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[目的]了解上海市闵行区2家制造企业职工健康素养干预的中期效果,为改善后期干预提供建议。[方法]采用类实验的方法在上海市闵行区两家企业中各随机抽取200名在职员工作为研究对象,随机设定其一家为干预组,另一家为对照组。干预组的干预措施是参与式为主的健康教育方式(如健康素养有奖知识竞答、健康创意海报征集、健康咨询等),根据干预前和干预中期职工健康素养水平变化情况评价干预效果。[结果]干预组健康生活方式与行为和慢性病预防素养水平虽然在干预中期有所提高,但是其分别在健康素养内容的3个方面和5类健康问题相关素养中处于最低。综合人口学特征因素后,干预中期的干预组总体健康素养水平明显高于干预前(OR=5.154,P<0.001),而对照组总体健康素养水平较干预前无统计学差异(OR=0.747,P>0.05)。除干预措施外,干预组总体健康素养水平与年龄、性别、受教育程度和家庭平均月收入无统计学关联(P>0.05),而对照组男性和低收入者的总体健康素养水平低于女性和高收入者(P<0.05)。[结论]参与式健康干预措施的中期效果表明,能有效促进在职人群的健康素养水平。干预后期应将健康生活方式与行为和慢性病预防素养作为重点干预维度,可将男性和低收入者作为干预重点人群。
[Objective] To understand the medium-term effect of health literacy intervention in two manufacturing enterprises in Shanghai Minhang District, and to provide suggestions for improving the intervention in late stage. [Method] With the method of class experiment, 200 active employees were randomly selected from two enterprises in Minhang District, Shanghai. Randomly set one of them as intervention group and the other as control group. Interventions in the intervention group were participation-based health education (such as health literacy prize competition, health creative poster solicitation, health counseling, etc.), and intervention effects were evaluated according to changes in the level of health literacy of mid-term intervention workers. [Results] Although the intervention group’s healthy lifestyles and behavior and chronic disease prevention and literacy levels improved in the middle of intervention, they were the lowest in three aspects of health literacy content and five kinds of health literacy related literatures respectively. After comprehensive demographic factors, the level of general health literacy in intervening intervention group was significantly higher than before intervention (OR = 5.154, P <0.001), while the overall health literacy level in control group was not significantly different from that before intervention (OR = 0.747, P> 0.05). Except for the interventions, there was no significant correlation between the level of general health literacy and the average monthly income of the family members in the intervention group (P> 0.05), while the level of the overall health literacy of the male and the low-income group in the control group was lower than that of the female And high-income people (P <0.05). [Conclusion] The medium-term effect of participatory health interventions shows that it can effectively promote the level of health literacy of working population. Intervention should be healthy lifestyles and behavior and chronic disease prevention and treatment as a key intervention dimension, male and low-income people can be used as a key population intervention.