CAJ | 학술논문

目的：了解重庆市居民健康素养水平及其影响因素。方法采用多阶段整群抽样及 PPS 抽样选取调查对象，利用单因素和多因素统计方法分析结果，并根据国家统一方法进行标化。结果2012年共调查1511人，用于本次分析的有1368人。城市监测点共调查782人，占57．16％，农村监测点共调查586人，占42．84％；主城地区200人，占14．62％，郊区（县）1168人，占85．38％；男性713人，占52．12％，女性655人，占47．88％，男女性别比为1．09∶1。2012年重庆市居民健康素养水平为4．94％。在健康素养的3个方面中，基本知识和理念素养水平为9．51％、健康生活方式和行为素养水平为5．16％、基本技能素养水平为5．99％。具备6类健康问题素养的比例从高到低依次为安全与急救素养22．26％、科学健康观素养20．76％、传染病防治素养10．79％、健康信息素养9．97％、基本医疗素养5．55％、慢性病防治素养4．39％。结论重庆市健康素养水平较低，通过分析也印证了健康素养受文化程度、家庭收入、地理位置等多因素的制约，要提高健康素养水平需要多部门努力加大对健康教育持续性的投入和政策的保障。
목적：료해중경시거민건강소양수평급기영향인소。방법채용다계단정군추양급 PPS 추양선취조사대상，이용단인소화다인소통계방법분석결과，병근거국가통일방법진행표화。결과2012년공조사1511인，용우본차분석적유1368인。성시감측점공조사782인，점57．16％，농촌감측점공조사586인，점42．84％；주성지구200인，점14．62％，교구（현）1168인，점85．38％；남성713인，점52．12％，녀성655인，점47．88％，남녀성별비위1．09∶1。2012년중경시거민건강소양수평위4．94％。재건강소양적3개방면중，기본지식화이념소양수평위9．51％、건강생활방식화행위소양수평위5．16％、기본기능소양수평위5．99％。구비6류건강문제소양적비례종고도저의차위안전여급구소양22．26％、과학건강관소양20．76％、전염병방치소양10．79％、건강신식소양9．97％、기본의료소양5．55％、만성병방치소양4．39％。결론중경시건강소양수평교저，통과분석야인증료건강소양수문화정도、가정수입、지리위치등다인소적제약，요제고건강소양수평수요다부문노력가대대건강교육지속성적투입화정책적보장。
Objective To understand the health literacy status of Chongqing residents and its influencing fac-tors.Methods Multistage cluster sampling and PPS sampling method was adopted to select survey respondents,the results were analyzed by single-factor and multi-factor statistical method and standardized according to the national unified meth-od.Results In total 1511 of residents participated in the survey in 2012,1368 valid data was used in the analysis.There were 782 (57.16%)urban participants and 586 (42.84%)rural ones;there were 200 (14.62%)main city participants and 1168 (85.38%)suburbs (county)ones;the number of male and female participants was 713 (52.12%)and 655 (47.88%)respectively and the ratio is 1.09 ∶1.The overall level of adjusted health literacy (AHL)among Chongqing resi-dents in 2012 was 4.94%.The AHL rates in the three aspects of health literacy,basic health concept and knowledge, healthy lifestyle and behaviors,and health related skills were 9.51%,5.16% and 5.99%,respectively.The AHL rate of 6 health issues as to safety and first aid,scientific attitude towards health,infectious diseases prevention,health informa-tion literacy,basic medical care,and chronic diseases prevention among Chongqing residents was 22.26%,20.76%, 10.79%,9.97%,5.55% and 4.39%,respectively.Conclusion The health literacy level of Chongqing residents is low,the analysis verified that health literacy was limited and influenced by educational level,family income,geographic position and other factors;it requires multi-section’s effort on increasing sustained investment of health education and the guarantee of policy to improve the health literacy level.