吉林省城乡居民健康信息素养现状及其影响因素

摘要

目的 了解吉林省城乡居民健康信息素养现状及其影响因素.方法 采用分层多阶段与人口规模成比例的抽样方法(PPS),对吉林省15～69岁常住居民进行入户问卷调查.结果 吉林省2014年健康素养监测共调查4358人,收回有效问卷4321份.2014年吉林省居民健康信息素养水平为12.4％.城市居民为14.9％,农村居民为10.4％;35～44岁居民健康信息素养水平最高(14.2％),65 ～ 69岁居民最低(7.7％);大专/本科以上文化程度居民健康信息素养水平最高(21.0％),小学及以下文化程度居民最低(8.6％).多因素Logistic回归分析结果显示:农村居民健康信息素养水平低于城市居民(OR=0.722,95％CI:0.587 ～ 0.889);文化程度越高,健康信息素养水平越高,以小学及以下文化程度者为参照,初中、高中/职高/中专、大专/本科及以上文化程度者具备健康信息素养的OR值分别为1.415 (95％CI:1.088～ 1.841)、1.980 (95％ CI:1.426 ～ 2.749)、2.932 (95％CI:2.026 ～4.245).结论 吉林省居民健康信息素养水平较低,未来应加强对农村居民、老年人、低文化程度者的健康教育.%Objective To understand the current situation and its influencing factors of health information literacy in Jilin Province.Methods Using PPS (Probability Proportionate to Size Sampling) sampling method,the permanent resident population aged 15-69 years old in Jilin province in 2014,were investigated with questionnaire about health information literacy at home.Results Totally 4358 residents were investigated in 2014 Jilin Province health literacy monitor,4321 valid questionnaires were analyzed.The level of health information literacy of Jilin residents was 12.4％.The level of health information literacy of urban residents was 14.9％,rural residents was 10.4％.The level of health information literacy of residents aged from 35 to 44 was highest about 14.2％,the elderly residents (65-69) was lowest about 7.7％.Residents in education level of college and above had the highest health information literacy with the rate was 21.0％,while people in education level of primary school and below had the lowest health information literacy with the rate was 8.6％.The multiple factors logistic regression analysis showed:rural residents had lower health information literacy than urban,the OR value was 0.722 (95 ％ CI:0.587-0.889);the higher education degree,the higher health information literacy level,comparing to the people in education level of primary school and blow,the people in education level of middle school,high school college and above had higher health information literacy,OR value was 1.415 (95％ CI:1.088-1.841),1.980 (95％ CI:1.426-2.749),2.932 (95 ％ CI:2.026-4.245),respectively.Conclusion The level of health information literacy of the residents was low in Jilin.Health education of the rural residents,old people and the low education residents should be strengthened in the future.