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李瑞, 陈仁友, 刘维量, 刘永娟, 魏霞, 冷艳, 王连森. 山东省2012 — 2021年居民健康素养水平及变化趋势[J]. 中国公共卫生, 2023, 39(10): 1336-1341. DOI: 10.11847/zgggws1141405
引用本文: 李瑞, 陈仁友, 刘维量, 刘永娟, 魏霞, 冷艳, 王连森. 山东省2012 — 2021年居民健康素养水平及变化趋势[J]. 中国公共卫生, 2023, 39(10): 1336-1341. DOI: 10.11847/zgggws1141405
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LI Rui, CHEN Renyou, LIU Weiliang, LIU Yongjuan, WEI Xia, LENG Yan, WANG Liansen. Status and changing trend of health literacy among residents in Shandong province, 2012 – 2021: a surveillance data analysis[J]. Chinese Journal of Public Health, 2023, 39(10): 1336-1341. DOI: 10.11847/zgggws1141405
Citation: LI Rui, CHEN Renyou, LIU Weiliang, LIU Yongjuan, WEI Xia, LENG Yan, WANG Liansen. Status and changing trend of health literacy among residents in Shandong province, 2012 – 2021: a surveillance data analysis[J]. Chinese Journal of Public Health, 2023, 39(10): 1336-1341. DOI: 10.11847/zgggws1141405
shu

山东省2012 — 2021年居民健康素养水平及变化趋势

Status and changing trend of health literacy among residents in Shandong province, 2012 – 2021: a surveillance data analysis

    摘要
  • 摘要:
      目的  分析2012 — 2021年山东省居民健康素养水平及变化趋势，为制定山东省健康政策提供科学依据。
      方法  利用山东省2012 — 2021年居民健康素养监测数据计算全省不同特征居民健康素养水平，采用复杂抽样模块对健康素养水平进行加权分析，采用Joinpoint回归模型计算健康素养总体水平及不同特征水平年度变化百分比（APC）和平均年度变化百分比（AAPC），并进行趋势检验。
      结果  2012 — 2021年山东省居民健康素养水平分别为8.28%、10.52%、11.13%、12.08%、13.48%、15.77%、17.60%、21.56%、22.02%、25.81%，呈上升趋势（AAPC = 12.838%，P < 0.001）。农村居民、文化程度为不识字/少识字人群健康素养水平AAPC高于总体水平，分别为13.940%（P < 0.001）、15.248%（P = 0.045）；老年人群（65～69岁）健康素养水平AAPC低于总体，为9.703%（P = 0.008）。
      结论  2012 — 2021年山东省居民健康素养水平稳固提升，农村居民、文化程度为不识字/少识字人群增长速度较快，但整体水平仍处于低位。老年人增长速度缓慢，整体水平处于低位，呈现“双低”现象，是山东省未来健康教育干预的重点人群。

     

    Abstract:
      Objective   To analyze the health literacy level and its variation tendency during 2012 – 2021 among residents in Shandong province for the formulation of health policies.
      Methods   The study data were from the health literacy surveillances yearly conducted during 2012 – 2021 among a total of 41 319 permanent residents aged 15 – 69 years in Shangdong province. Complex sampling method was used to weight the health literacy level of the residents. Annual percent change (APC) and average annual percent change (AAPC) for in the ratios of the respondents with health literacy were calculated and Joinpoint regression model was adopted to assess the changing trend of health literacy in the residents.
      Results   The annual ratio of the residents with health literacy (with a total score of over 80 points for the Health Literacy Questionnaire for Chinese Residents used in national surveillances) was 8.28%, 10.52%, 11.13%, 12.08%, 13.48%, 15.77%, 17.60%, 21.56%, 22.02%, and 25.81% for years from 2012 to 2021, showing an upward trend (AAPC = 12.838%, P < 0.001) during the 10-year period. Compared to that among all the residents, significantly greater variation in the health literacy annual ratio was observed among the rural residents (AAPC =13.940%, P < 0.001) and the residents being illiterate/semiliterate (AAPC = 15.248%, P = 0.045) ; but a lesser variation in the health literacy annual ratio was observed among the residents aged 65 – 69 years (AAPC = 9.703%, P = 0.008).
      Conclusion  The health literacy has been steadily improved among the residents in Shandong province during 2012 – 2021; but the health literacy was at a relatively low level among the residents living in rural regions, being illiterate/semiliterate, and at elder ages, suggesting that health education needs to be much more promoted in the populations.

     

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