中学生医疗常识与合理就医健康素养现状及其影响因素

亓德云; 李丽平; 史慧静; 江艳微; 王亚宁

doi:10.19428/j.cnki.sjpm.2017.10.008

中学生医疗常识与合理就医健康素养现状及其影响因素

Medical knowledge and reasonable medical treatment health literacy and its influencing factors among middle school students

摘要

摘要:
目的了解中学生医疗常识与合理就医健康素养现状及其影响因素，并为开展健康干预提供参考依据。
方法采用分层整群抽样方法，抽取上海市虹口区在校中学生832人，通过自行设计的评估问卷进行健康素养现状调查，并分析其影响因素。
结果虹口区中学生医疗常识与合理就医健康素养获取维度得分(7.58±2.27)，理解维度得分(20.59±4.67)，分析评价维度(8.67±2.23)，运用维度(34.54±8.78), 总分为(71.38±15.36)。调查对象中具备合理就医健康素养的比例为34.7%；年级、性别、户籍类型、学校健康教育课时及自评学习成绩会影响学生医疗常识与合理就医健康素养水平。
结论上海市虹口区中学生医疗常识与合理就医健康素养水平仍然偏低，未来干预应该充分利用学校健康教育这一平台。

Abstract:
ObjectiveTo ascertain the medical knowledge and reasonable medical treatment health literacy and its influencing factors among middle school students, and to improve the current health education and health promotion, thus providing reference for health intervention.
MethodsUsing stratified cluster sampling, 832 students were investigated with the questionnaire of health literacy. Multi-variables non-conditional logistic regression analysis was used to evaluate the health literacy status and analyze its influencing factors.
ResultsIn terms of four dimensions of medical knowledge and reasonable medical treatment health literacy, scores of obtaining, understanding, analysis, evaluation and application were (7.58±2.27), (20.59±4.67), (8.67±2.23), (34.54±8.78) respectively, and the overall health literacy score was (71.38±15.36). The proportion of health literacy was 34.7%. Multivariate analysis demonstrated that the factors of affecting the health literacy of students were grade, gender, type of household registration, school health education hours and self-assessment learning achievement.
ConclusionThe overall level ofstudents' medical knowledge and reasonable medical treatment health literacy are at low level in Shanghai Hongkou District, future intervention should take full advantage of the platform of school health education.

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