目的：了解湖北省居民健康素养的分布状况及影响因素。方法采用多阶段分层随机抽样的方法，于2012年10—12月在湖北省18个监测点随机抽取15～69岁常住人口5401人，采用《全国居民健康素养监测调查问卷》开展调查，主要包括基本健康知识和理念、健康生活方式与行为、基本技能3个方面。主要分析方法有描述性分析，χ2检验和非条件 Logistic 回归。结果在5354份有效问卷中，城市人口占44．4％，农村人口占55．6％，男女性别比为1．16∶1。湖北省2012年健康素养水平为9．3％，其中基本知识和理念素养水平为15．8％，健康生活方式与行为素养水平为12％，健康技能素养水平为15．3％；6类健康问题素养水平由高到低分别是：安全与急救素养44．5％，科学健康观32．9％，信息获取素养20．8％，传染病防治素养19．3％，基本医疗素养10．9％，慢性病防治素养8．6％。民族、文化程度、职业和家庭年收入为健康素养的影响因素，以少数民族为参照，汉族的健康素养水平较高，OR 值为2．38（95％CI：1．14～4．98）；文化程度每升高一个档次，健康素养水平增加，OR 值为1．54（95％CI：1．39～1．71）；以其他职业为参照，医务人员、其他事业单位和其他企业单位的健康素养水平较高，OR 值分别为3．94（95％CI：2．48～6．27）、2．30（95％CI：1．66～3．18）、1．43（95％CI：1．06～1．93）；健康素养水平随家庭年收入升高而增加，OR 值为1．20（95％CI：1．08～1．33）。结论湖北省居民健康素养水平依然较低。%Objective To understand the distribution of the residents’health literacy in Hubei Province,and to provide the scientific basis for making health education and health promotion policies and measures.Methods The multi-stage stratified random sampling method was used to choose 5401 residents aged 15 to 69 in the 18 monitor areas in Hubei Province,from October to December,2012.The Chinese Residents Health Literacy Questionnaire was applied to conduct the investigation,including the basic health knowledge and ideas,healthy lifestyle and behavior and basic skills.The main data analysis method included descriptive analysis,chi-square test and non conditional logistic regression.Results In the 5354 valid questionnaires,the urban population accounted for 44.4% while the rural population accounted for 55.6%,the male to female ratio was 1.16 ∶1.The level of the residents’health literacy in Hubei Province is 9.3%,among which the basic knowledge and concepts of literacy level was 15.8%,the healthy life style and behavior literacy level was 12%,the health literacy skills level was 15.3%.The six kinds of health problems literacy level from high to low was blew:the safety and first aid literacy (44.5%),the scientific view of health (32.9%),the information acquisition literacy (20.8%), the epidemic prevention literacy (19.3%),the basic medical literacy (10.9%),and the chronic disease prevention liter-acy (8.6%).The main influencing factors of the health literacy level were ethnic,cultural level,occupation and family income.The Han had higher health literacy level than the ethnic (OR =2.38,95%CI:1.14 -4.98);the higher educa-tion level the higher health literacy level (OR =1.54,95%CI:1.39 -1.71);the medical staff,the other enterprises and institutions staff had higher health literacy level (OR =3.94,95%CI:2.48 -6.27;OR =2.30,95%CI:1.66 -3.18;OR =1.43,95%CI:1.06 -1.93);meanwhile,the lower family incomes may mean lower health literacy level (OR =1.20, 95%CI:1.08 -1.33).Conclusion The residents’health literacy level was relatively low in Hubei Province.
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