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首页> 外文期刊>International Journal of Environmental Research and Public Health >Relationship between Health Literacy, Health-Related Behaviors and Health Status: A Survey of Elderly Chinese
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Relationship between Health Literacy, Health-Related Behaviors and Health Status: A Survey of Elderly Chinese

机译：健康素养，健康相关行为与健康状况的关系：中国老年人的调查

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Despite the large volume of research dedicated to health-related behavior change, chronic disease costs continue to rise, thus creating a major public health burden. Health literacy, the ability to seek, understand, and utilize health information, has been identified as an important factor in the course of chronic conditions. Little research has been conducted on the relationship between health literacy and health-related behaviors and health status in elderly Chinese. The aim of this study was to elucidate the relationship between health literacy and health-related behaviors and health status in China. Methods: The subjects enrolled in this study were selected based on a stratified cluster random sampling design. Information involving >4500 older adults in 44 pension institutions in Urumqi, Changji, Karamay, and Shihezi of Xinjiang between September 2011 and June 2012 was collected. The Chinese Citizen Health Literacy Questionnaire (China Health Education Centre, 2008) and a Scale of the General Status were administered and the information was obtained through face-to-face inquiries by investigators. A total of 1452 respondents met the inclusion criteria. A total of 1452 questionnaires were issued and the valid response rate was 96.14% (1396 of 1452). Factors affecting health literacy and the relationship to health literacy were identified by one-way ANOVA and a multiple linear regression model. Results: The average health literacy level of the elderly in nursing homes was relatively low (71.74 ± 28.35 points). There were significant differences in the health literacy score among the factors of age, gender, race, education level, household income, marital conditions, and former occupation (p 0.05). Multiple linear regression analysis showed that the independent influencing factors of health literacy included education level, race, former occupation, household income, age, physical exercise, health examination, smoking, and health information access (p < 0.001). Conclusions: Health literacy was significantly associated with health-related behaviors in elderly Chinese. Further longitudinal studies are needed to help confirm that improving health literacy in the elderly may be effective in changing health-related behaviors. To reduce risky habits, educational interventions to improve health literacy should be simultaneously conducted in health promotion work.
机译：尽管针对与健康有关的行为改变进行了大量研究，但慢性病的费用仍在增加，从而给公共健康造成了沉重负担。健康素养，即寻求，理解和利用健康信息的能力，已被确定为慢性疾病过程中的重要因素。关于中国老年人健康素养和健康相关行为与健康状况之间关系的研究很少。这项研究的目的是阐明中国健康素养与健康相关行为与健康状况之间的关系。方法：根据分层整群随机抽样设计选择参加本研究的受试者。收集了2011年9月至2012年6月在新疆乌鲁木齐，昌吉，克拉玛依和石河子的44个养老机构的4500多名老年人的信息。管理了《中国公民健康素养调查表》（中国健康教育中心，2008年）和《一般状况量表》，调查员通过面对面询问获得了这些信息。共有1452位受访者符合纳入标准。总共发布了1452份问卷，有效回复率为96.14％（1452中的1396）。通过单因素方差分析和多元线性回归模型确定影响健康素养的因素及其与健康素养的关系。结果：养老院中老年人的平均健康素养水平相对较低（71.74±28.35点）。在年龄，性别，种族，文化程度，家庭收入，婚姻状况和以前的职业等因素之间，健康素养得分存在显着差异（p 0.05）。多元线性回归分析表明，健康素养的独立影响因素包括教育程度，种族，前职业，家庭收入，年龄，体育锻炼，健康检查，吸烟和健康信息获取（p <0.001）。结论：中国老年人健康素养与健康相关行为显着相关。需要进一步的纵向研究，以帮助确认提高老年人的健康素养可能有效地改变与健康相关的行为。为了减少危险习惯，在健康促进工作中应同时进行教育干预以提高健康素养。

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