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目的了解南京市居民科学就医素养现状,分析科学就医素养的主要影响因素,为今后制定有效干预策略提供科学依据。方法采用多阶段、分层、整群随机抽样,对全市12个区5 404名年龄在15~69岁的常住人口进行问卷调查。结果 2014年南京市居民具备科学就医素养的比例为29.0%;科学就医素养测试题目正确回答率为63.0%,对“关于国家基本公共卫生服务的理解”和“全国统一的免费卫生热线电话号码”等科学就医核心信息的正确回答率较低,分别为38.9%和28.3%;单因素和多因素分析均发现,地域、年龄、文化程度、职业、家庭人均月收入和健康状况是主要的影响因素。结论南京市居民具备科学就医素养的比例较低,文化程度是居民科学就医素养最重要的影响因素,应针对薄弱核心信息、薄弱人群进行重点干预。
Objective To understand the status quo of medical literacy of Nanjing residents and to analyze the main influencing factors of medical literacy in Nanjing and to provide a scientific basis for formulating effective intervention strategies in the future. Methods A total of 5 404 residents aged 15-69 years from 12 districts of the city were surveyed by multi-stage, stratified and cluster-random sampling. Results In Nanjing, 29.0% of the residents had medical literacy in 2014, 63.0% of the respondents answered the question of quality of medical literacy test, and the “National Understanding of Basic Public Health Service” and “National Unified Health Insurance Hotline Telephone number ”and other scientific medical core information, the correct answer rate is low, respectively, 38.9% and 28.3%; univariate and multivariate analysis found that the geographical, age, education level, occupation, family monthly income and health status per capita is The main influencing factors. Conclusion Nanjing residents have a lower proportion of people who have medical literacy, and their educational level is the most important influential factor of residents’ scientific literacy. We should focus on the weak core information and the weak population.