【摘要】 目的 了解北京市朝阳区辖区居民健康素养水平，并分析其相关影响因素，为后续开展健康干预提供理论依据。方法 采用分层多阶段整群抽样方法，分别从北京市朝阳区辖区中学、高校、功能单位和社区抽取调查对象，共抽取2013名15～69岁居民开展素养监测。采用Logistic回归分析健康素养的影响因素。结果 朝阳区居民健康素养水平为39.42%;3方面健康素养水平中基本技能方面最高，为57.93%,健康生活方式与行为方面次之，为47.89%,基本知识与理念方面最低，为35.56%。多因素分析显示，影响辖区居民健康素养水平的因素是文化程度和职业。以初中及以下文化程度为参照组，高中/中专/大专、本科及以上人群健康素养具备水平高，OR值分别是1.893(95%CI:1.319～2.715)和4.115(95%CI:2.889～5.862);以农民职业为参照组，学生、事业单位人员、工人、其他企业人员、其他人群健康素养具备水平高，OR值分别是10.757(95%CI:4.009～28.868)、5.219(95%CI:2.008～13.564)、3.242(95%CI:1.246～8.435)、5.286(95%CI:2.063～13.542)和7.096(95%CI:2.661～18.925)。结论 朝阳区辖区居民具有较高的健康素养水平。后续健康教育应侧重慢性病防治等薄弱环节，重点关注农民、初中及以下文化程度人群的健康教育工作。更多还原

【Abstract】 Objective To analyze the status of health literacy and its influencing factors among residents in Chaoyang District of Beijing, and to provide scientific basis for further health education.Methods A total of 2013 residents aged 15-69 were selected for literacy monitoring with stratified multi-stage cluster sampling method from secondary school, university, functional units and communities in Chaoyang District of Beijing.Logistic regression was used to analyze the influencing factors.Results The residents′ health literacy level in Chaoyang District is 39.42%;Among them, the health literacy levels from high to low in basic skills, healthy lifestyle and behavior, basic knowledge and belief were 57.93%,47.89% and 35.56% respectively.Using multivariate logistic regression analysis, the main influencing factors of health literacy were education and occupation.Compared with the population of junior high school and below, the OR of senior high school/technical secondary school/college, undergraduate and above was 1.893(95%CI:1.319-2.715) and 4.115(95%CI:2.889-5.862) respectively; Compared with farmers, the OR of students, public institutions, workers, other enterprises and other personnel was 10.757(95%CI:4.009-28.868),5.219(95%CI:2.008-13.564),3.242(95%CI:1.246-8.435),5.286(95%CI:2.063-13.542),7.096(95%CI:2.661-18.925) respectively.Conclusion The residents′ health literacy in 2020 has a higher level.Further health education should focus on weak areas such as prevention and treatment of chronic diseases, and key population such as farmers, people with junior high school education and below.更多还原