广东省高中生健康素养影响因素多元多水平分析

Multivariate and multilevel model analysis on factors that influencing the literacy of health among high school students in Guangdong province

目的了解广东省高中生健康素养水平及其影响因素。方法采用多阶段抽样方法，运用卫生部编制的“2009年中国公民健康素养调查问卷”对高中生进行问卷调查。采用MLwinN2．19软件对资料进行多元多水平分析。结果广东省1606名高中生知识与理念性、行为性、技能性素养的平均分分别是69．08±14．81、60．05±16．85和74．99±21．17。三方面健康素养均存在一定的相关性，且班级水平相关性（0．972、0．715、0．855）明显高于个体水平相关性（0．565、0．426、0．438）。结论来自经济欠发达地区、普通中学、学习成绩差、零花钱较多、低年级、男性学生的健康素养水平较低。

Objective To analyze the awareness on health among high school students and its influencing factors in Guangdong. Methods Multi-stage sampling and questionnaire ＂2009 health awareness survey of the Chinese citizens＂ developed by our Department of Health, were used. Data were analyzed by multivariate multilevel model under MLwinN 2.19 software. Results The mean scores on knowledge and ideas, behaviors and related skills among 1606 high school students of Guangdong province, were 69.08 ± 14.81,60.05 ± 16.85 and 74.99 ± 21.17 respectively. Three items on health showed that they all related to each other and relations between grades （0.972,0.715 and 0.855） were greater than the individuals （0.565,0.426 and 0.438）. Conelusion Factors as students from outside the Pearl River Delta region or from the rural areas, being male, at general secondary schools, at grade one, with poor academic performance and more pocket money etc., had lower levels on those related information of health.