周热娜, 尉敏琦, 黄晓霞, 朱鸿雁, 王健, 余峰. 闵行区2家制造企业职工健康素养干预中期效果评价[J]. 环境与职业医学, 2014, 31(10): 796-799. DOI: 10.13213/j.cnki.jeom.2014.0194
引用本文: 周热娜, 尉敏琦, 黄晓霞, 朱鸿雁, 王健, 余峰. 闵行区2家制造企业职工健康素养干预中期效果评价[J]. 环境与职业医学, 2014, 31(10): 796-799. DOI: 10.13213/j.cnki.jeom.2014.0194
ZHOU Re-na , WEI Min-qi , HUANG Xiao-xia , ZHU Hong-yan , WANG Jian , YU Feng . Middle-Stage Effect Evaluation of Health Literacy Intervention in Workers of Two Manufacturing Enterprises in Minhang District[J]. Journal of Environmental and Occupational Medicine, 2014, 31(10): 796-799. DOI: 10.13213/j.cnki.jeom.2014.0194
Citation: ZHOU Re-na , WEI Min-qi , HUANG Xiao-xia , ZHU Hong-yan , WANG Jian , YU Feng . Middle-Stage Effect Evaluation of Health Literacy Intervention in Workers of Two Manufacturing Enterprises in Minhang District[J]. Journal of Environmental and Occupational Medicine, 2014, 31(10): 796-799. DOI: 10.13213/j.cnki.jeom.2014.0194

闵行区2家制造企业职工健康素养干预中期效果评价

Middle-Stage Effect Evaluation of Health Literacy Intervention in Workers of Two Manufacturing Enterprises in Minhang District

  • 摘要: 目的 了解上海市闵行区2 家制造企业职工健康素养干预的中期效果,为改善后期干预提供建议。

    方法 采用类实验的方法在上海市闵行区两家企业中各随机抽取200 名在职员工作为研究对象,随机设定其一家为干预组,另一家为对照组。干预组的干预措施是参与式为主的健康教育方式(如健康素养有奖知识竞答、健康创意海报征集、健康咨询等),根据干预前和干预中期职工健康素养水平变化情况评价干预效果。

    结果 干预组健康生活方式与行为和慢性病预防素养水平虽然在干预中期有所提高,但是其分别在健康素养内容的3 个方面和5 类健康问题相关素养中处于最低。综合人口学特征因素后,干预中期的干预组总体健康素养水平明显高于干预前(OR=5.154,P< 0.001),而对照组总体健康素养水平较干预前无统计学差异(OR=0.747,P> 0.05)。除干预措施外,干预组总体健康素养水平与年龄、性别、受教育程度和家庭平均月收入无统计学关联(P> 0.05),而对照组男性和低收入者的总体健康素养水平低于女性和高收入者(P< 0.05)。

    结论 参与式健康干预措施的中期效果表明,能有效促进在职人群的健康素养水平。干预后期应将健康生活方式与行为和慢性病预防素养作为重点干预维度,可将男性和低收入者作为干预重点人群。

     

    Abstract: Objective To evaluate the middle-stage effect of health literacy intervention in occupational groups of Minhang District in Shanghai and provide suggestions for the later intervention.

    Methods Quasi-experimental method was used to randomly select 200 employees respectively in the two enterprises in Minhang District of Shanghai as participants, randomly setting one enterprise as the intervention group, the other as the control group. The intervention was conducted through participatory health education activities such as prized quiz about health literacy knowledge, posters collection, health consultation, etc. The middle-stage effect of the intervention was evaluated through comparing pre-and middle-stage results of health literacy of occupational groups.

    Results In this survey, the literacy level of participants' healthy lifestyle and behavior as well as chronic diseases prevention in the intervention group improved after the middle-stage intervention, but their literacy levels were respectively the lowest among the three aspects of health literacy content and the five kinds of major health problem related literacy. After considering the demographics, the overall health literacy level of participants in the intervention group improved a lot after the intervention(OR=5.154, P< 0.001), while such improvement was not reflected in the control group(OR=0.747, P> 0.05). The overall health literacy level of participants in the intervention group was not associated with age, gender, education background, and average family monthly income(P> 0.05), while in the control group, the male and low-income participants' overall health literacy levels were lower than female and high-income workers'.

    Conclusion The middle-stage effect shows that the participatory health intervention could improve the level of health literacy of occupational groups. The later intervention should take male, lowincome workers as key intervention groups, and make healthy lifestyle and behavior as well as chronic diseases prevention literacy as major intervention dimensions.

     

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