2016~2019年沂水县居民健康素养变化趋势及相关因素调查

Survey on health literacy change and related factors among residents,Yishui county,2016-2019

目的了解沂水县城乡居民健康素养自省级健康促进县(区)创建以来的变化,为有针对性的制定和评价公共卫生政策、开展健康教育与健康促进干预提供科学依据。方法采用多层次分层整群随机抽样的方法,于2016~2019年对沂水县15~69岁居民进行问卷调查。问卷采用统一的《全国居民健康素养监测调查问卷》,由经过培训的调查员采用面对面询问方式进行调查。结果自2016年创建健康促进示范县以来,居民健康素养水平从2016年的9.17%升至2019年的16.25%,呈现出上升趋势(P<0.05),平均增长为23.60%。基本知识和理念、健康生活方式与行为、健康技能的健康素养水平都呈现逐步上升趋势,分别从2016年的9.58%、7.50%、5.42%提升至2019年的19.57%、15.87%、18.59%,但2019年45岁以上居民健康素养水平为11.94%,小学及以下文化程度的人群健康素养水平为9.42%,仍然处于较低水平。结论沂水县开展健康促进示范县工作后,对各类人群的健康素养干预成效显著。

Objective To understand the changes of health literacy of urban and rural residents in Yishui county since the establishment of provincial health promotion counties,so as to provide scientific basis for formulating and evaluating public health policies,carrying out health education and health promotion interventions.Methods A questionnaire survey was conducted among residents aged 15-69years old in the county during 2016-2019.The questionnaire adopted the unified"National Health Literacy Monitoring Questionnaire",and the trained investigators conducted the survey by face-to-face interview.Results Since the establishment of health promotion demonstration counties in 2016,the health literacy level of residents has increased from 9.17%in 2016to 16.25%in 2019,showing an upward trend(P<0.05),with an average increase of 23.60%.The level of health literacy of basic knowledge and idea,healthy life style and behavior,and health skills all showed a rising trend,from 9.58%,7.50%and 5.42%in 2016to 19.57%,15.87%and 18.59%in 2019,respectively,however,in 2019,the health literacy level of residents over 45years old was 11.94%,and that of people with primary school education or less was 9.42%,still at a relatively low level.Conclusion After the health promotion demonstration counties were launched in Yishui county,the intervention on health literacy of various groups of people has achieved remarkable results.