
浏览全部资源
扫码关注微信
1.400038 重庆,陆军军医大学(第三军医大学)军事预防医学系军队健康教育教研室
2.541002 广西 桂林,联勤保障部队第924医院卫勤处
3.541004 广西 桂林,广西军区桂林第二离职干部休养所
[陈济安,E-mail: cjatmmu@hotmail.com CHEN Ji'an, E-mail: cjatmmu@hotmail.com
收稿:2022-12-09,
修回:2022-12-22,
纸质出版:2023-03-30
移动端阅览
张泉, 荣红辉, 邹文博, 等. 军队人员健康素养水平及影响因素研究[J]. 陆军军医大学学报, 2023,45(6):473-479.
Quan ZHANG, Honghui RONG, Wenbo ZOU, et al. Health literacy level and its influencing factors in military personnel[J]. Journal of Army Medical University, 2023, 45(6): 473-479.
张泉, 荣红辉, 邹文博, 等. 军队人员健康素养水平及影响因素研究[J]. 陆军军医大学学报, 2023,45(6):473-479. DOI: 10.16016/j.2097-0927.202212074.
Quan ZHANG, Honghui RONG, Wenbo ZOU, et al. Health literacy level and its influencing factors in military personnel[J]. Journal of Army Medical University, 2023, 45(6): 473-479. DOI: 10.16016/j.2097-0927.202212074.
目的
2
了解某部队军队人员健康素养水平并分析其影响因素,为部队制定健康教育和健康促进方案提供理论依据。
方法
2
于2022年4月至6月,采用整群抽样方法,利用中国健康教育中心2015年编制的《全国居民健康素养监测调查问卷》对某部队9 768名军队人员进行横断面调查,包括健康知识和理念、健康生活方式与行为、基本技能3个方面素养,科学健康观、传染病防治、慢性病防治、安全与急救、基本医疗和健康信息6类问题素养;采用
χ
2
检验和多元Logistic回归模型分析数据。
结果
2
该部队人员健康素养总体水平为46.2%。在健康素养的3个方面中,基本知识与理念素养水平最高(57.8%),健康技能素养水平次之(50.2%),健康生活方式与行为素养水平最低(44.7%)。在健康素养的6类问题上,安全与急救素养水平最高(79.9%),慢性病防治素养水平最低(35.2%)。多元Logistic回归分析显示: 士官、义务兵的健康素养水平低于军官(
OR
=0.342、
OR
=0.493),文职人员的健康素养水平高于军官(
OR
=2.078);工作6~8年的军队人员健康素养水平最高(
OR
=1.329);41~45岁的军队人员健康素养水平最高(
OR
=2.613);女性的健康素养水平高于男性(
OR
=1.472);自身文化程度越高,健康素养水平也越高,其中研究生及以上学历的军队人员健康素养水平最高(
OR
=3.212);父亲职业为教师的军队人员健康素养水平最高(
OR
=2.679);母亲职业为医务人员的军队人员健康素养水平最高(
OR
=1.681);父亲学历为大专/本科的军队人员健康素养水平最高(
OR
=1.398);母亲学历为研究生及以上的军队人员健康素养水平最低(
OR
=0.230)。
结论
2
该部队单位军队人员的健康素养水平整体处于较高水平,生活方式行为健康素养和疾病防治素养均较低,相关部门应根据健康素养的影响因素,积极采取有效干预措施,促进部队官兵健康素养全面提升。
Objective
2
To investigate the health literacy level of military personnel and analyze its influencing factors so as to provide theoretical reference for formulating health education and health promotion programs.
Methods
2
From April to June in 2022
a cross-sectional survey was conducted on 9 768 military staffs in an army unit using the National Health Literacy Monitoring Questionnaire (compiled by the China Health Education Center in 2015)
for 3 aspects of health knowledge and concept
healthy lifestyle and behavior
and bas
ic skills. Six types of questions were surveyed
including scientific health concept
prevention and treatment of infectious diseases
prevention and treatment of chronic diseases
safety and first aid
basic medical treatment and health information.
Chi
-square test and multivariate logistic regression model were used to analyze the obtained data.
