李丽平, 史慧静, 亓德云, 江艳薇. 上海市虹口区中学生健康素养水平及影响因素[J]. 环境与职业医学, 2017, 34(9): 792-796. DOI: 10.13213/j.cnki.jeom.2017.17149
引用本文: 李丽平, 史慧静, 亓德云, 江艳薇. 上海市虹口区中学生健康素养水平及影响因素[J]. 环境与职业医学, 2017, 34(9): 792-796. DOI: 10.13213/j.cnki.jeom.2017.17149
LI Li-ping, SHI Hui-jing, QI De-yun, JIANG Yan-wei. Health literacy level and its influencing factors among middle school students in Hongkou District of Shanghai[J]. Journal of Environmental and Occupational Medicine, 2017, 34(9): 792-796. DOI: 10.13213/j.cnki.jeom.2017.17149
Citation: LI Li-ping, SHI Hui-jing, QI De-yun, JIANG Yan-wei. Health literacy level and its influencing factors among middle school students in Hongkou District of Shanghai[J]. Journal of Environmental and Occupational Medicine, 2017, 34(9): 792-796. DOI: 10.13213/j.cnki.jeom.2017.17149

上海市虹口区中学生健康素养水平及影响因素

Health literacy level and its influencing factors among middle school students in Hongkou District of Shanghai

  • 摘要: 目的 了解上海市虹口区中学生疾病预防与控制健康素养水平及影响因素,为开展青少年健康素养干预提供依据。

    方法 采用分层整群抽样方法,抽取上海市虹口区11所中学,从预初到高二(不含初三)共5个年级各1个班的全部学生作为样本对象。使用疾病预防与控制健康素养调查问卷,以网络答题方式,于2016年4-6月对852名在校中学生进行横断面调查。

    结果 虹口区中学生疾病预防与控制健康素养获取、理解、分析评价、运用维度得分分别为(11.26±2.81)、(26.87±6.58)、(10.63±3.86)、(19.06±5.24)分,总分为(67.82±16.30)分。调查对象中具备疾病预防与控制健康素养的比例为29.5%。二分类logistic回归分析显示:以男生为参考,女生的健康素养水平OR及其95%CI为1.89(1.36~2.59);以上海市户籍为参考,外省市户籍学生健康素养水平OR及其95%CI为0.32(0.19~0.55);以母亲文化程度初中及以下为参考,母亲文化程度为大学及以上的学生健康素养水平OR及其95%CI为2.02(1.26~3.23);以自评健康教育不重要作为参考,认为健康教育很重要的学生健康素养水平OR及其95%CI为2.96(1.67~5.28);以自评学习成绩中等偏下为参考,自评学习成绩中等偏上的学生健康素养水平OR及其95%CI为1.99(1.20~3.29)。

    结论 上海市虹口区中学生疾病预防与控制健康素养水平仍然偏低,受到来自个体、家庭和学校多方因素的影响。

     

    Abstract: Objective To understand the level of health literacy on disease prevention & control and its influencing factors among middle school students in Shanghai Hongkou District, and provide a scientific basis for relevant intervention in adolescents.

    Methods Using stratified cluster sampling method, 852 students were selected from one class from Grade 6-11 (except Grade 9) from 11 middle schools in Hongkou District, Shanghai and investigated using online health literacy questionnaires on disease prevention & control from April to June 2016.

    Results The scores of four dimensions of disease prevention & control related health literacy including obtaining, understanding, analysis and evaluation, and application were (11.26±2.81), (26.87±6.58), (10.63±3.86), and (19.06±5.24), respectively, and the overall health literacy score was (67.82±16.30). Of the investigated middle school students, 29.5% had health literacy. The results of binary logistic regression analysis showed that, in terms of health literacy level, the OR (95%CI) of girls versus boys was 1.89 (1.36-2.59); the OR (95%CI) of non-Shanghai household registration group versus Shanghai household registration group was 0.32 (0.19-0.55); the OR (95%CI) of the students with maternal educational level at university and above versus those with maternal educational level at middle school and below was 2.02 (1.26-3.23); the OR (95%CI) of the students who attached great importance to health education versus those who did not was 2.96 (1.67-5.28); the OR (95%CI) of the students who self-rated academic performance as higher-middle versus those who self-rated as lower-middle was 1.99 (1.20-3.29).

    Conclusion The disease prevention & control related health literacy of selected middle school students in Hongkou District, Shanghai is generally at a low level and is influenced by individual, family, and school factors.

     

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