【摘要】 目的 探讨江苏省居民健康信息获取行为现状及与健康素养动态变化关系，为健康素养促进工作提供理论依据。方法 采用分层多阶段抽样方法，抽取江苏省6个县(市、区)≥15岁常住居民于2016年进行基线调查，2021年进行随访，采用潜在剖面分析确定居民健康信息获取行为潜在类别，采用有序多分类logistic回归分析探讨居民健康素养变动等级的影响因素。结果 共811人有效完成2次调查。潜在剖面分析结果显示，居民健康信息获取行为存在2个剖面，高频组占37.98%,低频组占62.02%。2016—2021年居民健康素养动态变化等级呈现低-低停滞型、高-低下降型、低-高提升型和高-高稳定型的占比分别为68.56%、5.18%、15.78%、10.48%。以高-高稳定型为对照，有序多分类logistic回归分析结果显示，同时包含地区、年龄、文化程度、人均年收入等协变量模型中，健康信息获取行为高频组居民(OR=1.480,95%CI:1.038～2.113)健康素养变动等级较低频组更高(P<0.05)。结论 居民健康信息获取行为对健康素养动态变化有正向影响，可将促进居民实施健康信息获取行为作为提高健康素养干预手段。更多还原

【Abstract】 Objective To explore the current situation of health information acquisition behaviors among residents in Jiangsu Province and its relationship with dynamic changes in health literacy, so as to provide theoretical basis for promoting health literacy. Methods The stratified multi-stage sampling method was used to conduct a baseline survey in 2016 on permanent residents aged ≥15 from six counties(or districts) in Jiangsu Province.The follow-up survey was conducted in 2021 and latent profile analysis was used to determine the latent classes of residents’ health information acquisition behaviors.Ordinal multinomial logistic regression analysis was used to explore the influencing factors of changes in residents’ health literacy levels. Results A total of 811 residents completed 2 surveys effectively.The results of latent profile analysis showed that there were two profiles of residents’ health information acquisition behaviors, with the high-frequency group accounting for 37.98% and the low-frequency group accounting for 62.02%.The dynamic changes in residents’ health literacy levels from 2016 to 2021 exhibited four different types, namely, low-low stagnation, high-to-low decline, low-to-high increase and high-high stability, accounting for 68.56%,5.18%,15.78% and 10.48% respectively.Compared with the type of high-high stability, the results of ordinal multinomial logistic regression analysis showed that, in the covariate model including region, age, educational level and per capita annual income, residents in the high-frequency group in terms of health information acquisition behaviors(OR=1.480,95%CI:1.038-2.113) had a higher level of changes in health literacy than residents in the low-frequency group(P<0.05). Conclusions The health information acquisition behaviors of residents have a positive impact on the dynamic changes of health literacy, so motivating residents to implement health information acquisition behaviors can be used as intervention measures to improve health literacy.更多还原