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目的了解丽水市居民健康素养水平,从不同人口学特征分析健康素养的影响因素。方法使用分层多阶段整群抽样法调查2 813名15~69岁人群健康素养水平,采用Logistic回归分析其影响因素。结果有效问卷2 701份;具备健康素养的占15.25%,标化率为16.26%;基本知识和理念、健康生活方式与行为和健康技能3个维度健康素养分别为19.33%、8.63%和22.99%,科学健康观、传染病预防、慢性病预防、安全与急救、基本医疗和信息获取6类健康问题具备比例分别是42.69%、29.43%、9.11%、53.31%、18.29%和24.81%。Logistic回归分析显示,影响健康素养水平的主要因素有文化程度、职业和年收入水平。结论丽水市居民健康素养水平有待提高,文化程度、职业和年收入水平是影响居民健康素养水平的相关因素。
Objective To understand the health literacy of residents in Lishui City and to analyze the influencing factors of health literacy from different demographic characteristics. Methods The stratified multistage cluster sampling method was used to investigate the health literacy of 2 813 15-69-year-olds and the influencing factors were analyzed by Logistic regression. The results of valid questionnaires 2 701; with health literacy accounted for 15.25%, the standardization rate was 16.26%; basic knowledge and philosophy, healthy lifestyles and behavioral health skills in three dimensions of health literacy were 19.33%, 8.63% and 22.99% The proportions of health problems such as scientific outlook on health, prevention of infectious diseases, prevention of chronic diseases, safety and first aid, basic medical treatment and access to information were 42.69%, 29.43%, 9.11%, 53.31%, 18.29% and 24.81% respectively. Logistic regression analysis showed that the main factors affecting the level of health literacy were education, occupation and annual income. Conclusion The health literacy level of residents in Lishui City needs to be improved. The educational level, occupation and annual income level are the related factors that affect the health literacy level of residents.