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目的评估南宁市城区居民健康素养水平,了解居民健康素养现状,为有关部门制定卫生政策和措施提供科学依据。方法采取多阶段分层整群抽样的方法,在南宁市抽取592名15~69岁城区常住居民做为调查对象,进行健康素养调查。结果调查对象中160人具备健康素养,比例为27.0%,具备健康知识和理念、健康技能的比例分别为23.3%、32.3%;具备9类健康问题素养的比例由高到低依次为:健康理念(67.1%)、传染病预防(58.1%)、卫生政策(50.2%)、心理健康(46.3%)、安全与急救(45.1%)、基本医疗(36.8%)、慢性病预防(26.0%)、生活方式和行为(25.8%)、基本公共卫生(9.1%);居民健康素养呈现出汉族居民(32.5%)高于壮族及其他民族居民(22.4%)、城市居民(36.6%)高于农村居民(16.9%)的特征(χ2=7.279~32.898,P<0.01)。结论南宁市城区居民健康素养水平较低,且在民族、城乡间存在差异。
Objective To evaluate the health literacy of urban residents in Nanning, understand the status quo of residents’ health literacy, and provide a scientific basis for the relevant departments to formulate health policies and measures. Methods A multistage stratified cluster sampling method was used to survey 592 urban residents aged from 15 to 69 in Nanning city as the survey subjects. Results Among the surveyed subjects, 160 had health literacy with a proportion of 27.0%, with 23.3% and 32.3% of health knowledge and concept, respectively, and the proportions of health literacy with 9 categories ranked from high to low as follows: (67.1%), prevention of infectious diseases (58.1%), health policy (50.2%), mental health (46.3%), safety and first aid (45.1%), basic medical care (36.8%), chronic disease prevention (25.8%) and basic public health (9.1%). Residents’ health literacy shows that Han residents (32.5%) are higher than Zhuang nationality residents (22.4%) and urban residents (36.6%) are higher than rural residents 16.9%) (χ2 = 7.279 ~ 32.898, P <0.01). Conclusion The level of health literacy of urban residents in Nanning is low, and there are differences among ethnic groups, urban and rural areas.