摘要
目的通过2015年和2018年西城区居民健康素养水平的比较,评价3年间健康素养综合干预效果,探索今后健康素养的干预方向。方法在2015年和2018年,采用分层多阶段随机抽样方法,抽取15~69岁西城区常住居民名3430人和2554人开展调查,使用χ~2检验和多因素非条件Logistic回归对比分析两年的健康生活方式与行为素养调查结果。结果2015年和2018年西城区标化后健康素养具备率分别为33.4%和36.6%,高于同年度北京市数据,两年健康素养具备率差异无统计学意义。2018年40岁年龄组居民健康素养具备率高于2015年,差异有统计学意义。多因素Logistic回归分析结果显示,文化程度(以小学以下为标准,初中OR=1.22,高中/职高/中专OR=1.63,大专/本科及以上OR=2.85)、职业(以公务员为标准,医务人员OR=2.40,学生OR=1.68)、家庭平均年收入(收入大于4.5万元OR=1.15)、是否本地户籍(非本地户籍OR=1.36)和是否患慢性病(患慢性病OR=0.78)是健康素养的影响因素。结论3年健康素养综合干预效果不明显,需要探索新的健康素养综合干预措施。
Objective To evaluate the effect of comprehensive intervention on health literacyby comparing the health literacy level of residents in Xicheng District from 2015 to 2018,and explore the influencing factors of health literacy.Methods In 2015 and 2018,3430 and 2554 permanent residents aged 15-69 in Xicheng District were sampled by stratified multi-stage random sampling method.The results of healthy lifestyle and behavior literacy survey for two years were analyzed byχ~2 test and multivariate unconditional logistic regression.Results The rate of health literacy possession in Xicheng District after standardization in 2015 and 2018 was 33.4%and 36.6%respectively,which was higher than that in Beijing in the same year.There was no significant difference in the rate of health literacy possession between the two years.The health literacy possession rate of 40-year-old residents in 2018 was higher than that in 2015,and the difference was statistically significant.Multivariate logistic regression analysis showed that educational level(taking primary school as the standard,OR=1.22 in junior high school,OR=1.63 in senior high school/vocational high school/secondary vocational school,OR-2.85 in junior college/undergraduate and above),occupation(taking civil servants as the standard,OR=2.40 in medical staff,OR=1.68 in students),average family income(income greater than 45000,OR=1.15),local household registration(non-local household registration OR=1.36)and chronic disease(chronic disease OR=0.78)were the influencing factors of health literacy.Conclusion The effect of 3-year comprehensive intervention on health literacy is not obvious,and new comprehensive intervention measures on health literacy need to be explored.
作者
岳川
张楠
赵娅男
张悦
金宝树
卢立新
YUE Chuan;ZHANG Nan;ZHAO Ya-nan;ZHANG Yue;JIN Bao-shu;LU Li-xin(Health Education Department,Xicheng District Center for Disease Control and Prevention,Beijing 100120,China)
出处
《中国健康教育》
北大核心
2020年第1期44-48,共5页
Chinese Journal of Health Education
关键词
健康素养
综合干预
效果
Health literacy
Comprehensive intervention
Effect
