CAJ | 학술논문

目的：通过开展居民健康素养调查，了解浙江省居民健康素养水平，掌握居民健康素养动态。方法2012年8—12月，采用分层多阶段与人口规模成比例抽样（PPS）抽样方法，抽取全省8个县（市、区）15～69岁的常住人口进行问卷调查。结果全省共调查15～69岁的常住人口2548人，有效问卷2498份，有效率为98．03％。城市人口1421人，占56．88％，农村人口1077人，占43．11％，城乡人口比为1．32∶1；男性1327人，占53．12％，女性1171人，占46．88％，男女性别比为1．13∶1。浙江省居民健康素养水平为10．64％（95％CI：7．63～14．64），基本知识和理念素养水平为19．61％（95％CI：15．08～25．09），健康生活方式与行为素养水平为13．47％（95％CI：10．42～17．24），基本技能素养水平为13．55％（95％CI：10．60～17．15），6类健康问题素养水平从高到低依次为安全与急救素养49．80％（95％CI：43．42～56．19）、科学健康观素养38．57％（95％CI：30．81－46．94）、传染病防治素养22．93％（95％CI：18．54～28．01）、健康信息素养21．84％（95％CI：18．68～25．37）、慢性病防治素养10．90％（95％CI：8．48～13．90）和基本医疗素养8．37％（95％CI：6．79～10．29）。结论浙江省城乡居民健康素养差异明显，城市高于农村，男性高于女性，文化程度越高素养水平越高。青壮年人群和中老年人群健康素养水平有差异，健康知识水平高而健康行为水平低，还需要采取更多形式以提高人群的健康行为。
목적：통과개전거민건강소양조사，료해절강성거민건강소양수평，장악거민건강소양동태。방법2012년8—12월，채용분층다계단여인구규모성비례추양（PPS）추양방법，추취전성8개현（시、구）15～69세적상주인구진행문권조사。결과전성공조사15～69세적상주인구2548인，유효문권2498빈，유효솔위98．03％。성시인구1421인，점56．88％，농촌인구1077인，점43．11％，성향인구비위1．32∶1；남성1327인，점53．12％，녀성1171인，점46．88％，남녀성별비위1．13∶1。절강성거민건강소양수평위10．64％（95％CI：7．63～14．64），기본지식화이념소양수평위19．61％（95％CI：15．08～25．09），건강생활방식여행위소양수평위13．47％（95％CI：10．42～17．24），기본기능소양수평위13．55％（95％CI：10．60～17．15），6류건강문제소양수평종고도저의차위안전여급구소양49．80％（95％CI：43．42～56．19）、과학건강관소양38．57％（95％CI：30．81－46．94）、전염병방치소양22．93％（95％CI：18．54～28．01）、건강신식소양21．84％（95％CI：18．68～25．37）、만성병방치소양10．90％（95％CI：8．48～13．90）화기본의료소양8．37％（95％CI：6．79～10．29）。결론절강성성향거민건강소양차이명현，성시고우농촌，남성고우녀성，문화정도월고소양수평월고。청장년인군화중노년인군건강소양수평유차이，건강지식수평고이건강행위수평저，환수요채취경다형식이제고인군적건강행위。
Objective To understand the status of health literacy of Zhejiang provincial residents and know the residents’health literacy dynamic.Methods Stratified multi-stage and PPS sampling method was adopted in the surveil-lance and permanent residents aged 15 -69 years old from 8 county were investigated from August to December in 2012.Results 2548 rural and urban inhabitants participated in the survey and 2498 valid questionnaires were collected with efficiency of 98.03% .There were 1421 (56.88%)urban participants and 1077 (43.11%) rural ones and ratio is 1.32 ∶1.The number of male and female participants was 1327 (53.12%)and 1171 (46.88%)respectively and the ratio is 1.31 ∶1.The overall level of adjusted health literacy (AHL)among the Zhejiang provincial residents in 2012 was 10.64%(95%CI:7.63 -14.64),the AHL rate of basic health concept and knowledge was 19.61% (95%CI:15.08 -25.09), the AHL rate of healthy lifestyle and behaviors was 13.47% (95%CI:10.42 -17.24),the AHL rate of health related skills was 13.55% (95%CI:10.60 -17.15).The AHL rate of 6 health issues as to safety and first aid,scientific atti-tude towards health,infectious diseases prevention,health information literacy,chronic diseases prevention,and basic medical care among the whole residents was 49.80% (95%CI:43.42 -56.19),38.57% (95%CI:30.81 -46.94), 22.93% (95%CI:18.54 -28.01 ),21.84% (95%CI:18.68 -25.37),10.90% (95%CI:8.48 -13.90) and 8.37% (95%CI:6.79 -10.29).Conclusion The level of health literacy in urban and rural residents of Zhejiang Prov-ince was difference,residents in urban is higher than in rural,male is higher than female,the higher cultural degree is, the higher the health literacy is.There are differences in young man and middle-aged people in health literacy.Health concept and knowledge is higher than healthy lifestyle and behaviors.We should apply more efficiency methods to improve health lit-eracy level of Zhejiang provincial residents.