时间为2012年1月1日-2023年6月30日,应用RevMan 5.2软件对纳入文献进行meta分析.结果:最终纳入健康素养水平研究文献55篇,纳入影响因素分析文献49篇.2012-2021年西部居民健康素养水平分别为6％(95％CI:5％-7％)、6％(95％CI:5％-7％)、8％(95％CI:7％-8％)、8％(95％CI:7％-10％)、11％(95％CI:6％-15％)、15％(95％CI:14％-17％)、14％(95％CI:13％-14％)、18％(95％CI:16％-20％)、16％(95％CI:14％-17％)、19％(95％CI:14％-24％).主要影响因素及其合并OR值(95％CI)分别为:城市居民2.47(2.09,2.93);年龄＜45岁1.92(1.72,2.14);学历高中及以上4.49(3.87,5.22);职业为教师、医务人员、公务员或学生3.08(2.45,3.86);汉族1.88(1.57,2.24).结论:2012年以来,西部地区居民健康素养水平逐步提升,但整体水平依然较低;年龄、职业、居住地、学历、民族是健康素养主要影响因素;应根据不同的人群开展有针对性的健康教育与促进活动,进一步提高西部地区居民整体健康素养水平.
Abstract
Objective:A meta-analysis was used to systematically evaluate the health literacy status and influencing factors in western China,providing a reference basis for effective health education and further improving the health literacy status of residents in western China.Methods:The literature related to the health literacy status of residents in western China was retrieved from seven Chinese and English databases,including CNKI,Wanfang,VIP,China Biomedical Database,PubMed,Embase and Web of Sci-ence.The retrieval time was from January 1,2012 to June 30,2023.RevMan 5.2 software was used to conduct a meta-analysis.Results:Finally,55 literatures conforming to the evaluation of health literacy status were included,and 49 literatures conforming to the analysis of influencing factors were included.The results showed that the health literacy levels of residents in western China from 2012 to 2021 were as follows:6％(95％CI:5％-7％)、6％(95％CI:5％-7％)、8％(95％CI:7％-8％)、8％(95％CI:7％-10％)、11％(95％CI:6％-15％)、15％(95％CI:14％-17％)、14％(95％CI:13％-14％)、18％(95％CI:16％-20％)、16％(95％CI:14％-17％)、19％(95％CI:14％-24％).The main influencing factors of residents'health literacy and their combined OR(95％CI)were:Urban residents 2.47(2.09,2.93);Age＜45 years 1.92(1.72,2.14);High school or above education background 4.49(3.87,5.22);Occupation as a teacher,medical staff,civil servant,or student 3.08(2.45,3.86);Han Chinese 1.88(1.57,2.24).Conclusion:The health literacy of residents in western China has gradually improved since 2012,but the overall level is still low.Age,occupation,place of residence,education level and ethnicity are the main influencing factors of health literacy.Tar-geted health education and promotion activities should be carried out according to different groups of people to further improve the o-verall health literacy level of residents in the western region.
维普
万方数据