目的：了解高校35岁及以上劳动力人口健康素养和基本公共卫生服务利用情况，探索健康素养对劳动力人口利用基本公共卫生服务的影响。方法采用分层随机抽样的方法，对35～64岁劳动力人口以每10岁为一组进行分组。利用 SPSS 19．0进行数据清理和分析，采用χ2检验、方差分析、Logistic 回归进行影响因素的单因素和多因素分析。结果695名调查对象中，男性281例，占40．4％；女性398例，占57．3％；16例数据缺失，占2．3％。调查对象健康素养总体水平为29．2％。有无慢性病（P ＜0．001）、文化程度（P ＜0．001）、年龄（P ＜0．001）、职业（P ＜0．001）、性别（P ＝0．004）、婚姻状况（P ＝0．006）对健康素养均分的影响具有统计学意义。健康素养水平高低影响劳动力人口对基本公共卫生服务的利用。健康素养水平高的人群更倾向于利用基本公共卫生服务项目，在家庭医生式服务签约（P ＝0．002）、利用社区健康教育方面差异有统计学意义（P ＜0．001）。结论应加强劳动力人口的健康教育，提高健康素养，从而提高劳动力人口对基本公共卫生服务的利用和人群健康状况。%Objective To understand health literacy distribution among workers and utilization of basic public health services in a university,and explore the effect of health literacy on public health service utilization of workers.Methods A method of stratified random sampling was used,and workers aged 35 -64 years old were divided into 3 groups every 10 years based on their age.Data were cleaned and analyzed using SPSS 19.0,the Chi-square test,analysis of variance,and logistic regression were used in univariate and multivariate analysis.Results Among 695 respondents,40.4% (281)were men, 57.3% (398)were women,2.3% (16)were missing data.The overall level of health literacy is 29.2%.There were six sta-tistically significant factors:chronic disease (P <0.001),age (P <0.001),occupation (P <0.001),education (P <0.001),gender (P =0.004),and marital (P =0.006).The level of health literacy affected public health service utilization of workers.Those workers with good health literacy tended to use more items of basic public health services.There were statisti-cally significant differences in family doctor-service contract (P =0.002)and use of health education in community (P <0.001).Conclusion It should be helpful to strengthen health education for workers,and to improve their health literacy sta-tus so that to improve their utilization of basic public health services and health status.
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