2016年金乡县居民慢性病健康素养调查

Survey on health literacy of chronic diseases,Jinxiang county,2016

目的了解金乡县居民慢性病患病情况和慢性病健康素养水平,为基层慢性病健康教育与健康促进提供科学依据。方法 2016年11~12月采用分层多阶段随机抽样方法,抽取金乡县15~69岁常住居民2 600人进行入户调查。采用"根据2017版《全国居民健康素养监测调查问卷》制成的问卷调查表",将能正确回答80%及以上题目的居民判定为具备慢性病健康素养。采用χ2检验分析慢性病健康素养水平,用Logistic多元回归分析健康素养的影响因素。结果调查2 600人,居民慢性病健康素养水平为12.21%,慢性病患病率为15.35%,其中前3位的分别为高血压9.91%、糖尿病2.59%、心脏病2.59%。7道慢性病健康素养题目中知晓率从高到低分别为:"‘久病成良医’,慢性病患者可否根据自己的感受调整治疗方案"为64.07%,"关于吸烟危害的说法,哪个是错误的"为44.54%,"吃豆腐、豆浆等大豆制品的好处是"为42.53%,"下列哪项不是癌症早期危险信号"为42.03%,"关于自测血压的说法,错误的是"为41.53%,"运动对健康的好处包括"为39.18%,"下面的说法,正确的有(骨质疏松)"20.58%。具备慢性病健康素养水平与年龄、文化程度、职业、家庭年收入差异有统计学意义(P<0.01),慢性病患者与非慢性病患者具备慢性病健康素养水平的差异无统计学意义(P>0.05)。文化程度越高,慢性病健康素养水平越高。Logistic回归分析显示,年龄、文化程度、家庭年收入、职业是影响金乡县居民慢性病健康素养水平的重要因素。结论金乡县居民慢性病健康素养水平较低,慢性病患病率较高。

Objective To understand the prevalence level of chronic diseases and the health literacy of chronic diseases in Jinxiang county,so as to provide scientific basis for the health education and health promotion of chronic diseases at the grass-roots level. Methods A stratified multistage random sampling method was used during November-December2016,to collect 2 600 residents aged 15-69 years old in Jinxiang county.The questionnaire of the 2017 edition of the national health literacy survey questionnaire was used to determine the health literacy of the residents who were able to answer 80% or more of the subjects correctly.x2 test was used to analyze the health literacy level of chronic diseases,and logistic multivariate regression analysis was used to analyze the influencing factors of health literacy. Results The health literacy level of chronic diseases in Jinxiang county was 12.21%,and the prevalence rate of chronic diseases was15.35%.The top three were hypertension 9.91%,diabetes 2.59% and heart disease 2.59%.The awareness rate of 7 chronic disease health literacy topics from high to low was as follows：＇long illness into good medicine＇,can chronic patients adjust their treatment according to their own feelings＂ 64.07%,＂ Which is wrong about the harm of smoking？＂ for44.54%,＂the benefits of tofu,bean paste and other soybean products＂ was 42.53%,＂ Which of the following is not a signal of early cancer risk＂ was 42.03%,＂ the statement about self measurement of blood pressure,the wrong one was41.53%,＂ the＂ health benefits of exercise include＂ 39.18%,＂ the following statement,the correct（osteoporosis）＂20.58%.There were statistical differences in the level of health literacy with chronic diseases,age,education level,career and family income（P〈0.01）.There was no significant difference in the level of health literacy of chronic disease patients and non chronic patients（P〉0.05）.The higher the evel of education,the higher the level of health literacy of chronic diseases.Logistic regression analysis showed that age,education level,family annual income and occupation were the important factors influencing the health literacy level of chronic diseases among Jinxiang residents. Conclusion The health literacy level of chronic diseases among residents Jinxiang county is relatively low,and the prevalence rate of chronic diseases is high.