成都市某区居民健康素养水平及影响因素分析

目的 了解成都市某区居民健康素养现状及其影响因素，为相关部门做健康决策提供指导建议。方法 采用分层多阶段随机抽样在该区11个乡镇抽取2192名居民进行问卷调查，运用x2检验和logistic回归进行统计分析。结果 该区居民健康素养水平为7.31%，logistic回归分析结果显示，年龄、文化程度、职业、自觉健康状况、地理位置是居民健康素养水平的影响因素。年龄越大，居民健康素养水平越低。以15~24岁年龄组为参照，55~69岁年龄组OR值（95% CI）为0.374（0.178~0.787）。文化水平越高，居民健康素养水平倍增，以小学以下文化程度为参照，大专/本科及以上OR值（95% CI）为23.047（7.327~72.496）。结论 该区居民健康素养仍处于较低水平，应在提高全区居民健康素养的基础上，将高龄、低文化程度、农村居民作为该区健康工作的重点人群。

The level of health literacy and its influencing factors among residents in a district of Chengdu

To investigate the status and influencing factors of health literacy in a district of Chengdu, and to provide guidance and suggestions for relevant departments to implement health policy. Methods 2192 residents were randomly selected from 11 townships in this area to participate in this survey. Statistical analysis method: chi square test and logistic regression analysis.Results The health literacy level of residents in this area was 7.31%. Logistic regression analysis showed that age, occupation, self-conscious health status, education and residential location were the influencing factors of residents’ health literacy level. Logistic regression analysis showed that residents at age group of 15-24 years were used as a reference,and the older the age, the lower the level of health literacy. The 55-69 age group OR (95%CI) was 0.374 (0.178-0.787). Compared with residents with less than aprimary school education, the higher the education level, the higher the level ofhealth literacy. Junior college/undergraduate and above OR (95%CI) were 23.047(7.327-72.496).Conclusion The health literacy level of residents in this area is still at a low level. The local government should improve the health literacy level of residents, and take the elderly, low education level and rural residents as the key population of health-related services.