武汉市居民慢性病防治健康素养水平及影响因素分析

目的　本研究旨在了解武汉市居民的慢性病防治健康素养水平及其影响因素。方法　2016年9-12月，采用多阶段分层随机整群抽样的方法，在武汉市14个区90个监测点抽取15~69岁居民共4500人，进行面对面的问卷调查。结果　2016年武汉市居民慢性病防治健康素养水平为11.5%。多因素logistic回归分析显示，城市居民慢性病防治素养水平高于农村居民，OR值为1.550（95%CI: 1.162~2.068）。文化程度越高，慢性病防治素养水平越高，以不识字或很少识字者为参照，初中、高中/职高/中专、大专/本科、硕士及以上文化程度者具备慢性病防治素养的OR分别为4.729 ( 95%CI: 1.455~15.367) 、7.682 ( 95%CI: 2.339~ 25.224) 、11.728(95%CI: 3.521~ 39.057) 、20.257(95%CI: 5.417~ 75.750)。结论　武汉市居民2016年慢性病防治健康素养水平不高，应以农村地区、文化程度较低人群的为重点，提高全市居民的慢性病防治健康素养水平。

Chronic disease literacy and its influencing factors in Wuhan residents

Objective　To understand the status of chronic disease literacy and its influencing factors in Wuhan residents. WTHZ]Methods　Multi-stage stratified cluster random sampling method was used to conduct a face-to-face questionnaire survey of a total of 4500 residents aged 15-69 from 90 monitoring points in 14 districts of Wuhan. WTHZ]Results　The literacy level of chronic disease in Wuhan residents was 11.5%. There was a statistically significant difference in chronic disease literacy among the factors of the settlement, age, education, occupation and monthly household income with the Chi-square test. Multivariate logistic regression analysis showed that urban residents had the higher literacy level of chronic disease than that of rural residents, the OR value was 1.550 (95%CI: 1.162-2.068). With reference to the illiterate or less literate, the people in the education level of middle school, high school, college, master’ degree and above had higher chronic disease literacy level. OR values were 4.729 (95%CI: 1.455-15.367), 7.682 (95%CI: 2.339-25.224), 11.728 (95%CI: 3.521-39.057), 20.257 (95%CI: 5.417-75.750), respectively. WTHZ]Conclusion　The literacy level of chronic disease in Wuhan residents is not high in 2016, and people living in rural areas with low education degree should be the key focus populations to improve the level of chronic disease literacy in the city.