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贵州乡村振兴重点县居民健康素养及健康知识获取方式调查OA

Health literacy and knowledge acquisition of residents in key counties for rural revitalization in Guizhou Province

中文摘要英文摘要

目的 了解2022年贵州省国家乡村振兴重点帮扶县农村居民健康素养现状及健康知识获取方式,为进一步有针对性地开展健康教育,提升居民健康素养提供依据.方法 采用多阶段分层抽样的方法,在贵州的国家乡村振兴重点帮扶县中抽取15~69岁的农村常住人口作为调查对象,采用《全国居民健康素养监测调查问卷》及自行设计的健康知识获取方式相关题目进行问卷调查,采用SPSS 26.0进行统计分析.结果 2022年贵州省国家乡村振兴重点帮扶县农村居民健康素养水平为25.55%.其中基本知识和理念28.24%,健康生活方式与行为43.06%,健康技能14.47%;6类问题中,科学健康观46.56%,传染病防治素养43.64%,慢性病防治素养15.17%,安全与急救素养60.91%,基本医疗素养23.22%,健康信息素养21.82%.单因素分析结果显示,不同年龄调查对象健康素养水平间有显著差异(x2=162.175,P<0.001)、不同文化程度的调查对象健康素养水平间有显著差异(x2=133.309,P<0.001).多因素Logis-tic回归分析显示,健康素养水平随年龄的升高而降低,以15~24为参考,45岁以上的人群健康素养较低(OR=0.098,95%Cl:0.048~0.201);与文化程度正相关,以小学及以下为参考,大专/本科以上的人群健康素养水平最高(OR=8.957,95%Cl:4.619~17.370).结论 2022年贵州省国家乡村振兴重点帮扶县农村居民健康素养水平偏低,应结合现代居民健康知识获取方式制定针对性的健康教育方案,提升他们的健康素养.

Objective To explore the status quo of health literacy and health knowledge acquisition of ru-ral residents in the national-level rural revitalization key support counties of Guizhou Province in 2022,so as to provide basis for further targeted health education and to enhance residents'health literacy.Methods Using the method of multi-stage stratified sampling,the rural resident population aged 15~69 years old was selected from the key support counties for rural revitalization in Guizhou Province as research subjects.The national residents'health literacy monitoring questionnaire and self-designed questions about knowledge acquisition were used for car-rying out a questionnaire survey,using SPSS26.0 for statistical analysis.Results In 2022,the health literacy level of rural residents in key support counties of rural revitalization in Guizhou Province was 25.55%,which in-cluded basic knowledge and theories(28.24%),healthy lifestyle and behavior(43.06%),and health skills(14.47%).Among six types of problems about health literacy,scientific health viewpoint accounted for 46.56%,infectious disease prevention and control 43.64%,chronic disease prevention and control 15.17%,safety and first aid 60.91%,primary medical literacy 23.22%,and health information literacy 21.82%.The re-sults of univariate analysis showed that there were significant differences in health literacy among survey respond-ents of different ages(x2=162.175,P<0.001),and among survey respondents of different educational back-grounds(x2=133.309,P<0.001).Multifactorial logistic regression analysis results showed that the level of health literacy decreased with increasing age,and with 15-24 age group as reference,health literacy was lower a-mong people over 45 years of age(OR=0.098,95%Cl:0.048-0.201).Health literacy level was positively correlated with educational level,and with elementary school education and below as reference,the highest level of health literacy was found among those with college/bachelor's degree or above(OR=8.957,95%Cl:4.619-17.370).Conclusions The health literacy level of rural residents in key support counties of rural revitalization in Guizhou Province in 2022 is lower than average level.Targeted health education programs should be formulated to improve their health literacy.

孟小夏;张丹;陈文佼;田海玉;周戈耀

贵州医科大学医药卫生管理学院,贵州贵安新区 561113

预防医学

乡村振兴农村居民健康素养健康教育新媒体健康传播

Rural revitalizationRural residentsHealth literacyHealth educationNew mediaHealth communication

《中国农村卫生事业管理》 2024 (004)

262-267 / 6

贵州省十四五公共卫生体系建设规划;贵州医科大学社科联理论创新课题(2021XSKCX01)

10.19955/j.cnki.1005-5916.2024.04.006

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