中国5省份中学生健康素养与伤害发生的关联分析

Association of the health literacy and the incidence of injuries among Chinese middle school students in five provinces

目的 了解中国中学生健康素养与伤害发生之间的关联。方法 于2013年11月至2014年2月，在辽宁、河南、广东省，重庆市，新疆维吾尔自治区，采用整群抽样方法调查中学生健康素养和伤害发生情况。共发放问卷27 044份，收回有效问卷为25 378份。根据中国青少年互动性健康素养问卷评分进行三分位分组，将研究对象分为健康素养低、中和高3组，采用多因素logistic回归模型分析健康素养与伤害发生之间的关联。结果 25 378名调查对象健康素养总分为（103.55±23.91）分；自我伤害和意外伤害的发生率分别为27.5%（6 971例）和47.8%（12 119例）。与健康素养水平高的中学生相比，健康素养水平低、中的中学生发生自我伤害的OR（95%CI）值分别为2.56 （2.35~2.79）、1.96 （1.81~2.12）；发生意外伤害的OR（95%CI）值分别为1.63 （1.53~1.73）、1.47 （1.37~1.58）。结论 中学生自我伤害和意外伤害的发生风险与健康素养有关。

Objective The purpose of this study was to examine the association between health literacy （HL） and the incidence of injuries in middle school students in China.Methods From November 2013 to February 2014, middle school students in Liaoning, Henan, and Guangdong provinces, Chongqing municipality, Xinjiang Uygur Autonomous Region were selected by using cluster sampling method. A total of 27 044 questionnaires were issued and 25 378 questionnaires were valid. According to the Chinese Adolescent Interactive Health Literacy Questionnaire （CAIHLQ）, scores were conducted a tripartite group. Multiple logistic regression analyses were conducted to examine the association between HL and injuries.Results The scores of CAIHLQ were 103.55±23.91 among 25 378 students. The detection rate of self-injuries and unintentional injuries was 27.5% （n=6 971） and 47.8% （n=12 119）. Compared with the students with high HL, the OR （95%CI） values of self-injuries among students with low and middle HL were 2.56 （2.35-2.79） and 1.96 （1.81-2.12）. Compared with the students with high HL, the OR （95%CI） values of unintentional injuries among students with low and middle HL were 1.63 （1.53-1.73） and 1.47 （1.37-1.58）.Conclusion The risk of self-injuries and unintentional injuries of middle school students is related to HL.