杭州市大学生健康素养健康相关行为与生命质量的关系

了解杭州市大学生健康素养、健康相关行为及其生命质量的现状,探索健康素养水平及健康相关行为对大学生生命质量的影响路径.方法 采用大学生健康素养问卷、中国青少年健康相关行为调查问卷(大学) 以及SF- 36 健康调查量表,对分层整群抽取的杭州市652 名大学生进行调查.结果 杭州市大学生健康素养具备率为13.9%,生命质量平均得分为(64.87±25.23) 分.结构方程模型分析表明,对生命质量的影响由大到小为吸烟饮酒、健康基本知识、饮食及锻炼行为、健康生活方式、睡眠习惯; 健康基本知识通过健康相关行为间接影响生理健康(0.161) 和心理健康(0.137); 健康生活方式通过健康相关行为间接影响生理健康(0.063) 和心理健康(0.130).结论 健康素养可直接影响大学生的生命质量,也可通过健康相关行为间接影响生命质量.学校应加强大学生健康素养相关课程的建设与开展,推行差异化健康干预计划.

Path analysis of health literacy,health related behavior and quality of life among college students in Hangzhou

Objective To understand the current status of health literacy, health-related behaviors and quality of life among college students. Methods All the participants were investigated with Health and Wellness of College Students, Chinese Adolescent Health Related Behavior Questionnaire (college students version) and the SF-36 Health Survey Scale. Multiple linear regression and structural equation model were used in statistical analysis. Results The average score of quality of life was (64.87± 25.23). Health literacy, dietary habits, exercise behavior, and drinking behavior showed significant impact on quality of life(P< 0.05). Structural equation model analysis showed that health-related knowledge indirectly affected physiological health (0.161) and psychological health (0.137) through health-related behaviors; healthy lifestyle indirectly affected physiological health (0.063) and psychological health (0.130) through health-related behaviors. Conclusion Health literacy has direct effect on quality of life, as well as indirect effect through health-related behaviors. This article articulates the need to develop health literacy courses and specific health literacy intervention for college students.