Results
2
The overall level of health literacy was 46.2% in the participants. For the 3 aspects
the basic knowledge and concept literacy level was the highest (57.8%)
followed by health skill literacy level (50.2%)
and the healthy lifestyle and behavior literacy level (44.7%). Among the 6 types of questions
the literacy level of safety and first aid was the highest (79.9%)
and the literacy level of chronic disease prevention was the lowest (35.2%). Multivariate logistic regression analysis showed that the health literacy level of non-commissioned officers and conscripts was lower than that of officers (
OR
=0.342
OR
=0.493)
and that of civilian personnel was higher than that of officers (
OR
=2.078). The health literacy level of military personnel working for 6~8 years was the highest (
OR
=1.329). The health literacy level of military personnel aged 41 to 45 years was the highest (
OR
=2.613). The health literacy level was higher in the females than the males (
OR
=1.472). The higher the education level was
the higher the health literacy level was
among which the health literacy level of military personnel with postgraduate degree or above was the highest (
OR
=3.212). The military personnel whose father was a teacher had the highest level of health literacy (
OR
=2.679). The health literacy level of military personnel whose mothers were medical personnel was the highest (
OR
=1.681). The health literacy level of military personnel whose father's degree was junior college/bachelor'
s degree was the highest (
OR
=1.398). The health literacy level of the military personnel whose mother had a postgraduate degree or above was the lowest (
OR
=0.230).
Conclusion
2
The health literacy level is relatively low in the military personnel from this unit
especially in the health literacy of lifestyle behavior and disease prevention. Relevant departments should actively take effective intervention measures according to the influencing factors of health literacy to promote the comprehensive improvement of health literacy of the troop.
NASH R, ELMER S, THOMAS K, et al . HealthLit4Kids study protocol; crossing boundaries for positive health literacy outcomes[J ] . BMC Public Health, 2018, 18(1): 690. DOI: 10.1186/s12889-018-5558-7.
DEWALT D A, HINK A. Health literacy and child health outcomes: a systematic review of the literature[J]. Pediatrics, 2009, 124(Suppl 3): S265-S274. DOI: 10.1542/peds.2009-1162B.
胡新光, 郭宏霞, 曹春霞. 军人健康素养的研究现状[J]. 武警后勤学院学报(医学版), 2017, 26(4): 360-363. DOI: 10.16548/j.2095-3720.2017.04.026.
HU X G, GUO H X, CAO C X. Research status of military healthy literacy[J]. J Logist Univ PAP Med Sci, 2017, 26(4): 360-363. DOI: 10.16548/j.2095-3720.2017.04.026.
金梅, 丁蓉蓉, 栾洋, 等. 军队慢性病管理现状分析及对策建议[J]. 人民军医, 2018, 61(8): 707-711.
JIN M, DING R R, LUAN Y, et al . Analysis of the current situation of chronic disease management in the army and its countermeasures and suggestions[J ] . People Mil Surg, 2018, 61(8): 707-711.
刁华. 解读军人心理健康素养的重要性[J]. 赤子(上中旬), 2015(7): 238.
DIAO H. Interpreting the importance of military mental health literacy[J]. Spirit Lead, 2015(7): 238.
李进娥, 段瑶, 郭昭, 等. 军队医院医务人员健康素养现状及影响因素研究[J]. 华南国防医学杂志, 2022, 36(7): 567-571. DOI: 10.13730/j.issn.1009-2595.2022.07.015.
LI Jin'e, DUAN Y, GUO Z, et al . Study on health literacy status and influencing factors of medical staff in a military hospital[J ] . Mil Med J South China, 2022, 36(7): 567-571. DOI: 10.13730/j.issn.1009-2595.2022.07.015.
GRIMES D A, SCHULZ K F. An overview of clinical research: the lay of the land[J]. Lancet, 2002, 359(9300): 57-61. DOI: 10.1016/S0140-6736(02)07283-5.
中国公民健康素养: 基本知识与技能(2015年版)[J]. 中国健康教育, 2016, 32(1): 94-95.
China citizens' health literacy—basic knowledge and skills (2015 edition)[J]. Chin J Health Educ, 2016, 32(1): 94-95.
荣红辉, 赵雁丰, 吴翀, 等. 某军医大学预选卫生士官健康素养影响因素分析及干预效果评价[J]. 军事医学, 2018, 42(5): 333-338. DOI: 10.7644/j.issn.1674-9960.2018.05.004.
RONG H H, ZHAO Y F, WU C, et al . Analysis of factors affecting health literacy of preselected medical non-commissioned officers and evaluation of intervention effect[J ] . Mil Med Sci, 2018, 42(5): 333-338. DOI: 10.7644/j.issn.1674-9960.2018.05.004.
