本文選題：健康素養(yǎng) + 趨勢(shì)性分析��； 參考：《蘇州大學(xué)》2016年碩士論文

【摘要】：目的:本研究通過對(duì)昆山市2011~2015年居民健康素養(yǎng)監(jiān)測(cè)數(shù)據(jù)的整理分析,從基本知識(shí)和理念、健康生活方式與行為、健康技能等三個(gè)維度指標(biāo),及科學(xué)健康觀、傳染病預(yù)防、慢病預(yù)防、安全與急救、基本醫(yī)療等素養(yǎng)指標(biāo)體系,了解“十二五”期間昆山市居民健康素養(yǎng)水平變化趨勢(shì),尋找主要影響因素,探索科學(xué)、有效的健康干預(yù)策略,為政府和衛(wèi)生相關(guān)部門制定政策與規(guī)劃提供參考依據(jù)。方法:本研究對(duì)象為昆山市15~69周歲常住人口。采用PPS抽樣及分層多階段隨機(jī)抽樣的方法選擇抽樣地區(qū)及居民,使用SPSS19.0對(duì)2011~2015年的居民健康素養(yǎng)監(jiān)測(cè)數(shù)據(jù)進(jìn)行統(tǒng)計(jì)分析。得分在健康素養(yǎng)相關(guān)指標(biāo)知識(shí)點(diǎn)總分80%及以上者判斷為具備健康素養(yǎng)。目標(biāo)人群中具備健康素養(yǎng)者的構(gòu)成比即為該人群的健康素養(yǎng)水平。使用描述性統(tǒng)計(jì)分析、卡方分析等方法研究2011年-2015年昆山市居民健康素養(yǎng)水平在“知識(shí)-行為-技能”三個(gè)方面和主要公共衛(wèi)生問題等知識(shí)點(diǎn)知曉情況的變化趨勢(shì)。并以2015年健康素養(yǎng)監(jiān)測(cè)數(shù)據(jù)為基礎(chǔ),使用卡方檢驗(yàn)探討文化程度和職業(yè)等人口學(xué)因素對(duì)人群健康素養(yǎng)水平的影響。結(jié)果:昆山市居民健康素養(yǎng)總體水平從2011的18.9%增長(zhǎng)到2015年的23.2%,年遞增幅度1個(gè)百分點(diǎn)左右。居民基本知識(shí)和理念、健康生活方式與行為、健康技能三個(gè)維度的素養(yǎng)水平年間差異具有統(tǒng)計(jì)學(xué)意義,其中,具有健康生活方式與行為的素養(yǎng)率從2011的11.3%增長(zhǎng)到2015年的57.2%,增長(zhǎng)幅度較大(?2=462.2,P0.001)。而具有基本知識(shí)和理念和健康技能的素養(yǎng)率則分別由2011的31.0%和48.2%下降至2015年的24.1%(?2=53.1,P0.001)和26.7%(?2=439.4,P0.001)。七類公共衛(wèi)生問題素養(yǎng)水平年間差異具有統(tǒng)計(jì)學(xué)意義,除科學(xué)健康觀素養(yǎng)水平五年間變化不大外(27.5%Vs.26.2%),其余6個(gè)素養(yǎng)指標(biāo)水平均有顯著提高。通過對(duì)2015年居民健康素養(yǎng)影響因素的分析發(fā)現(xiàn),職業(yè)(?2=31.836)、文化程度(?2=39.727)是健康素養(yǎng)的影響因素。結(jié)論:近五年來,昆山市居民健康素養(yǎng)的總體水平有所提高,處于全國(guó)領(lǐng)先水平(2015年,23.2%),但相較于其經(jīng)濟(jì)發(fā)展水平,仍屬于較低水平狀態(tài),有進(jìn)一步提升的空間。目前已逐漸進(jìn)入平臺(tái)期,健康教育和健康促進(jìn)工作是提升居民健康素養(yǎng)的重要手段。
[Abstract]:Objective: to analyze the monitoring data of residents' health literacy in Kunshan City from 2011 to 2015, and to analyze the three dimensions of basic knowledge and concept, healthy lifestyle and behavior, health skills, scientific health view and prevention of infectious diseases. The index system of chronic disease prevention, safety and first aid, basic medical treatment, etc., to understand the changing trend of health literacy level of residents in Kunshan City during the 12th Five-Year Plan, to find out the main influencing factors, and to explore scientific and effective health intervention strategies. To provide reference for government and health departments to formulate policies and plans. Methods: the object of this study was 1569 years old resident population in Kunshan City. The sampling areas and residents were selected by PPS sampling and stratified multi-stage random sampling. The health literacy monitoring data of residents from 2011 to 2015 were statistically analyzed by SPSS19.0. Those who scored 80% or more in the related indicators of health literacy were judged as having health literacy. The constituent ratio of the target population with health literacy is the health literacy level of the target population. Descriptive statistical analysis and chi-square analysis were used to study the changing trend of the knowledge of health literacy in Kunshan City from 2011 to 2015 in three aspects: knowledge, behavior and skills, and the main public health problems. Based on the data of health literacy monitoring in 2015, we used chi-square test to explore the effect of demographic factors, such as education level and occupation, on the health literacy level of population. Results: the overall level of health literacy in Kunshan increased from 18.9% in 2011 to 23.2b in 2015, with an annual increase of about 1 percentage point. The difference of literacy level in three dimensions of residents' basic knowledge and concept, healthy life style and behavior, and health skill is statistically significant. The literacy rate of healthy lifestyle and behavior increased from 11.3% in 2011 to 57.2% in 2015. The literacy rate with basic knowledge, ideas and health skills decreased from 31.0% and 48.2% in 2011 to 24.1g / 53.1g / P0.001 in 2015, respectively. There was significant difference in the literacy level of seven kinds of public health problems during the past five years. Except for the scientific view of health literacy level in the past five years, there were no significant changes in the literacy level of 27.5Vs.26.20.The other six quality indicators were significantly improved. By analyzing the influencing factors of residents' health literacy in 2015, it was found that the occupational health literacy was 231.836, and the education level was 39.727). Conclusion: in recent five years, the overall level of health literacy of residents in Kunshan City has been improved and is in the leading level in the whole country (2015), but compared with its economic development level, it still belongs to a lower level and has room for further improvement. At present, health education and health promotion are important means to improve residents' health literacy.
【學(xué)位授予單位】：蘇州大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R193

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本文編號(hào)：1940753