Objective To understand status of health literacy level among residents in Donghai County,and pro-vide evidence for developing intervention strategy.Methods Multi-stage stratified sampling method was carried out to select sample population.4999 residents aged 15 to 69 years old participated in a questionnaire survey.Statistical analysis was car-ried out by using SPSS 17.0.Results The health literacy rate of Donghai County residents was 9.1%,23.6% in town res-idents and 4.8% in rural residents.The percentages of basic knowledge and attitudes,healthy lifestyles and behaviors,bas-ic health skills were 15.5%,5.5%,and 12.4%.Among the six major health problems,the scientific view of health (37.0%),the safety and first aid (46.2%)had higher levels among health literacy.While infectious disease prevention (9.8%),chronic disease prevention (10.1%), primary medical treatment (1.8%) and information acquisition (8.4%)had lower levels in health literacy.Regression analysis showed that the urban and rural areas,age,cultural level and profession has a significant influence on the residents'health literacy levels.Conclusion The level of health literacy was lower in Donghai,and the difference between urban and rural residents’(health literacy level)is bigger.We should carry out various forms of health education activities among rural residents.%目的：了解东海县居民健康素养水平，为制定卫生政策和干预策略提供依据。方法采用多阶段分层整群抽样方法对东海县4999名15～69岁居民进行问卷调查，应用 SPSS 17．0软件进行数据分析。结果东海县居民具备健康素养的总体水平为9．1％，其中城关镇居民的比例为23．6％，农村居民的比例为4．8％；具备基本知识和理念、健康生活方式与行为、基本技能素养的比例分别为15．5％、5．5％和12．4％。“科学健康观”和“安全与急救”的素养水平分别为37．0％和46．2％，但“传染病防治”、“慢性病防治”、“基本医疗”、“信息获取”的素养水平相对较低，分别为9．8％、10．1％、1．8％和8．4％。多因素 Logistic 回归分析显示，城乡、年龄、文化程度及职业对居民健康素养水平有显著影响。结论东海县居民健康素养水平较低，且城乡居民健康素养水平差异较大，应加大对农村居民健康教育活动的力度。
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