CAJ | 학술논문

目的：掌握江苏省城乡居民健康素养水平，并发现影响健康素养提高的影响因素和卫生成本。方法采用多阶段整群抽样以及 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。结果本次共调查12000户，有效样本量为11853份，样本回收率为98．78％，经标化后2012年江苏省居民具备健康素养的比例是13．2％，具备基本知识和理念、健康生活方式与行为、基本技能3方面素养的比例分别是22．1％、10．0％和18．0％，江苏省居民具备6类健康问题素养的比例由高到低分别是：安全与急救素养、科学健康观、健康素养信息获取、慢性病防治素养、传染病防治素养、基本医疗素养，结果依次为46．1％、41．7％、19．8％、13．6％、13．6％和4．4％。健康素养水平在不同城乡、文化程度、经济水平、职业中分布有差异，文化程度越高，经济水平越好，素养水平越高（P ＜0．05）。健康素养水平每提高1个百分点，需要投入近5000万元的费用。结论通过监测分析印证了健康素养受文化程度、经济水平、城镇化进程等多因素的制约，是反映我国社会发展的综合指标。要提高健康素养水平，需要卫生计生部门加大对健康教育持续性的投入和政策的保障。
목적：장악강소성성향거민건강소양수평，병발현영향건강소양제고적영향인소화위생성본。방법채용다계단정군추양이급 PPS 추양，선취조사대상，이용단인소화다인소통계방법분석결과，병근거국가통일방법진행표화。결과본차공조사12000호，유효양본량위11853빈，양본회수솔위98．78％，경표화후2012년강소성거민구비건강소양적비례시13．2％，구비기본지식화이념、건강생활방식여행위、기본기능3방면소양적비례분별시22．1％、10．0％화18．0％，강소성거민구비6류건강문제소양적비례유고도저분별시：안전여급구소양、과학건강관、건강소양신식획취、만성병방치소양、전염병방치소양、기본의료소양，결과의차위46．1％、41．7％、19．8％、13．6％、13．6％화4．4％。건강소양수평재불동성향、문화정도、경제수평、직업중분포유차이，문화정도월고，경제수평월호，소양수평월고（P ＜0．05）。건강소양수평매제고1개백분점，수요투입근5000만원적비용。결론통과감측분석인증료건강소양수문화정도、경제수평、성진화진정등다인소적제약，시반영아국사회발전적종합지표。요제고건강소양수평，수요위생계생부문가대대건강교육지속성적투입화정책적보장。
Objective To understand the monitoring effectiveness of health literacy and find that the influence fac-tors of health literacy and the health costs.Methods A multistage stratified sampling and pps methods were used to select the sample population,and the single factor and multivariate statistical analysis were applied to analyze the results,then ac-cording to the national unified method to standardize the results.Results The samples were 12 000 households,the valid questionnaires were 98.78%,after standardized,the residents’health literacy were 13.2%,the proportion of the basic knowledge and concepts,the healthy lifestyle and behavior,and basic skills were 22.1%,10.0% and 18.0%,respec-tively.And the proportion of residents in Jiangsu Province have 6 kinds of health problems quality from high to low were:se-curity and emergency literacy,scientific health conception,health literacy information acquisition,chronic disease preven-tion literacy,infectious disease prevention literacy,basic medical quality,the result of 46.1%,41.7%,19.8%, 13.6%,13.6% and 4.4%,respectively.The health literacy has the different distribution in urban and rural areas,cultur-al,economic level.The higher education degree,the higher health literacy,and the same phenomenon in economic level (P <0.05).If the health literacy is improved 1%,there need to invest nearly fifty million (RMB)as costs.Conclusion It is confirmed by the surveillance that the health literacy can be a comprehensive index reflects the social development of our country,and it is restricted by the economic level,the education and the urbanization process.To improve the health litera-cy,more investments requires increased spending on health education and policy guarantee.