2012 — 2019年我国农村居民健康素养水平及其影响因素研究

  目的  了解云南省脱贫地区居民健康素养具备情况及其影响因素，为乡村振兴战略中健康促进政策的制定提供参考依据。  方法  于2020年8 — 10月采取多阶段分层随机整群抽样方法在云南省脱贫地区抽取88个贫困县34510名15～69岁常住居民进行健康素养问卷调查。  结果   云南省脱贫地区调查的34510名居民中，具备健康素养居民5129人，居民健康素养具备率为14.86 %；多因素非条件logistic回归分析结果显示，年龄25～54岁和文化程度小学及以上的云南省脱贫地区居民健康素养具备率较高，少数民族和居住在农村的云南省脱贫地区居民健康素养具备率较低。  结论  云南省脱贫地区居民健康素养具备率较低，年龄、民族、文化程度和居住地是该地区居民健康素养的主要影响因素。

Social disparities in health literacy in the United States

  Objective  To examine the health literacy and its influencing factors among residents living in areas out of poverty in Yunnan province for providing evidence to the development of regional health promotion policies.   Methods  Totally 36 410 permanent residents aged 15 – 69 years were recruited in 88 formerly impoverished counties of Yunnan province with stratified multistage random cluster sampling for a household survey. The National Health Literacy Questionnaire was self-administered to the participants under the guidance of interviewers during August – October, 2020.   Results  For the 34 510 participants with valid responses, only 5 129 (14.86%) were assessed as having adequate health literacy (with an overall score of ≥ 80 for a maximum health literacy score of 100). The results of multivariate unconditional logistic regression analysis showed that the participants aged 25 – 54 years or with the education of primary school and above were more likely to have a higher health literacy; while, those being ethnic minority or living in rural areas were more likely to have a lower health literacy.   Conclusion  The health literacy is at a low level and mainly influenced by age, ethnic, education and residential area among the residents living in areas out of poverty in Yunnan province.