CAJ | 학술논문

目的：分析北京市怀柔区居民传染病健康素养水平现状及其影响因素。方法采用多阶段随机抽样方法对怀柔区18岁以上居民进行抽样和现场问卷调查；应用非条件 Logistic 回归分析传染病健康素养影响因素。结果此次调查共抽取1250人，问卷回收率为100％，怀柔区居民具备传染病健康素养的比例为7.04％，具备传染病知识性素养、行为性素养、技能性素养的比例分别为15.52％、45.84％和44.24％。60岁以上居民（1.63％）、不识字／少识字和小学文化居民（0.40％）、家务及待业人员（1.10％）具备传染病健康素养的比例较低。多因素 Logistic 回归分析显示职业（与学生相比，公务员或事业单位人员、医务人员、离退人员的 OR 值分别为21.70、37.11、26.97）、文化程度（与不识字／少识字和小学相比，初中、高职、大专及以上文化程度的 OR 值分别为8.58、17.77、26.66）、自我感知的身体状况（与身体状况很好的人群相比，自我感知身体状况一般人群的 OR 值为0.36）是影响怀柔区居民传染病健康素养水平的重要因素。结论怀柔区居民传染病健康素养总体水平较低，在今后的健康教育和健康促进工作中应考虑不同人群的背景差异，采取积极有效地干预措施。
목적：분석북경시부유구거민전염병건강소양수평현상급기영향인소。방법채용다계단수궤추양방법대부유구18세이상거민진행추양화현장문권조사；응용비조건 Logistic 회귀분석전염병건강소양영향인소。결과차차조사공추취1250인，문권회수솔위100％，부유구거민구비전염병건강소양적비례위7.04％，구비전염병지식성소양、행위성소양、기능성소양적비례분별위15.52％、45.84％화44.24％。60세이상거민（1.63％）、불식자／소식자화소학문화거민（0.40％）、가무급대업인원（1.10％）구비전염병건강소양적비례교저。다인소 Logistic 회귀분석현시직업（여학생상비，공무원혹사업단위인원、의무인원、리퇴인원적 OR 치분별위21.70、37.11、26.97）、문화정도（여불식자／소식자화소학상비，초중、고직、대전급이상문화정도적 OR 치분별위8.58、17.77、26.66）、자아감지적신체상황（여신체상황흔호적인군상비，자아감지신체상황일반인군적 OR 치위0.36）시영향부유구거민전염병건강소양수평적중요인소。결론부유구거민전염병건강소양총체수평교저，재금후적건강교육화건강촉진공작중응고필불동인군적배경차이，채취적겁유효지간예조시。
Objective To analyze the status and influence factors of health literacy relating to infectious diseases in residents of Huairou District,Beijing.Methods Adults aged over 18 years in Huairou District were selected with a multi-stage random sampling method.The questionnaire survey was used to collect the information of health literacy relating to in-fectious diseases,including infectious disease knowledge,attitudes,practice,and the answers were scored.Logistic re-gression model was used to analyze the influence factors of health literacy relating to infectious diseases.Results A total of 1250 people were surveyed with a the valid response rate of 100%.The proportion of residents with enough infectious diseases health literacy was 7.04%.The proportion of residents with enough health literacy related to infectious disease knowledge, attitudes,practice was 15.52%,45.84% and 44.24%,respectively.The low level of health literacy was observed among the residents in elderly aged over 60 years (1.63%),poor-educated people (0.40%),house-holders and people waiting for employment (1.10%).Multiple logistic analysis indicated that occupation (OR =21.70,37.11,26.97),education status (OR =8.58,17.77,26.66),and self-reported health status (OR =26.66)were the influence factors association with the level of health literacy.Conclusion Residents in Huairou District in Beijing were considered to be with low level of health literacy relating to infectious diseases.Active and effective intervention measures should be taken in the future health education and health promotion work,with consider of the background of different groups.