[1]余乐华,王文慧,毕美仙.合肥市脑卒中高危人群健康素养调查及影响因素研究[J].医学信息,2022,35(05):140-144.[doi:10.3969/j.issn.1006-1959.2022.05.037]
 YU Le-hua,WANG Wen-hui,BI Mei-xian.Analysis of Health Literacy Level and Influencing Factors Among High-risk Population of Stroke in Hefei City[J].Medical Information,2022,35(05):140-144.[doi:10.3969/j.issn.1006-1959.2022.05.037]
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合肥市脑卒中高危人群健康素养调查及影响因素研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年05期
页码:
140-144
栏目:
调查分析
出版日期:
2022-03-01

文章信息/Info

Title:
Analysis of Health Literacy Level and Influencing Factors Among High-risk Population of Stroke in Hefei City
文章编号:
1006-1959(2022)05-0140-05
作者:
余乐华王文慧毕美仙
(合肥市第二人民医院神经内科二病区,安徽 合肥 230000)
Author(s):
YU Le-huaWANG Wen-huiBI Mei-xian
(The Second Ward of Neurology Department,Hefei Second People’s Hospital,Hefei 230000,Anhui,China)
关键词:
脑卒中高危人群健康素养一级预防风险评估
Keywords:
StrokeHigh-risk groupsHealth literacyPrimary preventionRisk assessment
分类号:
R743.3;R193
DOI:
10.3969/j.issn.1006-1959.2022.05.037
文献标志码:
A
摘要:
目的 分析合肥市脑卒中高危人群健康素养水平及影响因素,以期为今后合肥市脑卒中一级预防提供策略支持。方法 收集2019年1月-2020年12月就诊于我院神经内科门诊的脑卒中高危人群为研究对象,应用脑卒中高危人群筛查和干预项目风险评估表、慢性病病人健康素养调查问卷,并同时完成相关体格检查及试验室检查。结果 共纳入研究对象1056例,男681例(64.49%),女375例(35.51%)。单因素分析结果显示,不同婚姻状况、学历、职业、吸烟、饮酒、久坐生活方式、BMI的人群健康素养得分比较,差异有统计学意义(P<0.05);合肥市脑卒中高危人群健康素养平均分为(92.29±8.77)分;4个维度健康素养得分由高到低依次为经济支持、交流互动能力、健康意愿、健康信息获取能力;多元线性研究结果显示,婚姻状况、文化程度、吸烟、饮酒、久坐生活方式、BMI均是脑卒中高危人群健康素养的主要影响因素;Pearson相关分析显示,合肥市脑卒中高危人群健康素养各维度之间及与健康素养总分之间存在相关性,其中信息获取维度得分与总健康素养得分相关性最高(r=0.746,P<0.05),健康意愿和经济支持维度素养相关性最低(r=0.224,P<0.05)。结论 合肥市脑卒中高危人群健康素养水平处于中等偏下水平,其中健康信息获取能力维度健康素养得分最低。应重点针对未婚、离婚、丧偶、文化程度较低、吸烟、饮酒、久坐生活方式、肥胖者进行脑卒中相关的健康教育及促进工作,从而全面提升合肥市脑卒中高危人群健康素养水平。
Abstract:
Objective To analyze the health literacy level and influencing factors of stroke high-risk population in Hefei, so as to provide strategic support for primary prevention of stroke in Hefei.Methods The high-risk population of stroke from January 2019 to December 2020 in the outpatient department of neurology in our hospital were selected as subjects. The risk assessment form of the screening and intervention project for high-risk stroke population and the health literacy questionnaire for chronic disease patients were used, and the relevant physical examination and laboratory examination were completed at the same time.Results A total of 1056 subjects were included in this study, 681 males (64.49%) and 375 females (35.51%). The results of single factor analysis showed that there were significant differences in the scores of health literacy among people with different marital status, education background, occupation, smoking, drinking, sedentary lifestyle and BMI (P<0.05). The average score of health literacy among high-risk groups of stroke in Hefei was (92.29±8.77) scores; the scores of health literacy in the four dimensions from high to low were economic support, communication and interaction ability, health willingness and health information acquisition ability; the results of multiple linear studies showed that marital status, educational level, smoking, drinking, sedentary lifestyle, and BMI were the main influencing factors of health literacy among high-risk groups of stroke. Pearson correlation analysis showed that there was a correlation between each dimension of health literacy and the total score of health literacy among high-risk groups of stroke in Hefei. Among them, the correlation between the score of information acquisition dimension and the total score of health literacy was the highest (r=0.746, P<0.05), and the correlation between health willingness and economic support dimension was the lowest (r=0.224, P<0.05).Conclusion The health literacy level of high-risk population with stroke in Hefei is at a medium-low level, and the health literacy score of health information acquisition ability dimension is the lowest. Health education and promotion related to stroke should be focused on unmarried, divorced, widowed, low-educated, smoking, drinking, sedentary lifestyle, and obese people, so as to comprehensively improve the health literacy level of high-risk groups of stroke in Hefei.

