CAJ | 학술논문

目的：掌握广西城乡居民健康素养水平，为医疗卫生和健康教育与健康促进工作提供决策依据。方法采用分层多阶段整群及 PPS 抽样方法，抽取全省17个监测点非集体居住的15～69岁常住人口进行问卷调查，对4671份有效问卷进行分析。结果经过加权调整后，2012年广西城乡居民健康素养总体水平为7．35％，城市高于农村，女性高于男性，25岁以上，素养水平随年龄增长而下降；文化程度越高，健康素养水平越高。3个方面健康素养水平分别为：基本知识和理念12．38％、生活方式与行为10．54％，基本健康技能8．99％，3个方面素养水平城市高于农村（P ＜0．05）；素养水平最低的人群为65～69岁组和不识字／少识字组。具备6类健康问题素养的比例由高到低依次为：安全与急救36．53％、科学健康观23．84％、传染病防治16．24％、健康信息获取13．42％、基本医疗9．19％、慢性病防治8．15％，6类健康问题素养城市高于农村（P ＜0．05），其在不同特征人群中所呈现的特点与总体素养和3个方面健康素养水平基本一致。结论广西城乡居民健康素养水平处于较低水平，尤其是基本健康技能和基本医疗素养水平低。
목적：장악엄서성향거민건강소양수평，위의료위생화건강교육여건강촉진공작제공결책의거。방법채용분층다계단정군급 PPS 추양방법，추취전성17개감측점비집체거주적15～69세상주인구진행문권조사，대4671빈유효문권진행분석。결과경과가권조정후，2012년엄서성향거민건강소양총체수평위7．35％，성시고우농촌，녀성고우남성，25세이상，소양수평수년령증장이하강；문화정도월고，건강소양수평월고。3개방면건강소양수평분별위：기본지식화이념12．38％、생활방식여행위10．54％，기본건강기능8．99％，3개방면소양수평성시고우농촌（P ＜0．05）；소양수평최저적인군위65～69세조화불식자／소식자조。구비6류건강문제소양적비례유고도저의차위：안전여급구36．53％、과학건강관23．84％、전염병방치16．24％、건강신식획취13．42％、기본의료9．19％、만성병방치8．15％，6류건강문제소양성시고우농촌（P ＜0．05），기재불동특정인군중소정현적특점여총체소양화3개방면건강소양수평기본일치。결론엄서성향거민건강소양수평처우교저수평，우기시기본건강기능화기본의료소양수평저。
Objective To grasp the health literacy level of urban and rural residents in Guangxi,and provide ba-sis for decision-making for health care,health education and health promotion.Methods Stratified multistage cluster and PPS sampling methods were adopted in the surveillance,non collective residents aged 15 -69 years from 16 monitoring points were investigated,and on the recovery of 4671 effective questionnaires were analysed .Results The overall level of adjusted health literacy (AHL)among urban and rural residents of Guangxi in 2012 was 7.35%,there is significant differ-ence between urban and rural areas and gender;above 25 years old,literacy level decreases with age increasing;the higher culture degree,the higher the level of health literacy.Health literacy level of three aspects are:basic knowledge and con-cepts 12.38%,life style and behavior 10.54%,and basic health skills 8.99%,respectively,health literacy level of three aspects,urban is higher than rural areas (P <0.05);the crowd literacy level is the lowest to 69 year old age group and illiterate /literacy little group.The health literacy rate of six health issues as safety and first aid,scientific view of health, prevention of communicable diseases,health information,basic medical care and prevention of chronic diseases are 36.53%,23.84%,16.24%,13.42%,9.19% and 8.15%,the six health problems of literacy,urban is higher than rural areas (P <0.05),whose characteristics appears in different social demographic characteristics of the crowd and gener-al literacy and three aspects of health literacy level are of the basic agreement.Conclusion The level of health literacy of ur-ban and rural residents in Guangxi is at a low level,especially in basic health skills and basic medical care literacy.