目的：全面了解沧州市居民健康素养状况和变化趋势，为制定相关健康教育与促进政策、有针对性的开展综合干预提供科学依据。方法采用分层多阶段整群随机抽样方法，抽取沧州市城乡居民4801人进行问卷调查。问卷采用2013年《全国居民健康素养调查问卷》，由经过培训的调查员采用面对面方式进行调查。结果沧州市居民健康素养具备率为21．0％。其中，基本知识和理念、健康生活方式和行为、健康技能的具备率分别为31．3％、17．8％和23．1％。科学健康观、传染病防治、慢性病防治、安全与急救、基本医疗、信息获取具备率分别为51．6％、16．0％、19．5％、54．8％、9．9％和21．9％。调查人群中城乡、年龄、民族、文化程度、职业、人均收入水平等因素和具备健康素养之间差异具有统计学意义。结论应针对不同人群采取不同干预措施，以提高居民的健康素养水平。%Objective To understand health literacy status of residents in Cangzhou City and its change trend, and provide scientific evidence for development of comprehensive intervention and health education and promotion poli-cies.Methods Using stratified cluster random sampling method,4801 urban and rural residents in Cangzhou City were en-rolled,and a questionnaire survey was conducted.The questionnaire was used same as “National health literacy question-naire”in 2013,trained interviewers carried out face-to-face investigation.Results The total rate of residents’health litera-cy in Cangzhou City was 21.0%.The rates of basic knowledge and concepts,healthy lifestyle and behavior,and health skills were 31.3%,17.8% and 23.1%,respectively.The rates of scientific view of health,prevention of infectious disea-ses,chronic disease prevention,safety and first aid and basic medical treatment,information acquisition were 51.6%, 16.0%,19.5%,54.8%,9.9% and 21.9%,respectively.Living in urban or rural areas,age,nationality,culture de-gree,occupation,average per capita income level were the associated factors with health literacy.Conclusion It should be aimed using different intervention methods among different groups to improve health literacy level of residents.
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