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目的了解成都市基层公共卫生人员健康素养现状及其影响因素,为制定相关政策和措施提供科学依据。方法采用分层整群抽样方法对在成都市3个区(县)抽取的428名基层公共卫生人员进行问卷调查。结果调查对象的总体健康素养水平为62.62%,基本健康知识和理念素养水平为85.05%,健康生活方式与行为素养水平为43.22%,基本技能素养水平为69.86%;在6类健康素养问题中,安全与急救素养水平最高,为90.89%,慢性病防治素养水平最低,为44.86%。Logistic回归分析显示,影响基层公共卫生人员健康素养水平的主要因素包括性别、文化程度、职称和人均收入。结论成都市基层公共卫生人员的健康素养水平高于2012年四川省常住居民健康素养水平,对知识的掌握情况好于行为和技能,但慢性病防治、基本医疗和健康信息素养水平仍较低,应开展多元化的培训和系统科学的健康教育来提高基层公共卫生人员的健康素养水平。
Objective To understand the health literacy status of grassroots public health workers in Chengdu and its influencing factors, and to provide a scientific basis for formulating relevant policies and measures. Methods A stratified cluster sampling method was used to survey 428 grassroots public health workers in 3 districts and counties in Chengdu. Results The overall level of health literacy was 62.62%, the level of basic health knowledge and concept literacy was 85.05%, the level of healthy lifestyle and behavior literacy was 43.22%, and the level of basic skill literacy was 69.86%. Among the 6 types of health literacy, The highest level of safety and first aid was 90.89%, and the lowest level of chronic disease prevention and treatment was 44.86%. Logistic regression analysis showed that the main factors affecting the level of health literacy of grassroots public health workers included gender, educational level, job title and per capita income. Conclusion The level of health literacy of grassroots public health workers in Chengdu is higher than that of resident residents in Sichuan Province in 2012, and the mastery of knowledge is better than that of behavior and skills, but the level of chronic disease prevention, basic medical care and health information literacy is still low. To carry out diversified training and systematic health education to improve the level of health literacy of grass-roots public health workers.