【摘要】 目的 了解江苏省同一居民5年前后的健康素养水平变化情况及其影响因素,为更好地开展健康素养促进工作提供数据支持。方法 采用分层多阶段抽样方法,抽取江苏省6个区/县/县级市部分15岁及以上的常住居民,分别于2016年和2021年进行健康素养调查和随访。采用广义估计方程分析影响居民健康素养水平变化的主要因素。结果 共811人有效完成两次调查。2021年随访居民的健康素养水平(26.26%)较2016年(15.66%)显著上升(χ~2=42.500,P<0.05)。广义估计方程分析结果显示,大专/本科及以上(OR值=6.131,95%CI:1.376～27.311)文化程度对随访居民5年间健康素养水平变化幅度的影响有统计学意义(P<0.05),而年龄对随访居民5年间健康素养水平变化幅度的影响无统计学意义(P>0.05)。结论 不同特征居民的健康素养水平变化幅度不同,其中文化程度越高的居民其健康素养水平提升幅度更大。更多还原

【Abstract】 Objective To understand the changes of health literacy level and its influencing factors among residents in Jiangsu Province before and after 5 years,and to provide data support for better health literacy promotion.Methods Part of permanent residents aged 15 years and above from 6 districts/counties in Jiangsu Province were selected by multistage stratified sampling for health literacy survey and follow-up visit in 2016 and 2021,respectively.Generalized estimation equation was used to analyze the main influencing factors associated with changes of health literacy.Results A total of 811valid samples completed two surveys.The level of health literacy in 2021(26.26%) was significantly higher than that in2016(15.66%)(χ~2=42.500,P <0.05).The analysis results of generalized estimation equation showed that college/bachelor’s degree or above(OR=6.131,95% CI:1.376-27.311) had statistically significant impact on the change range of health literacy levels during 5 years follow-up period(P <0.05).There was no statistical significance in age on the change range of health literacy levels during 5-years follow-up period(P> 0.05).Conclusion The range of change in health literacy levels is different among residents with different characteristics,and residents with higher education experience had greater improvement.更多还原