2012—2021年我国15~24岁人群健康素养水平及其影响因素

The changing trend of health literacy level among Chinese young people aged 15-24 years old and its influencing factors,2012-2021

目的了解2012—2021年我国15~24岁人群健康素养水平变化趋势,探索该特定人群健康素养影响因素,为制定该人群健康教育和健康促进相关政策措施提供参考。方法基于全国2012—2021年居民健康素养监测数据,分析15~24岁人群健康素养水平现状及其影响因素。结果经加权调整,2012—2021年间我国15~24岁人群健康素养水平依次为9.43%、9.39%、10.78%、11.45%、12.78%、15.58%、18.45%、22.55%、23.15%和30.46%。多因素Logistic回归分析显示,以西部为参照,东部地区15~24岁人群健康素养水平较高,OR值为1.593(95%CI:1.291~1.966);以男性为参照,女性健康素养水平较高,OR值为1.400(95%CI:1.167~1.679);以小学及以下文化程度为参照,大专/本科及以上文化程度者健康素养水平较高,OR值为18.837(95%CI:6.825~51.991);以家庭年收入<2万元者为参照,家庭年收入≥8万元者的健康素养水平较高,OR值为1.321(95%CI:1.011~1.726)。结论我国15~24岁人群健康素养水平在稳步提升,不同地区、性别、文化程度和家庭收入水平是15~24岁人群健康素养水平的主要影响因素。

Objective To understand the changing trend of health literacy level and its influencing factors among young people aged 15-24 years old from 2012 to 2021,and to provide references for developing health education and promoting relevant policy measures for youth,especially adolescents.Methods The health literacy monitoring data of Chinese residents from 2012 to 2021 were used to analyze the health literacy level of the youth aged 15-24 years old and its influencing factors.Results After weighted adjustment,the health literacy levels of the youth from 2012 to 2021 were 9.43%,9.39%,10.78%,11.45%,12.78%,15.58%,18.45%,22.55%,23.15%,30.46%,respectively.Multivariate logistic regression analysis showed that the health literacy level in the eastern region was higher than that in the western region,and the OR value was 1.593(95%CI:1.291-1.966).Compared with men,women were at a higher level of health literacy,with an OR value of 1.400(95%CI:1.167-1.679).Compared with the education level of primary school and below,the health literacy level of youth with junior college/undergraduate and above was higher,and the OR value was 18.837(95%CI:6.825-51.991).Compared with those with annual household income<20000 yuan,those with annual household income≥80000 yuan had a higher level of health literacy,with an OR value of 1.321(95%CI:1.011-1.726).Conclusion The health literacy level of young people aged 15-24 years in China is steadily improving.Factors such as different regions,gender,education level and family income level are the main factors associated with health literacy level of young people aged 15-24 years.