ZHANG Weiwen1, FAN Yuxi1, HUO Tingting1, WU Gang2, ZHAO Zhongnian2, WU De1
1. Department of Public Health, Karamay Center for Disease Control and Prevention, Karamay, XinJiang 834000, China; 2. Karamay Health Education Institute, Karamay, XinJiang 834000, China
Abstract：Objective To investigate the level of health literacy among residents in Karamay City, Xinjiang Uygur Autonomous Region, so as to provide insights into formulating health promotion strategies. Methods Based on the Health Literacy Surveillance Program in Karamay City, demographic information and health literacy data were collected from residents aged 15 to 69 years in Karamay City in 2022, and levels of health literacy was analyzed. Factors affecting health literacy were identified using a multivariable logistic regression model. Results A total of 1 473 respondents were included, with a mean age of (39.62±15.09) years. There were 751 men (50.98%) and 722 women (49.02%). The level of health literacy was 28.31%, and the prevalence rates of basic healthy knowledge and attitudes, healthy lifestyles and behaviors and basic health-related skills were 39.31%, 27.36% and 30.75%, respectively. The prevalence rates of safety and first aid, scientific health outlook, health information, chronic disease prevention, infectious disease prevention and basic medical care were 58.93%, 49.29%, 48.88%, 33.67%, 29.74% and 27.77%, respectively. Multivariable logistic regression analysis identified age (45 to 54 years OR=2.329, 95%CI: 1.005-5.398), ethnicity (ethnic minority, OR=0.459, 95%CI: 0.341-0.617), educational level (primary school and below, OR=0.213, 95%CI: 0.102-0.444; junior high school, OR=0.302, 95%CI: 0.193-0.471; high school, OR=0.579, 95%CI: 0.428-0.784), and annual household income (less than 10 000 Yuan, OR=0.352, 95%CI: 0.199-0.624; 10 000 to 30 000 Yuan, OR=0.447, 95%CI: 0.279-0.717; 30 000 to 50 000 Yuan, OR=0.598, 95%CI: 0.407-0.880) as factors affecting health literacy among residents in Karamay City. Conclusions The level of health literacy was 28.31% among residents in Karamay City in 2022. Health education and promotion should be carried out targeting residents of different ages, ethnicities, educational levels and annual household income, in order to further enhance the level of health literacy among residents in Karamay City.
[1] 中华人民共和国中央人民政府.健康中国行动(2019—2030年)[EB/OL].[2023-12-26].https://www.gov.cn/xinwen/2019-07/15/content_5409694.htm. [2] 中华人民共和国中央人民政府.中共中央国务院印发《“健康中国2030”规划纲要》[EB/OL].[2023-12-26].https://www.gov.cn/zhengce/2016-10/25/content_5124174.htm. [3] 中华人民共和国中央人民政府. 2022年全国居民健康素养水平稳步提升[EB/OL].[2023-12-26].https://www.gov.cn/lianbo/bumen/202308/content_6899429.htm. [4] 刘潇. 2018年北京市天坛地区居民健康素养水平分析[J].中国健康教育,2020,31(1):113-114. [5] 何晓燕,王勐,姜彩霞,等.2016—2020年杭州市居民健康素养水平变化趋势及影响因素研究[J].预防医学,2021,33(7):670-674. [6] 新疆维吾尔自治区人民政府.关于印发新疆维吾尔自治区卫生健康事业“十四五”发展规划的通知[EB/OL].[2023-12-26].http://www.xinjiang.gov.cn/xinjiang/gfxwj/202201/8beeb83976cc4c939fd49e4a35745348.shtml. [7] 克拉玛依市人民政府.关于印发《克拉玛依市健康细胞工程建设实施方案(2021—2025)》的通知[EB/OL].[2023-12-26].https://www.klmy.gov.cn/klmys/qczcwj/202104/c61aef9e692c4b25974f60ac81e96ea6.shtml. [8] 新华网.克拉玛依:迈向健康城市之路[EB/OL].[2023-12-26].http://m.xinhuanet.com/xj/2017-11/07/c_1121918364.htm. [9] 徐倩倩,梅秋红,冯宏伟,等.2015—2019年宁波市居民健康素养变化及影响因素分析[J].预防医学,2021,33(1):35-40. [10] 万德芝,王乃博,许乐为,等.2017—2020年江西省15~69岁居民健康素养水平变化趋势及其影响因素分析[J].中国健康教育,2022,38(9):786-790. [11] ATRI S B,SAHEBIHAGH M H,JAFARABADI M A,et al.The relationship between health literacy and stages of change in smoking behavior among employees of educational health centers of Tabriz University of Medical Sciences(2016)[J].Int J Prev Med,2018,9:1-7. [12] 李哲成,刘四云,胡明,等.湖南省居民健康素养状况及其中介效应分析[J].中国公共卫生,2017,33(6):888-893. [13] 吴艳梅,南海涛,铁云丽,等.陕西省居民健康素养水平及影响因素分析[J].预防医学,2019,31(12):1210-1214. [14] 韩金慧,梅建军,胡筱蕾,等.乌鲁木齐市居民健康素养现状及影响因素[J].中国公共卫生,2020,36(5):802-806. [15] 胡秀静,徐越,姚丁铭,等.老年人健康素养与促进策略研究[J].预防医学,2022,34(4):361-365,370. [16] 彭晶,傅文婷,杨秀琳.甘南藏族自治州老年人群健康素养调查[J].预防医学,2023,35(6):546-550.
