Xu Lina, Xiong Yijie, Li Haisheng, Zhou Wenjuan, Liu Jia, Jiao Yang, Jiang Chu
The Center for Disease Control and Prevention of Haidian District, Beijing 100094, China.
Wei Sheng Yan Jiu. 2020 Sep;49(5):738-743. doi: 10.19813/j.cnki.weishengyanjiu.2020.05.007.
To understand the status of health literacy and its influencing factors among the residents in Haidian District of Beijing, and to provide references for targeted health education intervention.
A multi-staged probability proportionate to size sampling(PPS) sampling method was used to collect 7034 residents that aged 15-69 years old in Haidian District in 2018.
The standardized rate of health literacy among the residents of Haidian District was 28. 56%. The standardized health literacy rate of basic health knowledge and concept literacy, health lifestyle and behavior literacy, basic health skill were 35. 79%, 30. 90% and 36. 39%, respectively. The standardized health literacy rate of 6 health literacy issues from high to low were safety and first aid(66. 39%), scientific health perspectives(51. 24%), infectious diseases prevention and treatment(39. 78%), health information(30. 25%), chronic disease control and prevention(13. 33%), and basic medical care(11. 23%), respectively. The result of multiple logistic regression showed that aged between 30-39 years old, female, high school education and above, the teacher, medical and government staff, staff of other institutions, staff of other enterprises, other employees and the annual income of the family>45000 RMB were protective factors for health literacy. Aged between 50-69 years old was risk factor for health literacy.
The level of health literacy in Haidian District was low. Various forms of intervention activities should be carried out to improve the residents' health literacy, especially focused on health lifestyle and behavior literacy, chronic disease control and prevention and basic medical care.
了解北京市海淀区居民健康素养现状及其影响因素，为有针对性的健康教育干预提供参考。
采用多阶段分层整群随机抽样方法，于2018年抽取海淀区7034名15 - 69岁居民。
海淀区居民健康素养标化率为28.56%。基本健康知识和理念素养、健康生活方式与行为素养、基本健康技能标化健康素养率分别为35.79%、30.90%和36.39%。6类健康素养问题标化健康素养率从高到低依次为安全与急救（66.39%）、科学健康观（51.24%）、传染病防治（39.78%）、健康信息（30.25%）、慢性病防治（13.33%）、基本医疗服务（11.23%）。多因素logistic回归结果显示，30 - 39岁、女性、高中及以上文化程度、教师、医疗卫生及政府工作人员、其他机构工作人员、其他企业职工、其他从业人员以及家庭年收入>45000元是健康素养的保护因素。50 - 69岁是健康素养的危险因素。
海淀区居民健康素养水平较低。应开展多种形式的干预活动以提高居民健康素养，尤其应关注健康生活方式与行为素养、慢性病防治和基本医疗服务。
