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目的:探讨企业职工健康素养与吸烟、饮酒、饮食和运动情况之间的关系，为开展健康教育和有针对性的干预提供科学依据。方法:于2019年2至7月，采取整群随机抽样方法，选择石河子市企业职工1 053人作为调查对象，采用自制调查表和《全国居民健康素养监测调查问卷》对企业职工的社会人口学情况、健康素养和健康相关行为进行调查，采用logistic回归模型分析健康素养及三个维度与吸烟、饮酒、饮食和运动情况间的关系。结果:企业职工健康素养总得分为（42.06±11.03）分，健康素养具备率为19.47%。单因素分析显示，不吸烟者健康素养及3个维度健康素养具备率均高于吸烟者（n P<0.01）；较少饮酒者健康素养具备率高于过度饮酒者（n P<0.05）；均衡膳食者健康素养具备率和3个维度健康素养具备率均高于不均衡膳食者（n P<0.01）。logistic回归分析显示，健康生活方式与行为素养具备情况是吸烟行为的影响因素（n OR=1.571，n P0.05）；健康素养、健康生活方式与行为和健康技能素养具备情况是职工定期锻炼的影响因素（n OR=1.829、2.503、1.395，n P<0.05）；具备健康素养和3个维度健康素养的职工更有可能均衡膳食（n P<0.05）。n 结论:企业职工健康素养与饮食、运动情况之间存在关联，健康素养水平的提升是干预不良健康行为的重要途径。“,”Objective:To explore the relationship between the health literacy of employees and smoking, drinking, diet and exercise, and provide scientific basis for health education and targeted intervention.Methods:From February to July 2019, a cluster random sampling method was adopted to select enterprise employees in Shihezi City to conduct a questionnaire survey. Self-made questionnaires and “National Resident Health Literacy Monitoring Questionnaire” were used to assess the social demographics, health literacy, and Health-related behaviors were investigated, and 1053 valid questionnaires were collected. Logistic regression model was used to analyze the relationship between health literacy and the three dimensions with smoking, drinking, diet and exercise.Results:Total score of health literacy of enterprise employees is (42.06±11.03) points and the employee health literacy rate of Shihezi City in 2019 is 19.47%. Univariate analysis showed that non-smokers had higher health literacy and three-dimensional health literacy availability than smokers (n P<0.01) ; fewer drinkers had higher health literacy availability than overdrinkers (n P<0.05) ; balanced diet health literacy availability The health literacy availability rates in the three dimensions were higher than those in the unbalanced diet (n P<0.01) . In the logistic regression analysis, healthy lifestyle and behavioral literacy were independently related to smoking behavior (n OR=1.571, n P0.05) ; there is a statistical correlation between health literacy, healthy lifestyles, behaviors, and health skills and regular exercise among employees (n OR=1.829、2.503、1.395, n P<0.05) ; employees with health literacy and three dimensions of health literacy are more likely to have a balanced diet (n P<0.01) .n Conclusion:There is a correlation between the health literacy of enterprise employees and diet and exercise. The improvement of health literacy level is an important way to interfere with unhealthy behaviors.