上海市虹口区中学生健康素养水平及影响因素

发布时间：2018-10-31 16:33

【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 health literacy level and its influencing factors of middle school students in Hongkou District, Shanghai, and to provide evidence for adolescent health literacy intervention. [methods] using stratified cluster sampling method, 11 middle schools in Hongkou District of Shanghai were selected as the sample objects. All the students in each class of 5 grades from the junior high school to the second year (excluding the third grade) were selected as the sample objects. A cross-sectional survey of 852 middle school students was conducted in April-June 2016 by using the questionnaire of disease prevention and control health literacy. [results] the scores of health literacy acquisition, understanding, analysis and evaluation of disease prevention and control of middle school students in Hongkou District were (11.26 卤2.81), (26.87 卤6.58), (10.63 卤3.86), (19.06 卤5.24), respectively. The total score was (67.82 卤16.30). The proportion of disease prevention and control health literacy was 29. 5%. Two classification logistic regression analysis showed that the health literacy level OR and 95%CI of female students were 1.89 (1.362.59), taking male students as reference; Taking Shanghai household register as reference, the OR and 95%CI of registered students in other provinces and cities were 0.32 (0.19 ~ 0.55). Taking the mother's education level as the reference, the OR and 95%CI of the students whose mother's education level is university or above is 2.02 (1.263.23); Taking self-assessment of health education as a reference, the OR and 95%CI of students whose health literacy level is very important is 2.96 (1.675.28). The OR and its 95%CI of the students with the middle and the highest self-assessment achievement were 1.99 (1.203.29) and 1.99 (1.203.29) respectively. [conclusion] the health literacy level of high school students in Hongkou District of Shanghai is still low, which is influenced by many factors, such as individual, family and school.
【作者单位】：上海市虹口区疾病预防控制中心儿少眼防科;复旦大学公共卫生学院;
【基金】：上海市虹口区疾病预防控制中心人才培养项目(编号:jk2015-6) 全国教育科学十二五规划2013年度国家重点课题(编号:ALA130003)
【分类号】：R179

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