目的：了解四川省居民健康素养水平现状，为今后的健康教育工作提供科学的依据。方法采用多阶段分层随机抽样的方法，抽取3509居民进行问卷调查。结果共收回有效问卷3391份。调查对象的健康素养具备率为6．49％，基本健康知识与理念素养具备率为13．60％，健康生活方式与行为素养具备率为8．70％，基本技能素养具备率为11．42％；科学健康观素养31．84％，传染病防治素养15．20％，慢性病防治素养6．54％，安全与急救素养40．88％，基本医疗素养9．39％，健康信息素养15．78％。健康素养水平呈现以下特点：城市居民高于农村居民；女性高于男性；年轻人高于老年人；文化程度越高，健康素养水平越高（P ＜0．001）。结论该省居民健康素养具备率为6．49％，健康素养水平存在城乡差别和人群差别，健康素养水平女性高于男性，且随着年龄的增加而降低，随着文化程度的增加而升高；在健康素养3方面中，健康生活方式与行为的素养具备率最低，在6类健康问题中，慢性病防治素养和基本医疗素养具备率较低；今后的健康教育工作重点在于促进健康生活方式与行为的养成，提高居民慢性病防治素养和基本医疗素养，重点关注农村、男性、文化程度低、年龄大的居民。%Objective To learn health literacy status of residents in Sichuan Province,and provide a scientific ba-sis for the work on health education in the future.Methods 3509 residents sampled by multi-stage stratified random sam-pling method were investigated with uniform questionnaire.Results 3391 questionnaires were effective.The proportion of re-spondents with health literacy was 6.49%,the proportion of respondents with literacy of basic health knowledge and the con-cept was 13.60%,healthy lifestyle and behavior was 8.70%,basic skills was 11.42%,the proportion of respondents with literacy of scientific view of health was 31.84%,infectious disease prevention and control was 15.20%,chronic disease prevention and control was 6.54%,safety and first aid was 40.88%,basic medical was 9.39%,health information was 15.78%.Health literacy levels presented the following characteristics:urban residents are higher than rural residents, women are higher than men,decreased with increasing age,and increased with the increasing education level (P <0.001).Conclusion The proportion of residents in si chuan province with health literacy is 6.49%,the health literacy level is different between urban and rural residents as well as different population,health literacy level of women are higher than men,and decreased with increasing age,and increased with the increasing education level;in the three aspects of health literacy,healthy lifestyle and behavior have the lowest rates,in six kinds of health problems,the rate of chronic dis-ease prevention and control and basic health is low;health education should focus on developing healthy lifestyles and be-haviors in the future,also improving the residents’literacy of chronic disease prevention and control and the basic medical, and rural,male,low degree of culture,older residents are the priority groups.
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