参考文献/References:

[1]Bakker CJ,Koffel JB,Theis-Mahon NR.Measuring the health literacy of the Upper Midwest[J].J Med Libr Assoc,2017,105(1):34-43.[2]中共中央国务院.《“健康中国2030”规划纲要》[EB/OL].http://www.gov.cn/zhengce/2016-10/25/content_5124174.htm,2016-10-25/2021-09-20.[3]Appleton S,Biermann S,Hamilton-Bruce A,et al.Functional health literacy is significantly associated with risk factors for stroke in a population sample[J].Int J Stroke,2015,10(3):E23.[4]张振香,任娟娟,林蓓蕾,等.老年脑卒中患者心理健康素养与健康行为的相关性研究[J].中国全科医学,2021,24(22):2860-2865.[5]孙浩林,彭慧,傅华.慢性病患者健康素养量表信效度的研究[J].复旦学报(医学版),2012,39(3):268-272.[6]牟建军,陈阳,李玉明.从分层推荐看《国际高血压学会2020国际高血压实践指南》[J].中华高血压杂志,2020,28(8):704-705.[7]姜傥.糖尿病的实验室诊断管理专家共识[J].临床检验杂志,2020,38(7):481-487.[8]何权瀛,高莹慧.关于吸烟问题若干名词定义[J].中华结核和呼吸杂志,2009(1):26.[9]急性胰腺炎基层诊疗指南(实践版·2019)[J].中华全科医师杂志,2019(9):827-831.[10]赵旺,叶平,胡大一,等.根据《中国成人血脂异常防治指南(2016年修订版)》再分析DYSIS-China横断面调查[J].中国心血管杂志,2020,25(1):55-61.[11]武霞,宋军平,江名芳,等.内蒙古中老年人群脉压和脉压指数与脑卒中的关系[J].中国老年学杂志,2015,35(15):4212-4214.[12]王文慧,王育珊,梁冰,等.乌鲁木齐市脑卒中高危人群健康素养现况及影响因素分析[J].中华现代护理杂志,2021,27(9):1166-1170.[13]孙文霞,齐艳.延边地区脑卒中高危人群健康素养现状分析[J].延边大学医学学报,2016,39(4):269-271.[14]王波,迟丽华,张德春.潍坊市农村地区老年慢性病患者健康素养及影响因素[J].中国老年学杂志,2018,38(6):1511-1513.[15]Osborne RH,Batterham RW,Elsworth GR,et al.The grounded psychometric development and initial validation of the Health Literacy Questionnaire (HLQ)[J].BMC Public Health,2013(13):658.[16]Mei X,Zhong Q,Chen G,et al.Exploring health literacy in Wuhan, China: a cross-sectional analysis[J].BMC Public Health,2020,20(1):1417.[17]罗敏红,陈建伟,孙爱,等.广州市中心城区居民健康素养水平及影响因素分析[J].中国社会医学杂志,2021,38(4):435-440.[18]Vogt D,Schaeffer D,Messer M,et al.Health literacy in old age: results of a German cross-sectional study[J].Health Promot Int,2018,33(5):739-747.[19]Aaby A,Friis K,Christensen B,et al.Health literacy is associated with health behaviour and self-reported health: A large population-based study in individuals with cardiovascular disease[J].Eur J Prev Cardiol,2017,24(17):1880-1888.[20]孙文霞.延吉市脑卒中高危人群健康素养现状及与健康产出关系的研究[D].延吉:延边大学,2016.[21]Appleton S,Biermann S,Hamilton-Bruce A,et al.Functional health literacy is significantly associated with risk factors for stroke in a population sample[J].Int J Stroke,2015,10(3):E23.[22]Halladay JR,Donahue KE,Cené CW,et al.The association of health literacy and blood pressure reduction in a cohort of patients with hypertension: The heart healthy lenoir trial[J].Patient Educ Couns,2017,100(3):542-549.[23]Kamal AK,Muqeet A,Farhat K,et al.Using a tailored health information technology- driven intervention to improve health literacy and medication adherence in a Pakistani population with vascular disease (Talking Rx)-study protocol for a randomized controlled trial[J].Trials,2016,17(1):121.[24]van der Heide I,Uiters E,Sorensen K,et al.Health literacy in Europe: the development and validation of health literacy prediction models[J].Eur J Public Health,2016,26(6):906-911.

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更新日期/Last Update: 1900-01-01