我国七省流动人口健康素养及其影响因素研究

目的 了解我国七省流动人口的健康素养情况及其影响因素，为开展有针对性的健康素养干预措施提供科学依据。方法 采用2016年全国流动人口卫生计生动态监测调查问卷数据，共纳入2 335名流动人口进行分析。t检验和SymbolcA@²检验用于组间比较。二元logistic回归模型用于分析流动人口健康素养的影响因素。结果 2016年七省流动人口总体健康素养水平为36.7％，其中健康生活方式与行为素养水平较低（36.5%），传染病防治（33.0%）、基本医疗（27.8%）、慢性病防治素养（22.8%）水平较低。受教育程度更高（初中OR=1.625，P=0.001，高中OR=1.621，P=0.004，大专及以上OR=2.066，P<0.001）、流动次数较少（OR=0.919，P=0.049）、城市地区（OR=1.677，P<0.001）的流动人口健康素养水平更高。结论 流动人口健康素养水平有待提升。应针对受教育程度低、流动次数多的重点人群以及农村重点地区开展干预措施，加强传染病、慢性病防治等健康知识的宣传力度。

The health literacy and influencing factors of floating population from seven provinces of China

To examine health literacy and its influencing factors among floating population in seven provinces of China and to provide scientific basis for carrying out targeted health literacy intervention measures. Methods Based on the 2016 China Migrants Dynamic Survey data, a total of 2 335 floating population were included for analysis. t test and χ2 test were used for comparison between groups. Binary logistic regression was used to analyze the influencing factors of health literacy among floating population. Results In 2016, the overall level of health literacy of floating population in seven provinces was 36.7%, among which the level of healthy lifestyle and behavior literacy was relatively low(36.5%); the level of infectious disease prevention and control(33.0%), basic medical care(27.8%) and chronic disease prevention and control literacy was relatively low(22.8%). The floating population of higher education level(Junior high school: OR=1.625, P=0.001, Senior high school: OR=1.621, P=0.004, College or above: OR=2.066, P<0.001), less frequent migration(OR=0.919, P=0.049) and urban areas(OR=1.677, P<0.001) had higher level of health literacy. Conclusion The health literacy level of floating population needs to be improved. Intervention measures should be carried out for key groups with low education level and more frequent migration, as well as in key rural areas, to strengthen the publicity of health knowledge such as prevention and treatment of infectious diseases and chronic diseases.