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中文摘要: 目的 了解江西省居民健康素养水平及其影响因素,为政府和卫生行政部门制订针对性措施提供科学依 据。方法 采用多阶段抽样方法,抽取15县(市、区)、45个街道(乡镇)、90个村(居)委会的1500名居民进行问 卷调查。结果 多因素logistic回归结果显示,健康素养整体水平的影响因素为性别、年龄、文化程度、自身慢病 情况和职业类型;健康理念和基本知识的影响因素为性别、年龄、文化程度、自身慢病情况、职业类型和是否购 买商业医疗保险;健康生活方式和行为的影响因素为年龄、文化程度、职业类型和是否购买商业医疗保险;基本 健康技能的影响因素为年龄、文化程度和是否购买商业医疗保险。结论 今后的健康教育工作需要改变传统思 维,通过提高部分健康素养水平来带动整体的提升,应更加关注重点人群的行为干预,强化家庭的预防作用,借 鉴商业医疗保险的有效经验和模式,创新宣传方式并落到实处。
中文关键词: 健康江西 健康素养 影响因素 多因素logistic回归分析
Abstract:OBJECTIVE To understand the health literacy level of residents in Jiangxi Province and its influencing factors, and to provide scientific basis for the government and health administrative departments to formulate targeted measures. METHODS A questionnaire survey was conducted among 1500 residents in 45 streets (townships) by means of multi-stage sampling according to geographical orientation, GDP and total population. RESULTS A total of 1482 valid questionnaires were collected, the effective rate was 98.8%. The overall rate of attaining the standard of health literacy was 58.4%. The health concept and basic knowledge were 47.1%. The healthy lifestyle and behavior were 73.1%. The basic health skills were 74.9%. The correlation coefficients among the three components of health literacy were 0.755, 0.603 and 0.625, respectively. The results of multivariate logistic regression showed that the influencing factors of health concept and basic knowledge were gender, age, education level and personal income level. The influencing factors of healthy lifestyle and behavior were age, education level and family. Whether there are patients with chronic diseases, whether there are health knowledge propaganda boards and occupational types in the community, and the influencing factors of basic health skills are age and educational level. CONCLUSION In the future, the work of health education needs to change the traditional thinking, improve the level of part of health literacy to drive the overall improvement, pay more attention to the behavior intervention of key groups, strengthen the preventive role of families, learn from the effective experience and model of commercial medical insurance, innovate the publicity methods and implement them.
文章编号:3201912021 中图分类号:R193 文献标志码:
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