CAJ | 학술논문

目的：分析2012年中国居民健康素养总体水平及其影响因素。方法采用分层多阶段与人口规模成比例抽样（PPS 抽样）方法，抽取全国15～69岁常住人口作为调查对象，采用问卷调查法调查居民健康素养水平。结果2012年中国居民健康素养监测共收到有效问卷98448份，男性50913人（51．72％），女性47535人（48．28％）。2012年中国居民总体健康素养水平为8．80％，城市11．79％，农村7．13％；男性8．52％，女性9．09％。以男性为参照，女性健康素养水平较高（OR ＝1．115，95％CI：1．034～1．202）。以不识字／少识字者为参照，小学、初中、高中／职高／中专、大专／本科及以上者的 OR 值依次为1．717（95％ CI：1．244～2．369）、2．632（95％ CI：1．894～3．658）、4．042（95％ CI：2．866～5．699）、6．762（95％ CI：4．780～9．565）。以公务员为参照，医务人员健康素养水平较高（OR ＝1．965，95％CI：1．444～2．673），农民健康素养最低（OR ＝0．661，95％CI：0．515～0．850）。以家庭年人均收入3000元以下者为参照，家庭年人均收入为5000～10000元、10000～15000元和15000元以上者的 OR 值依次为1．306（95％CI：1．060～1．610）、1．576（95％CI：1．214～2．046）和1．722（95％CI：1．334～2．224）。结论在考虑城乡差异后，性别、文化程度、职业和收入是居民健康素养水平的影响因素。
목적：분석2012년중국거민건강소양총체수평급기영향인소。방법채용분층다계단여인구규모성비례추양（PPS 추양）방법，추취전국15～69세상주인구작위조사대상，채용문권조사법조사거민건강소양수평。결과2012년중국거민건강소양감측공수도유효문권98448빈，남성50913인（51．72％），녀성47535인（48．28％）。2012년중국거민총체건강소양수평위8．80％，성시11．79％，농촌7．13％；남성8．52％，녀성9．09％。이남성위삼조，녀성건강소양수평교고（OR ＝1．115，95％CI：1．034～1．202）。이불식자／소식자자위삼조，소학、초중、고중／직고／중전、대전／본과급이상자적 OR 치의차위1．717（95％ CI：1．244～2．369）、2．632（95％ CI：1．894～3．658）、4．042（95％ CI：2．866～5．699）、6．762（95％ CI：4．780～9．565）。이공무원위삼조，의무인원건강소양수평교고（OR ＝1．965，95％CI：1．444～2．673），농민건강소양최저（OR ＝0．661，95％CI：0．515～0．850）。이가정년인균수입3000원이하자위삼조，가정년인균수입위5000～10000원、10000～15000원화15000원이상자적 OR 치의차위1．306（95％CI：1．060～1．610）、1．576（95％CI：1．214～2．046）화1．722（95％CI：1．334～2．224）。결론재고필성향차이후，성별、문화정도、직업화수입시거민건강소양수평적영향인소。
Objective To analyze the status and influencing factors of health literacy of Chinese residents on 2012.Methods Stratified and multi-stage sampling and Probability Proportionate to Size Sampling (PPS sampling)were used to select the residents aged 15 to 69 years old as the respondents,and questionnaire study was adopted to investigate the status of health literacy of Chinese residents.Results The health literacy monitoring of Chinese residents on 2012 re-ceived 98 448 valid questionnaires,50 913 from males (51.72%)and 47 535 from females (48.28%).The overall level of health literacy was 8.80%,11.79% for the urban areas and 7.13% for the rural areas,8.52% for males and 9.09%for females.Compared with the males,the level of health literacy of females was higher (OR =1.115,95%CI:1.034 -1.202).Referring to people who were illiterate or less literate,the level of health literacy of people who went to elementary school,junior school,high school/vocational/technical school and junior college /university were higher,and the OR val-ues were 1.717 (95% CI:1.244 -2.369),2.632 (95% CI:1.894 -3.658),4.042 (95% CI:2.866 -5.699), 6.762 (95% CI:4.780 -9.565).Taking the civil servants as the reference,the medical personnel had higher health lit-eracy level (OR =1.965,95% CI:1.444 -2.673),while the farmers’health literacy was the lowest (OR =0.661, 95% CI:0.515 -0.850).Compared to annual household income of 3000 Yuan and below,the health literacy of residents with annual household income of 5000 -10 000 Yuan,10 000 -15 000 Yuan and 15 000 Yuan or above was higher,and the OR values were 1.306 (95% CI:1.060 -1.610),1.576 (95 % CI:1.214 -2.046)and 1.722 (95% CI:1.334 -2.224).Conclusion Taking the difference between urban and rural areas in consideration,the influencing factors of residents’health literacy include gender,education,occupation and income levels.