摘要
目的了解2012—2017年我国居民健康信息素养水平变化趋势,探讨健康信息素养的影响因素,为制定卫生政策和健康教育干预措施提供参考依据。方法中国居民健康素养监测采用分层、多阶段、简单随机、按规模大小成比例的概率抽样(PPS抽样)相结合的抽样方法,对全国31个省(区、市)336个监测点非集体居住的15~69岁常住人口健康信息素养水平进行问卷调查。本研究以2012—2017年中国居民健康素养监测数据为依据,对我国居民健康信息素养水平变化趋势及健康信息素养影响因素进行研究。结果经加权调整,2012—2017年,我国居民健康信息素养水平分别为8.16%、18.46%、17.68%、17.08%、19.13和22.95%。"获取健康信息主动性"题目正确率较高,各年加权正确率均超过70%;"健康信息理解应用能力"题目正确率较低,其中"药品说明书——阿莫西林胶囊的适应证"2012年和2013年加权正确率分别为15.87%和13.92%,"医学科普短文——根据身高和体重,计算BMI"各年加权正确率在28.31%到37.44%之间;"获取健康信途径"和"健康信息甄别能力"正确率提升幅度较大,其中提升幅度最大的"糖尿病虚假广告的判断与处理"由2012年的40.09%提升到2017年的67.41%。多因素Logistic回归分析显示,农村居民、中西部地区居民、15~24岁和55~69岁人群、文化程度低者健康信息素养水平较低。结论我国居民健康信息素养水平呈现稳步上升趋势,居民健康信息甄别能力提升较快。今后,健康教育策略和措施应充分利用信息化手段,适应社会信息化进程。
Objective To understand the trend of health information literacy in China from 2012 to 2017,to explore the influencing factors of health information literacy,and to provide reference for health policy and health education intervention.Methods Using stratified,multi-stage,simple random and PPS sampling methods,the permanent resident population aged 15-69 years old,from 336 monitor districts of 31 provinces,were investigated in Health Literacy Surveillance of Chinese residents.The data of Surveillance from 2012 to 2017 were analyzed.Results After weighted adjustment,the levels of health information literacy were 8.16%、18.46%、17.68%、17.08%、19.13 and 22.95%in China from2012 to 2017,respectively.The level of"motivation of seeking health information"was relatirely high,and the weighted correct rates all were more than 70%in each year.The level of"ability to understand and apply health information"was low,the weighted correct rate of"Drug instructions:indications of amoxicillin capsules"were 15.87%and 13.92%in 2012 and2013,respectively;and the weighted correct rate of"BMI"were between 28.31%and 37.44%in each year.The level of"ability to obtain to health information"and"ability to assess health information"increased greatly,and the weighted correct rate of"Assessment and treatment of diabetes false advertisements"increased the most greatly from 40.09%in 2012 to67.41%in 2017.Conclusion The health information literacy of Chinese residents increased,especially the ability to assess health information.In the future,health education strategies and measures should make full use of information technology,and adapt to the process of social informatization.
作者
聂雪琼
李英华
李莉
张刚
王兰兰
NIE Xue-qiong;LI Ying-hua;LI Li;ZHANG Gang;WANG Lan-lan(Chinese Center for Health Education,Beijing 100011,China)
出处
《中国健康教育》
北大核心
2020年第10期875-879,895,共6页
Chinese Journal of Health Education
关键词
健康素养
健康信息素养
健康素养监测
趋势
影响因素
Health Literacy
Health information literacy
Health Literacy Surveillance
Trend
Influencing factors
