黄馨缘, 吴佳昱, 吴倩, 张莉, 余登来, 顾春华, 王静, 林涛. 上海市浦东新区常住居民健康素养与吸烟、饮酒、身体活动的关系[J]. 环境与职业医学, 2019, 36(9): 847-852. DOI: 10.13213/j.cnki.jeom.2019.19177
引用本文: 黄馨缘, 吴佳昱, 吴倩, 张莉, 余登来, 顾春华, 王静, 林涛. 上海市浦东新区常住居民健康素养与吸烟、饮酒、身体活动的关系[J]. 环境与职业医学, 2019, 36(9): 847-852. DOI: 10.13213/j.cnki.jeom.2019.19177
HUANG Xin-yuan, WU Jia-yu, WU Qian, ZHANG Li, YU Deng-lai, GU Chun-hua, WANG Jing, LIN Tao. Associations of health literacy with smoking, drinking, and physical activity in permanent residents in Pudong New Area, Shanghai[J]. Journal of Environmental and Occupational Medicine, 2019, 36(9): 847-852. DOI: 10.13213/j.cnki.jeom.2019.19177
Citation: HUANG Xin-yuan, WU Jia-yu, WU Qian, ZHANG Li, YU Deng-lai, GU Chun-hua, WANG Jing, LIN Tao. Associations of health literacy with smoking, drinking, and physical activity in permanent residents in Pudong New Area, Shanghai[J]. Journal of Environmental and Occupational Medicine, 2019, 36(9): 847-852. DOI: 10.13213/j.cnki.jeom.2019.19177

上海市浦东新区常住居民健康素养与吸烟、饮酒、身体活动的关系

Associations of health literacy with smoking, drinking, and physical activity in permanent residents in Pudong New Area, Shanghai

  • 摘要: 背景 近年来全国居民健康素养水平逐年上升。健康素养水平的增高是否带来人群健康行为形成率的提升,是值得关注的问题。

    目的 了解上海市浦东新区常住居民健康素养与吸烟、经常饮酒和身体活动之间的关系。

    方法 采用多阶段抽样方法,于2018年5-8月期间抽取浦东新区15~69岁常住居民进行问卷调查。健康素养的测量参考中国健康教育中心统一编制的《2018年全国居民健康素养监测调查问卷》。收集吸烟、饮酒、身体活动以及基本的人口学特征资料。采用logistc回归模型分别分析健康素养具备与否与吸烟、饮酒和身体活动之间的关系。最终完成3 200份调查,其中有效问卷3192份(有效率99.7%)。

    结果 2018年浦东新区15~69岁常住居民健康素养的具备率为25.2%。单因素分析中,非吸烟者总体和三个维度健康素养的具备率均高于吸烟者,差异具有统计学意义(P < 0.05)。较少饮酒者总体和健康生活方式与行为维度健康素养具备率高于经常饮酒者,差异具有统计学意义(P=0.041,P=0.023)。而身体活动充分者总体及其三个维度健康素养的具备率低于身体活动缺乏者,且差别具有统计学意义(P < 0.05)。控制年龄、性别、受教育程度、家庭经济水平和婚姻状态后,健康素养的具备情况与吸烟行为独立关联(OR=0.69,P=0.006),三个维度与吸烟行为无统计学关联(P分别为0.300,0.267和0.969);健康素养及其三个维度的具备情况与饮酒行为和身体活动均没有关联(P分别为0.169、0.915、0.237、0.678和0.909、0.392、0.258、0.210)。

    结论 上海市浦东新区常住居民的健康素养与吸烟行为存在独立关联,但尚无证据表明健康素养与经常饮酒、身体活动有关联。

     

    Abstract: Background The health literacy of Chinese people has been improved in recent years. Whether good health behaviors will come along with the improvement of health literacy should be concerned.

    Objectve This study explores the relatonships of health literacy with smoking, regular drinking, and physical actvity among permanent residents in Pudong New Area of Shanghai.

    Methods Permanent residents aged 15-69 years in Pudong New Area were selected by multistage sampling method to finish questionnaire from May to August in 2018. The 2018 National Health Literacy Monitoring Questionnaire prepared by the China Health Education Center was distributed to measure their health literacy. Data of smoking, drinking, physical actvity, and general demographic characteristcs were also collected. Logistc regressions were conducted to determine the associatons of having health literacy with smoking, drinking, and physical actvity. Finally, 3 200 questonnaires were completed, and 3 192 questonnaires were valid (99.7%).

    Results In 2018 in Pudong New Area, 25.2% of the partcipants at 15-69 years old had health literacy. Univariate analyses suggested that the rates of having health literacy and its three dimensions were higher among partcipants without smoking than among those smoking (P < 0.05), the rates of having health literacy and the dimensions of healthy lifestyle and behavior were higher among those rarely drinking than among those frequently drinking (P=0.041, P=0.023), while the rates of having health literacy and its three dimensions were lower among those with sufcient physical actvity than among those without (P < 0.05). Afer adjustng for age, gender, educatonal atainment, family income, and marital status, having health literacy was stll independently associated with smoking (OR=0.69, P=0.006), but there were no signifcant associatons between the three dimensions and smoking (P=0.084, 0.077, and 0.225, respectvely). No signifcant associatons were found between having health literacy (and its three dimensions) and drinking or physical actvity (P=0.169, 0.808, 0.263, and 0.933; P=0.909, 0.351, 0.225, and 0.642, respectvely).

    Conclusion Health literacy is independently associated with smoking in permanent residents in Pudong New Area of Shanghai, while there is no evidence on its associatons with regular drinking and physical actvity.

     

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