CAJ | 학술논문

目的：了解辽宁省居民健康素养水平及变化趋势，为制定相关健康政策和开展健康教育干预提供科学依据。方法采用分层多阶段 PPS 抽样方法，随机抽取15个县（市、区）的15～69岁城乡常住人口进行问卷调查。结果辽宁省居民健康素养水平为10．46％，其中城市居民高于农村居民水平；男性高于女性；35～44岁组健康素养水平最高，65～69岁最低；文化程度越高，健康素养水平越高。健康素养的3个方面中，基本知识和理念素养水平最高，为17．58％，其次为基本技能，为17．32％，健康生活方式与行为素养水平最低，为8．91％。6类健康问题素养水平由高到低依次是：科学健康观（43．42％）、安全与急救（38．60％）、健康信息（15．82％）、慢性病防治（11．04％）、传染病防治（10．80％）、基本医疗（5．08％）。结论辽宁省居民健康素养水平仍处于较低水平，尤其是健康生活方式和行为、慢性病防治、传染病防治和基本医疗素养水平低，应继续采取针对性的干预措施，全面提高居民健康水平。
목적：료해요녕성거민건강소양수평급변화추세，위제정상관건강정책화개전건강교육간예제공과학의거。방법채용분층다계단 PPS 추양방법，수궤추취15개현（시、구）적15～69세성향상주인구진행문권조사。결과요녕성거민건강소양수평위10．46％，기중성시거민고우농촌거민수평；남성고우녀성；35～44세조건강소양수평최고，65～69세최저；문화정도월고，건강소양수평월고。건강소양적3개방면중，기본지식화이념소양수평최고，위17．58％，기차위기본기능，위17．32％，건강생활방식여행위소양수평최저，위8．91％。6류건강문제소양수평유고도저의차시：과학건강관（43．42％）、안전여급구（38．60％）、건강신식（15．82％）、만성병방치（11．04％）、전염병방치（10．80％）、기본의료（5．08％）。결론요녕성거민건강소양수평잉처우교저수평，우기시건강생활방식화행위、만성병방치、전염병방치화기본의료소양수평저，응계속채취침대성적간예조시，전면제고거민건강수평。
Objective The study was conducted to understand the health literacy status and change trend of Liaon-ing residents and provide scientific evidence for development of health policy and health education intervention.Methods Multistage PPS sampling was adopted and permanent residents aged 15 -69 years from 15 counties were investigated.Results The overall level of adjusted health literacy (AHL)among Liaoning residents in 2012 was 10.46%.The AHL of urban resi-dents was higher than rural residents,male was higher than female,residents with 35 -44 years was highest and with 65 -69 years was lowest,and increased with the increasing education level.The AHL in the three aspects of health literacy,bas-ic health concept and knowledge,health related skills and health lifestyle and behaviors,were 17.58%,17.32% and 8.91%,respectively.The AHL of 6 health issues as to scientific attitude towards health,safety and first aid,health infor-mation,chronic diseases prevention,infectious diseases prevention and basic medical care among the whole residents were 43.42%,38.60%,15.82%,11.04%,10.80%,and 5.08%.Conclusion The level of health literacy among Liaon-ing residents was low,especially in health lifestyle and behaviors,chronic diseases prevention,infectious diseases preven-tion and basic medical care.Pertinent intervention should be taken to improve the level of health among residents.