北京市常住居民健康素养现状及影响因素分析

Analysis of health literacy status and its influencing factors among permanent residents in Beijing

目的了解北京市居民健康素养现状,并探索其影响因素。方法采用多阶段分层整群随机抽样的方法,对北京市2030名15～69岁常住居民进行问卷调查,问卷包括一般情况、知识、行为和技能等部分。健康素养资料采用单因素分析和多因素非条件Logistic回归分析。结果北京市常住居民健康素养合格率为43.4%,男性为41.6%,女性为45.0%。多因素分析结果显示:女性、文化程度、平均月收入是健康素养的保护因素,OR值分别为1.2、1.5和1.2(以健康素养合格组为研究组)。健康素养合格率呈现随文化程度、月收入升高而增高的趋势。结论抓住北京市居民健康素养重点影响因素,利用现有政策平台,开展多种形式、针对性的干预活动,全面提高北京市居民健康素养水平。

Objective To explore status of health literacy and analyze its influencing factors among permanent residents in Beijing. Methods Multistage stratified cluster random sampling method was used to recruit 2030 permanent residents 15 -69 years old. A questionnaire was used to collect information about normal social-demographic characters, health literacy of and so on. Logistic regression was used for data analysis. Results The overall health literacy level of res- idents was 43.4% , and in male accounting for 45.0% , in female for 41.6% , respectively. Multivariate analysis showed that female （ OR = 1.2 ） , education levels （ OR = 1.5 ） and income per month （ OR = 1.2） were protecting factors for health literacy in residents who had satisfied health literacy. Passing percentages were increased with education level and income per month. Conclusion Comprehensive interventions targeted at their different features and significant influencing factors should be carried out to improve health literacy among permanent residents in Beijing.