2017和2019年萧县居民健康素养水平调查分析

Analysis on the levels of health literacy among residents in Xiaoxian County in 2017 and 2019

目的了解2017和2019年安徽省萧县居民健康素养水平及变化特点,为制订健康教育策略与措施提供科学依据。方法采用多阶段、按规模大小成比例的概率抽样(PPS)和KISH表相结合的抽样方法,对萧县15~69岁常住居民健康素养水平进行问卷调查。结果2017年和2019年萧县居民健康素养水平分别为18.31%和20.08%;两年调查结果均显示不同年龄段、文化程度和职业的居民健康素养水平差异有统计学意义(均P<0.05)。3个方面素养水平中基本知识和理念素养水平最高且增幅最大,2019年为37.02%,增长3.79个百分点;基本技能素养水平下降2.69个百分点。六类健康问题素养水平中安全与急救素养水平最高,科学健康观素养水平增幅最大,增长11.43个百分点,传染病防治素养水平2019年为17.26%比2017年17.77%略有降低。结论萧县居民健康素养水平呈上升趋势,但水平较低、增幅较小,且基本技能素养呈下降趋势,传染病防治素养处于较低水平,未来应持续开展健康素养促进行动,加快提高居民健康素养水平。

Objective To understand the health literacy level and change characteristics of residents in Xiaoxian county of Anhui province in 2017 and 2019,and to provide scientific basis for formulating health education strategies and measures.Methods Using multi-stage,probability proportionate to size sampling(PPS sampling)and KISH table methods,the permanent resident population aged 15~69 years old in Xiaoxian county were investigated with questionnaire about health literacy.Results In 2017 and 2019,the health literacy levels of residents in Xiaoxian county were 18.31%and 20.08%,respectively.The results of the two years’survey showed that the health literacy level of residents in different age groups,education levels and occupations had statistical significance(P<0.05).Among the three literacy aspects,the basic knowledge and concept literacy level was the highest and the growth was the highest,which was 37.02%in 2019 and 3.79 percentage points higher than that in 2017.The level of basic skills literacy in 2019 was 20.08%,down 2.69 percentage points from 2017.Among the six categories of health problems,the highest was safety and first aid literacy.The literacy level of science and health as seen the largest increase,increasing by 11.43 percentage points from 2019 to 2017.The literacy level of prevention and treatment of infectious diseases in 2019 was 17.26%,a slight decrease from 17.77%in 2017.Conclusion The health literacy level of residents in Xiaoxian County showed an upward trend,but the level was low and the growth was small.Mostly,the basic skill literacy showed a downward trend,and the quality of infectious disease prevention and control was at a low level.In the future,we should continue to carry out health literacy promotion actions to accelerate the improvement of residents’health literacy level.