刘彩茹, 孟庆斌, 陈谷, 等. 某部新兵健康素养现状及其影响因素研究[J]. 军事医学, 2019, 43(5): 337-342. DOI: 10.7644/j.issn.1674-9960.2019.05.005.
LIU C R, MENG Q B, CHEN G, et al . Status quo of recruits' health literacy and influencing factors[J ] . Mil Med Sci, 2019, 43(5): 337-342. DOI: 10.7644/j.issn.1674-9960.2019.05.005.
陈梦洁, 胡新光, 李守强, 等. 海军某部官兵军人健康素养情况调查及影响因素分析[J]. 武警后勤学院学报(医学版), 2018, 27(9): 752-755. DOI: 10.16548/j.2095-3720.2018.09.008.
CHEN M J, HU X G, LI S Q, et al . Investigation on health literacy in officers and soldiers from a navy department and analysis of its influencing factors[J ] . J Logist Univ PAP Med Sci, 2018, 27(9): 752-755. DOI: 10.16548/j.2095-3720.2018.09.008.
熊毅, 代斌, 于明飞, 等. 某部官兵健康素养调查及其影响因素分析[J]. 医学动物防制, 2022, 38(12): 1203-1208.
XIONG Y, DAI B, YU M F, et al . Survey on the health literacy of officers and soldiers and analysis of its influencing factors[J ] . J Med Pest Control, 2022, 38(12): 1203-1208.
陈勇, 朱斌赞. 531名新兵健康素养调查分析[J]. 解放军医院管理杂志, 2010, 17(7): 687-688. DOI: 10.16770/j.cnki.1008-9985.2010.07.045.
CHEN Y, ZHU B Z. An investigation and analysis of 531 recruits'Health literacy[J]. Hosp Adm J Chin PLA, 2010, 17(7): 687-688. DOI: 10.16770/j.cnki.1008-9985.2010.07.045.
张玲, 郑传芬, 荣红辉, 等. 部队新兵健康素养水平及知晓率现状分析[J]. 军事医学, 2022, 46(11): 809-815.
ZHANG L, ZHENG C F, RONG H H, et al . Awareness rates and health literacy levels of military cadets[J ] . Mil Med Sci, 2022, 46(11): 809-815.
刘彩茹, 孟庆斌, 陈谷, 等. 某士官学校预选卫生士官健康素养调查研究[J]. 武警后勤学院学报(医学版), 2020, 29(5): 59-64. DOI: 10.16548/j.2095-3720.2020.05.013.
LIU C R, MENG Q B, CHEN G, et al . A survey on the health literacy of pre-selected health non-commissioned officers in a non-commissioned school[J ] . J Logist Univ PAP Med Sci, 2020, 29(5): 59-64. DOI: 10.16548/j.2095-3720.2020.05.013.
熊毅, 于明飞, 黄进, 等. 火箭军某部官兵健康素养及其影响因素调查[J]. 职业与健康, 2021, 37(15): 2064-2068. DOI: 10.13329/j.cnki.zyyjk.2021.0503.
XIONG Y, YU M F, HUANG J, et al . Investigation on health literacy and influencing factors of officers and soldiers in a Rocket Army unit[J ] . Occup Health, 2021, 37(15): 2064-2068. DOI: 10.13329/j.cnki.zyyjk.2021.0503.
王魁恩, 邢效如, 罗慧琴. 陆军某部官兵健康素养现状分析及健康体检情况调查[J]. 解放军预防医学杂志, 2020, 38(11): 37-39. DOI: 10.13704/j.cnki.jyyx.2020.11.015.
WANG K E, XING X R, LUO H Q. Analysis of the present situation of health literacy and investigation of health examination of officers and men in a certain army unit[J]. J Prev Med Chin PLA, 2020, 38(11): 37-39. DOI: 10.13704/j.cnki.jyyx.2020.11.015.
孟庆斌, 刘彩茹, 陈谷, 等. 某军校卫生士官学员健康素养现况调查及影响因素分析[J]. 解放军预防医学杂志, 2019, 37(7): 12-15. DOI: 10.13704/j.cnki.jyyx.2019.07.006.
MENG Q B, LIU C R, CHEN G, et al . Investigation on health literacy of medical noncommissioned officers in a military school and analysis of its influencing factors[J ] . J Prev Med Chin PLA, 2019, 37(7): 12-15. DOI: 10.13704/j.cnki.jyyx.2019.07.006.
0
浏览量
0
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备11010802024621