第九届全球健康促进大会专栏介绍导读

目的了解上海市更年期妇女生殖健康素养水平并初步探究其相关影响因素。方法采用现况调查方法，对上海市8个区1 499名更年期妇女进行生殖健康素养问卷调查，采用Kruskal-Wallis秩和检验分析其影响因素。结果1 499例研究对象的平均年龄为(49.80±5.48)岁，生殖健康素养问卷总得分均数为68.62，中位数为71.07，每题得分均数为1.68~3.78，各题满分比为0.050~0.893；“获取”维度整体得分相对较差，“应用”维度整体得分相对较好；非参数秩和检验分析显示，年龄、户籍、居住地、职业状态、教育程度、收入水平与更年期妇女健康素养得分均有关联(P＜0.05)，民族、婚姻状态组间得分差异无统计学意义(P＞0.05)。结论上海市更年期妇女在生殖健康信息和资源的获取方面较差，卫生服务利用相对较好。年龄、户籍、居住地、职业状态、教育程度、收入水平等因素与生殖健康素养水平有一定关联。

Low health literacy and health outcomes:an updated systematic review

ObjectiveTo investigate the level of reproductive health literacy and its relevant factors among menopausal women in Shanghai.MethodsA total of 1 499 menopausal women from 8 districts of Shanghai were investigated by reproductive health literacy questionnaire for their level status. Kruskal-Wallis test was used to analyze the influencing factors.ResultsThe average age of the 1 499 subjects was (49.80±5.48) years.The average score of literacy was 68.62, with the median being 71.07.The average score of each question was in the range of 1.68~3.78, and the full score ratio was 0.050~0.893.The score of applying dimension was relatively good, and that of acquisition dimension relatively poor.Nonparametic rank sum test analysis showed that there were significant differences in scores of health literacy between different groups of age, household registration, residence, occupation status, education level and income level (P < 0.05), except national and marital status.ConclusionThe menopausal women in Shanghai have difficulty in obtaining reproductive health information and resources but they can utilize health care relatively well.Age, household registration, residence, occupation status, education level and income level may be related factors for reproductive health literacy level of menopausal women in Shanghai.