医学研究生生活方式和健康素养的现状及关系

Status quo of lifestyle and health literacy among medical postgraduates and their relationship

目的了解医学研究生生活方式和健康素养的现状及关系。方法采用分层整群随机抽样法选取贵州省全日制医学硕士研究生1562人为调查对象,自行设计调查问卷收集研究生的一般情况(包括性别、民族、年龄、身高、体质量、年级、学位类型、专业、生源地、父母亲文化水平及自评健康状况等),采用大学生健康生活方式量表和全国居民健康素养监测问卷测评研究生的生活方式和健康素养,采用Pearson相关分析和多元线性回归模型分析健康素养与生活方式的关联性。结果医学研究生生活方式总得分为(121.23±18.04)分,健康素养得分为(60.34±6.09)分,健康素养水平为75.99%;Pearson相关分析显示,除运动锻炼行为外,医学研究生的生活方式及各维度得分均与健康素养得分呈正相关(P<0.001);多元线性回归分析显示,在控制年龄、民族、年级、生源地、父母亲文化水平、家庭月收入及自评健康状况等变量后,医学研究生健康素养水平可正向预测生活方式得分(β=0.160,P<0.001)。结论贵州省医学研究生的生活方式与健康素养水平亟需改善,其健康素养水平可正向预测生活方式得分。

Objective To investigate the status quo of lifestyle and health literacy among medical postgraduates and their relationship.Methods A stratified cluster random sampling method was used to select 1,562 full-time medical postgraduates in Guizhou province as survey subjects.A self-designed questionnaire was used to collect general information of the postgraduates(including gender,ethnicity,age,height,body mass,grade,degree type,major,birthplace,parents'education level,and self-assessment of health status,etc.).The health lifestyle of the postgraduates was assessed using Health Lifestyle Scale for University Students,and their health literacy was evaluated using the National Health Literacy Monitoring Questionnaire.Pearson correlation analysis and multiple linear regression models were used to analyze the correlation between health literacy and lifestyle.Results The total score of lifestyle among medical postgraduates was(121.23±18.04)points,while the health literacy score was(60.34±6.09)points,with a health literacy rate of 75.99%.Pearson correlation analysis showed that,except for exercise behavior,lifestyle and scores of various dimensions were positively correlated with health literacy scores among medical postgraduates(P<0.001).Multiple linear regression analysis showed that,after controlling variables such as age,ethnicity,grade,birthplace,parents'education level,family monthly income and self-assessment of health status,the health literacy level of medical postgraduates may positively predict lifestyle scores(β=0.160,P<0.001).Conclusion It is urgent to improve the lifestyle and health literacy level of medical postgraduates in Guizhou province.Their health literacy level can positively predict their lifestyle scores.