目的 了解医学生健康素养的现状,分析健康素养的影响因素,为针对性开展医学生的健康素养教育提供参考依据.方法 在《中国公民健康素养66条调查问卷》的基础上自行设计问卷,采用分层随机整群抽样方式,于2015年10月抽取川北医学院500名在校医学生进行问卷调查.结果 川北医学院医学生健康素养具备率为25.31％,在健康基本知识和理念、健康生活方式与行为和基本技能3个维度素养具备率分别为51.66％、23.24％和49.38％.单因素分析发现:女生健康素养具备率高于男生(x2=4.003,P＜0.05),非农村学生健康素养具备率高于农村学生(x2=4.286,P＜0.05),高年级学生健康素养具备率高于低年级学生(x2=49.649,P＜0.05).多因素Lo-gistic回归分析发现,医学生健康素养与性别(OR=2.064,95％CI:1.240～3.434,P＜0.05)和年级(OR=7.013,95％CI:3.900～12.614,P＜0.05)有关.结论 医学生健康素养总体水平有待提高,尤其是男生和低年级的医学生,学校应根据不同对象开展针对性的健康素养教育和干预措施.%Objective To understand the status of health literacy and analyze its influencing factors among medical college students,and provide evidence for targeted implementation of health literacy education.Methods The questionnaire was designed by ourselves on basis of 66 Questionnaires of Chinese Citizens' Health Literacy.A stratified cluster sampling method was used to randomly select 500 medical college students of North Sichuan Medical College on October 2015.Results The overall level of medical college students' health literacy was 25.31％.In the 3 dimensions of basic health knowledge and concept,healthy lifestyle and behavior and basic skills,the literacy rate was 51.66％,23.24％ and 49.38％ respectively.The single factor analysis showed that the health literacy level of female students was higher than that of male students (x2=4.003,P ＜ 0.05),non rural students was higher than of rural students (x2=4.286,P ＜ 0.05),and senior students was higher than that of lower grade students (x2=49.649,P ＜ 0.05).Multivariate Logistic regression analysis showed that the rate of health literacy among medical students was related to gender (OR =2.064,95％CI:1.240-3.434,P ＜ 0.05) and grade (OR =7.013,95％CI:3.900-12.614,P ＜ 0.05).Conclusion The general level of health literacy of medical college students needs to be improved,especially boys and junior medical students,and schools should pay attention to health education work and carry out targeted interventions according to different objects.
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