2013年与2008年广西居民健康素养水平比较分析

Comparative analysis of health literacy level of residents in Guangxi Province between 2013 and 2008

目的比较2013年与2008年广西居民健康素养水平,为制订提高健康素养水平的对策提供参考。方法 2013年抽取广西9个市12个监测点15~69周岁常住人口,采用《全国居民健康素养监测调查问卷》进行问卷调查,问卷内容包括公民基本信息及3个方面健康素养水平（基本知识和理念素养、健康生活方式与行为素养、基本健康技能素养）。将广西2013年健康素养水平与2008年的调查结果进行比较分析。结果 2013年、2008年广西居民健康素养总体水平加权率分别为6.57%、6.0%,2013年提高幅度达9.50%,以此推算2015年广西居民健康素养水平为6.80%。2013年基本知识和理念素养为12.75%,比2008年提高了4.85个百分点,健康生活方式与行为素养水平加权率为6.80%,比2008年下降了13.92%。2013年安全与急救素养、科学健康观素养、传染病预防素养、健康信息获取素养、慢性病预防素养、基本医疗素养水平加权率分别为42.40%、24.68%、16.69%、13.72%、7.38%、5.68%。与2008年比较,2013年广西居民慢性病防治素养、安全与急救素养水平加权率提高幅度分别为638.00%、35.90%,科学健康观素养、传染病防治、基本医疗素养水平加权率降低幅度分别为23.12%、5.17%和5.33%。结论 2015年广西居民的健康素养预测水平尚不能达到国家基本要求,应尽快制定措施提高健康素养。

Objective To compare the health literacy level of residents in Guangxi Province between 2013 and 2008, thus to provide the references for working out the strategies on improving health literacy level. Methods Residents aged 15 - 69 years were selected from 12 monitoring sites of 9 cities in Guangxi in 2013. Then a questionnaire survey was conducted using Questionnaire of Nationwide Health Literacy Monitoring for Residents. The contents of the questionnaire consisted of residential basic information and 3 aspects of health literacy level（ including basic knowledge and concepts literacy level, healthy life style and behavior literacy level ,and basic health skill literacy level）. The health literacy level in 2013 was compared with the result in 2008. Results The weighted rate of overall health literacy levels of residents in Guangxi in 2013 and 2008 were 6.57% and 6.0% respectively ,and the increase amplitude reached 9.50% in 2013 ,then the health literacy level of residents in Guangxi in 2015 was calculated as 6.80%. The basic knowledge and concepts literacy level in 2013 was 12.75% and increased by 4.85% compared to that in 2008. The weighted rate of life style and behavior literacy level in 2013 was 6.80% and decreased by 13.92% compared to that in 2008. In 2013, the weighted rates of literacy levels of safety/first aid, scientific health view, communicable diseases prevention ,health information,chronic diseases prevention, and basic medical care were 42.40% ,24.68%, 16.69%, 13.72% , 7.38% and 5.68% ,respectively. Compared to the levels in 2008 ,the weighted rates of literacy levels of chronic diseases prevention and safety/first aid in 2013 increased by 638.00% and 35.90% respectively, and the weighted rates of literacy levels of scientific health view, communicable diseases prevention and basic medical care in 2013 declined by 23.12% ,5.17% and 5.33% respectively. Conclusion The forecast of health literacy level of residents in Guangxi in 2015 does not meet the national basic requirement,therefore the strategies should be made to improve health literacy as soon as possible.