健康县区创建对居民健康素养水平的干预效果分析OA

Objective To explore the intervention effect of healthy counties and districts establishment on the health literacy level of residents in Fuzhou City,and to clarify the related influencing factors of health literacy,so as to provide scientific basis for optimizing health promotion strategies and improving the health level of the whole people.Methods A total of 5346 permanent residents aged 15-69 years in 11 counties and districts of Fuzhou City in 2024 were selected by stratified multi-stage PPS combined with cluster sampling method.Among them,1947 residents in 4 healthy counties and districts were selected as the observation group,and 3399 residents in 7 non-healthy counties and districts were selected as the control group.Data were collected via the standardized National Residents' Health Literacy Monitoring Questionnaire,assessing overall literacy,three core dimensions and six health-related categories.Results The observation group exhibited a significantly higher overall health literacy rate(30.98％)compared to the control group(28.00％)(P=0.045).The literacy levels of the three dimensions in the observation group were 41.90％,36.23％,and 27.83％,respectively,and those in the control group were 40.70％,35.09％,and 24.44％,respectively,the difference in the foundational skills dimension was statistically significant(P=0.023),and the difference in the other two dimensions was not statistically significant(P＞0.05).Among the six types of health problem literacy in the observation group,the levels of infectious disease prevention and health information literacy were higher than those in the control group,and the differences were statistically significant(P＜0.05),but there was no significant difference in the level of scientific health concept,chronic disease prevention and control,safety and first aid,and basic medical literacy between the observation group and the control group(P＞0.05).Multivariate Logistic regression analysis showed that education level of undergraduate and above,15-24 years old,and public officials were independent influencing factors of residents' health literacy level(OR values were 3.125,2.018,and 2.536,respectively,P＜0.05).Conclusion Healthy county and district programs can effectively improve the overall level of residents' health literacy,especially in basic skills,infectious disease prevention and health information literacy.Accurate health promotion strategies for different population characteristics can further narrow the health literacy gap and continuously improve the health level of the whole people.