广州市居民健康素养与烟草使用的关联分析

目的 了解广州市居民的健康素养与烟草使用情况，为有效开展控烟和健康促进工作提供数据支持。方法 2018年8-11月，采用PPS抽样方法对广州11个区4163名15~69岁居民进行健康素养及烟草使用的问卷调查，使用多因素logistic回归模型分析健康素养与烟草使用之间的关联。结果 广州市居民的健康素养水平为25.4%，现吸烟率、被动吸烟率和尝试戒烟率分别为19.0%、47.1%和56.4%。调整性别、年龄组、文化程度、职业、户籍和婚姻状况等因素后，与具备健康素养水平相比，不具备健康素养居民现吸烟［OR(95%CI):1.61(1.26~2.05)］和被动吸烟［OR(95%CI):1.26(1.07~1.49)］的风险较高。结论 广州市居民的健康素养水平仍不高，现吸烟率、被动吸烟率低和尝试戒烟率高，居民健康素养和烟草使用存在一定程度关联。

Association of health literacy and tobacco use among residents,Guangzhou

To understand the health literacy and tobacco use of residents in Guangzhou，and to provide data supportfor effective tobacco control and health promotion. Methods From August to November 2018，4 163 residents aged 15 － 69years were investigated with a questionnaire about health literacy and tobacco use through multi － stage probability proportionateto size sampling. A multiple logistic regression model was conducted to explore the association between the health literacy andtobacco use behaviors. Ｒesults The health literacy level of Guangzhou residents was 25. 4% ，the present smoking rate，thepassive smoking rate and the attempt to quit smoking rate were 19. 0% ，47. 1% and 56. 4% ， respectively. Afteradjustingfactors such as gender，age group，education level，occupation，household registration and marital status，residentswithout health literacy were at higher risk of smoking ( OＲ( 95% CI) : 1. 61( 1. 26 ～ 2. 05) ) and passive smoking ( OＲ( 95%CI) : 1. 26( 1. 07 ～ 1. 49) ) than those with health literacy. Conclusion The health literacy level of Guangzhou residents wasstill not high. The present smoking rate and the passive smoking rate were low，while the attempt to quit smoking rate was high.The health literacy of 15 － 69 years residents was related to their tobacco use behaviors.