甘肃省老年人健康素养现状研究

Health literacy status of aged people in Gansu province

目的通过监测了解甘肃省老年人健康素养水平,为开展老年人健康教育和健康促进工作提供科学依据。方法 2014年10-12月,采用分层多阶段PPS抽样方法,随机抽取省内24个县区1 028名60岁以上常住人口进行问卷调查。结果甘肃省老年人健康素养水平为1.8%。其中男性为1.0%,女性为2.7%,差异无统计学意义(P>0.05);城市为5.0%,农村为0.8%,差异有统计学意义(P<0.05)。与老年人健康密切相关的安全与急救素养、慢性病防治素养和基本医疗素养分别为40.4%、3.8%和8.7%,城乡之间、不同文化程度之间差异均有统计学意义(均P<0.05)。结论甘肃省老年人健康素养处于较低水平,尤其是农村老年人健康素养水平极低。应进一步加大健康教育和健康促进工作力度,推动老年人健康素养水平逐步提升。

Objective To know about the level of health literacy of aged people by surveillance in Gansu province, and pro- vide scientific suggestions for developing health education and promotion. Methods Multistage PPS sampling method was adopted in the surveillance, 1 028 aged above 60 years old from 24 counties were investigated. Results The overall level of health literacy （AHL） among the aged people in 2014 was 1.8% ,with 1.0% in male and 2. 7% in female ,there was no significant difference（ P 〉 O. 05 ） ; While 5.0% among the urban and 0. 8% among the rural, there was significant differ- ence （ P 〈 0.05 ） . The AHL rates in the 3 health issues as safety and first aid, chronic diseases prevention , and basic med- ical care among the aged people were 40.4% ,3.8% and 8.7% in Gansu province, there were significant difference be- tween urban and rural, and culture degrees （ average P 〈 0.05）. Conclusion The level of health literacy of aged people is very low in Gansu province, especially in rural. More effective intervention measures should be implemented.