摘要
目的调查某军医大学预选士官健康素养现状及影响因素,评价其健康教育干预效果,为基层部队开展健康素养教育提供理论依据。方法随机抽取预选卫生士官425人,对其进行为期3个月的健康教育干预,干预前后分别进行相同的健康素养调查问卷,将定量研究与定性研究相结合,验证干预效果。数据统计采用SPSS19. 0软件,方法为配对Wilcoxon检验、配对McNemar检验和多元Logistic回归。结果性别、年龄、民族、个人文化程度是影响预选士官健康素养水平的危险因素。女性的健康素养水平是男性的4. 508倍; 21~24岁卫生士官的健康素养水平是17~20岁的3. 264倍;汉族的卫生士官的健康素养水平更高;文化程度高的卫生士官,其健康素养水平也较高。健康教育干预后,预选卫生士官总的健康素养和三方面健康素养的得分及水平均增加(水平增量依次为15. 30%、3. 29%、17. 64%和12. 00%)。不同的人口学特征干预效果不同,女性健康素养的提高大于男性,家庭年收入越高,健康素养得分及水平增量也越高。吸烟人群的健康素养水平在干预前后均低于不吸烟人群,但吸烟人群的素养水平增量高于不吸烟人群。居住地为城市的预选士官在干预前后健康素养得分及水平增量均高于居住地为农村的预选士官,小学及以下文化水平的卫生士官干预前后的素养水平增量最低。结论健康教育干预可有效提高预选卫生士官的健康素养,国家及军队有关部门应实施有针对性的健康教育。
Objective To provide data for health education for grass-roots troops and to evaluate the effect of health education intervention. Methods A total of 425 preseleeted medical non-commissioned officers were selected randomly, who received three months of health education interventions. The same questionnaires were used before and after the interventions. Quantitative and qualitative studies were conducted to verify the effect of intervention. Results Femininity（ OR = 4. 508 ）, ages 21 to 24 （ OR = 3. 264 ）, Han ethnicity （ OR = 4. 818 ） and higher education levels were associated with better health literacy. After health education interventions, the total health literacy and health literacy scores were increased （ the level of increment was 15.30% , 3.29% , 17.64% and 12.00% ）. Health literacy scores increased more significantly in participants who were female, higher regarding family incomes, smokers, urban and better educated. The increase in health literacy was more remarkable in participants who were female, smokers, higher in family incomes, urban and with high school diplomas. Condusion Health education can improve health literacy among the preselected medical non-commissioned officers.
作者
荣红辉
赵雁丰
吴翀
李懿
陈济安
RONG Hong-hui;ZHAO Yan-feng;WU Chong;LI Yi;CHEN Jr-an(Department of Health Education,College of Preventive Medicine,Army Medical University,Chongqing 400038,China;Teaching and Research Protection Center Library,Engineering University of CAPF,Xi＇an 710086,China;Academic Affairs Office,Army Medical University,Chongqing 400038,China;Vocational Education Center,Academic Affairs Office,Army Medical University,Chongqing 400038,China)
出处
《军事医学》
CAS
CSCD
北大核心
2018年第5期333-338,共6页
Military Medical Sciences
基金
第三军医大学人文社科基金课题资助项目(2016XRW02)
关键词
预选卫生士官
健康素养
影响因素
健康教育
干预效果
preselected medical non-commissioned officers
health literacy
affecting factors
health education
intervention effect
