泰州市居民健康素养三个维度及不同组合的变化趋势

The Trend of Health Literacy in Three Dimensions and Different Combinations Among Residents in Taizhou City

目的比较泰州市居民2013年、2017年、2018年健康素养不同维度的变化情况,为今后干预工作提供依据。方法统一评分题目和评价标准,按第六次全国人口普查江苏省人口数据进行标化,比较泰州市居民三年健康素养水平和健康知识、健康行为和健康技能三个维度的变化情况。结果经加权调整,泰州市居民三年的整体健康素养水平分别为16.9%,23.1%,32.4%;健康行为维度素养由2013年的15.6%增至2018年的37.5%,环比增长140.4%;三个维度健康素养都不具备的人群由2013年57.9%下降至2018年的43.8%,环比下降24.4%;同时具备健康知识和健康技能这两个维度的人群增长率最低。结论泰州地区居民健康素养近5年上升明显,三个维度间的素养更趋平衡;今后干预的重点应该侧重于三个维度健康素养都不具备的人群,尤其要加强健康知识和健康技能的普及。

Objective To analyze the trend of change in different dimensions health literacy among urban and rural residents in Taizhou city in 2013,2017 and 2018,in order to provide policy reference of health intervention.Methods Based on the data of Jiangsu Province in the sixth national population census,the health literacy level,health knowledge,health behavior,and health skills of Taizhou residents in three years were compared.Results After weighted adjustment,the 3-year health literacy level was 16.9%,23.1%,32.4%,respectively.the level of health behavior dimension increased from 15.6%in 2013 to 37.5%in 2018,with the five years-on-years increase of 140.4%.The number of people with no health literacy level in the three dimensions decreased from 57.9%in 2013 to 43.8%in 2018,with the five years-on-years decrease of 24.4%.People with literacy that combine health knowledge and health skills had the lowest growth rates.Conclusion The health literacy among residents in Taizhou has increased significantly in the past five years.The literacy among the three dimensions is more balanced.In the future,the population with no any of three health literacy dimensions should be focused,and the popularization of health knowledge and health skills should be strengthened.