目的：了解我国居民慢性病防治素养水平及其影响因素，为制定卫生政策和健康教育干预措施提供依据。方法采用分层多阶段与人口规模成比例抽样（PPS 抽样）方法，对全国31个省（区、市）336个监测点非集体居住的15～69岁常住人口进行调查，以问卷调查方式对调查对象慢性病防治素养水平进行测评。结果2012年健康素养监测共调查全国15～69岁常住人口102985人，收回有效问卷98448份，有效率为95．59％。其中，城市人口占44．32％，农村人口占55．68％；男性占51．72％，女性占48．28％。2012年我国居民慢性病防治素养水平的点估计值为9．07％，其95％可信区间为8．82％～9．34％，城市居民为13．23％，高于农村居民的6．75％；东部地区居民为10．74％，高于中部地区居民的8．69％，高于西部地区居民的7．08％；男性为8．85％，女性为9．20％。多因素 Logistic 回归分析结果显示：农村居民慢性病防治素养水平低于城市居民，OR 值为0．698（95％CI：0．567～0．859），文化程度越高，慢性病防治素养水平越高，以不识字／少识字者为参照，小学、初中、高中／职高／中专、大专／本科及以上文化程度者具备慢性病防治素养的 OR 分别为1．717（95％ CI：1．324～2．228）、2．554（95％CI：1．935～3．371）、4．507（95％CI：3．383～6．005）、8．224（95％CI：6．097～11．095）。结论我国居民慢性病防治素养水平较低，其中农村居民、文化程度较低者是健康教育的重点人群。%Objective To understand the status and its influencing factors of chronic disease literacy in China,to explore the method for improving the chronic disease literacy.Methods Using stratified multi-stage and PPS sampling method,the permanent resident population aged 15 -69 years old,from 336 monitor districts of 31 provinces,were investi-gated with questionnaire about chronic disease literacy.Results In 2012 Chinese residents health literacy monitoring, 102 985 permanent resident population aged 15 -69 years old were investigated.98 448 valid questionnaires were analyzed, and the valid rate was 95.59%.Among them,44.32% were urban residents,55.68% were rural residents;51.72% were male,48.28% were female.The results of monitoring showed that the level of chronic disease literacy was 9.07% (95%CI:8.82 -9.34).The level of chronic disease literacy of urban residents was 13.23%,higher than that of rural residents, which was 6.75%.The chronic disease literacy level was 10.74% in eastern area residents,higher than that in the central area and western area residents which were 8.69% and 7.08%,respectively.The level was 8.85% in male,slightly lower than that in female,which was 9.20%.Multivariate Logistic regression analysis showed:the rural residents had lower chro-nic disease literacy level than the urban residents,the OR value was 0.698 (95%CI:0.567 -0.859);comparing to the illiterate /less literate people,the people in education level of primary school,middle school,high school,college and a-bove had higher chronic disease literacy,OR values were 1.717 (95%CI:1.324 -2.228),2.554 (95%CI:1.935 -3.371),4.507 (95%CI:3.383 -6.005)and 8.224 (95%CI:6.097 -11.095),respectively.Conclusion The lev-el of chronic disease literacy of the residents was low in China.The rural residents and the low education population are key population of health education.
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