【摘要】 目的 了解居民健康焦虑在自评健康和健康素养的中介作用，为相关部门制定干预措施提供依据。方法 采用便利抽样的方法，选取2022年5～6月扬州713名居民为研究对象，采用一般资料调查表、全国居民健康素养调查问卷、自评健康评分、短版健康焦虑量表进行调查。结果 本次调查居民自评健康、健康焦虑、健康素养得分分别为12.19±6.15、3.08±0.99、47.12±8.42分。居民健康素养总分与健康焦虑呈负相关（r=-0.502,P<0.001）、与自评健康状况总分呈正相关（r=0.482,P<0.001），健康焦虑与自评健康状况总分呈负相关（r=-0.425,P<0.001）。健康焦虑在居民自评健康与健康素养间起到了部分中介作用（P<0.001），中介效应占总效应的31.95%。结论居民健康素养处于中等水平，医护人员可以通过提高居民自评健康水平，改善健康焦虑，以促进居民的健康素养水平。更多还原

【Abstract】 Objective To understand the mediating role of health anxiety between self-reported health and health literacy in residents, and provide basis for relevant departments to formulate intervention measures. Methods A total of 713 Yangzhou residents from May to June 2022 were selected by convenience sampling as the research objects. They were investigated by using the general information questionnaire, national residents’ health literacy questionnaire, self-reported health score and short version of health anxiety scale. Results The scores of self-reported health, health anxiety and health literacy were 12.19±6.15, 3.08±0.99 and 47.12±8.42, respectively. The total score of health literacy was negatively correlated with health anxiety(r=-0.502, P<0.001), was positively correlated with the total score of self-reported health(r=0.482, P<0.001), health anxiety was negatively correlated with the total score of self-reported health(r=-0.425, P<0.001). Health anxiety played a partial mediating role in self-reported health and health literacy(P<0.001), the intermediate effect accounted for 31.95% of the total effect. Conclusion The health literacy of residents is in the middle level. Healthcare workers can improve the residents’ level of self-reported health by helping them reduce the level of health anxiety, so as to improve their health literacy.更多还原