CAJ | 학술논문

目的：了解贵州省城乡居民健康素养水平，为制定城乡居民健康教育和健康促进策略提供科学依据。方法采用分层多阶段 PPS 抽样方法，随机抽取10个县区15～69岁常住人口进行问卷调查。结果全省共调查城乡居民3022人，其中问卷填写符合要求人数为2664人，问卷有效率为88．2％。其中男性为1406人，占52．8％，女性为1258人，占47．2％，男女性别比为1．12∶1；城市居民数为512人，占19．2％，农村居民为2152人，占80．8％，城乡人口比为0．24∶1。加权调整后，贵州省城乡居民健康素养水平为4．3％，男性为4．6％，女性为4．0％；城市居民素养水平为6．6％，农村居民为3．8％。基本知识和理念、健康生活方式和行为以及基本技能3方面的素养具备率分别为7．1％、5．4％和6．3％。6类健康问题素养水平由高到低依次为：安全与急救24．5％，科学健康观19．5％，传染病防治10．6％，健康信息7．8％，基本医疗5．6％，慢性病防治3．7％。结论贵州省城乡居民健康素养水平较低，应以文化程度低的人群和老年人作为重点人群，慢性病防治和基本医疗素养作为重点内容开展健康教育工作，提高全省居民健康素养水平。
목적：료해귀주성성향거민건강소양수평，위제정성향거민건강교육화건강촉진책략제공과학의거。방법채용분층다계단 PPS 추양방법，수궤추취10개현구15～69세상주인구진행문권조사。결과전성공조사성향거민3022인，기중문권전사부합요구인수위2664인，문권유효솔위88．2％。기중남성위1406인，점52．8％，녀성위1258인，점47．2％，남녀성별비위1．12∶1；성시거민수위512인，점19．2％，농촌거민위2152인，점80．8％，성향인구비위0．24∶1。가권조정후，귀주성성향거민건강소양수평위4．3％，남성위4．6％，녀성위4．0％；성시거민소양수평위6．6％，농촌거민위3．8％。기본지식화이념、건강생활방식화행위이급기본기능3방면적소양구비솔분별위7．1％、5．4％화6．3％。6류건강문제소양수평유고도저의차위：안전여급구24．5％，과학건강관19．5％，전염병방치10．6％，건강신식7．8％，기본의료5．6％，만성병방치3．7％。결론귀주성성향거민건강소양수평교저，응이문화정도저적인군화노년인작위중점인군，만성병방치화기본의료소양작위중점내용개전건강교육공작，제고전성거민건강소양수평。
Objective To understand the residents’health literacy level among urban and rural in Guizhou Prov-ince,in order to offer scientific reference for making residents’health education and health promotion strategy.Methods Using PPS,conducted questionnaire survey on the residents from 15 to 69 from 10 counties by random in Guizhou.Results 3022 residents were surveyed.2664 valid questionnaires were collected with efficiency of 88.2%.The number of male and fe-male participants was 1406 (52.8%)and 1258 (47.2%)and the ratio was 1.12 ∶1;there were 512 (19.2%)urban par-ticipants and 2152 (80.8%)rural ones and the ratio was 0.24 ∶1.The overall level of adjusted health literacy (AHL)a-mong residents in 2012 was 4.3%,with 4.6% in male and 4.0% in female,while 6.6% among the urban residents and 3.8% among the rural residents.The AHL rates in the 3 health literacy related aspects as basic health concept and knowl-edge,healthy lifestyle and behaviors,and health related skills were 7.1%,5.4% and 6.3%.The AHL rates of 6 health issues were rowed from high to low in order:safety and first aid (24.5%),scientific attitude of health (19.5%),infec-tious diseases prevention (10.6%),health information (7.8%),basic medical care (5.6%),chronic disease preven-tion (3.7%).Conclusion The overall health literacy level of the residents was still low in Guizhou.The people who have a lower degree of education and the old people should be as a focus groups in health education project.The health literacy of chronic diseases prevention and basic medical care should be as a key content in health education project,in order to im-prove the level of all residents’health literacy all over the whole province.