高原军人健康素养现况调查及影响因素分析

金鹏; 荣红辉; 张玲; 郑传芬; 陈济安

doi:10.16016/j.2097-0927.202402034

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高原军人健康素养现况调查及影响因素分析

军事医学 | 更新时间：2026-01-09

- 高原军人健康素养现况调查及影响因素分析
- Investigation on current health literacy among military personnel on plateau and analysis of influencing factors
- 陆军军医大学学报 2024年46卷第11期页码：1306-1315
- 作者机构：
  
  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
- 作者简介：
  
  [ 陈济安，E-mail：cjatmmu@hotmail.com CHEN Ji'an: E-mail: cjatmmu@hotmail.com
- 基金信息：
  
  陆军军医大学后勤科研专项(2021HQZX10)
- DOI：10.16016/j.2097-0927.202402034
  中图分类号： R339.54;R821.21;R821.6
- 收稿：2024-02-12，
  
  修回：2024-03-13，
  
  纸质出版：2024-06-15
- 稿件说明：
移动端阅览
金鹏, 荣红辉, 张玲, 等. 高原军人健康素养现况调查及影响因素分析[J]. 陆军军医大学学报, 2024,46(11):1306-1315.

Peng JIN, Honghui RONG, Ling ZHANG, et al. Investigation on current health literacy among military personnel on plateau and analysis of influencing factors[J]. Journal of Army Medical University, 2024, 46(11): 1306-1315.
金鹏, 荣红辉, 张玲, 等. 高原军人健康素养现况调查及影响因素分析[J]. 陆军军医大学学报, 2024,46(11):1306-1315. DOI： 10.16016/j.2097-0927.202402034.

Peng JIN, Honghui RONG, Ling ZHANG, et al. Investigation on current health literacy among military personnel on plateau and analysis of influencing factors[J]. Journal of Army Medical University, 2024, 46(11): 1306-1315. DOI： 10.16016/j.2097-0927.202402034.

摘要

目的

了解高原军人的健康素养水平，并分析其影响因素。

方法

采用《全国居民健康素养监测调查问卷》(2015版)，通过查阅文献设计人口学资料，加入心理弹性量表、简易应对方式量表、正性负性情绪量

表 3

种心理问卷，采用“问卷星”对2 516名高原军人健康素养进行现况调查并分析其影响因素。

结果

调查显示，2 516名高原军人的总体健康素养水平为20.03%。基本知识和理念、健康生活方式与行为、健康技能素养水平分别为31.08%、26.23%、26.63%；科学健康观、传染病防治、慢性病防治、安全与急救、基本医疗、健康信息素养水平依次为40.58%、19.36%、9.62%、82.75%、29.61%、45.03%。多元非条件Logistic回归分析结果显示：高原军人健康素养水平的影响因素为工作年限(

=1.857，95%

：1.391~2.479；

=4.657，95%

：3.297~6.578)、民族(

=0.394，95%

：0.251~0.620)、婚姻(

=0.609，95%

：0.430~0.861)、独生子女(

=0.759，95%

：0.585~0.985)、家庭所在地(

=0.545，95%

：0.359~0.827)、吸烟(

=1.579，95%

：1.254~1.988)、文化程度(

=3.638，95%：1.500~8.822)、每周网络游戏时间(

=0.517，95%

：0.365~0.731；

=0.351，95%

：0.172~0.716)、每年体检次数(

=3.251，95%

：1.359~7.778；

=4.545，95%

：1.841~11.221)、父亲职业(

=5.185，95%

：1.800~14.933；

=3.229，95%

：1.261~8.270)、母亲职业(

=0.221，95%

：0.086~0.568；

=0.218，95%

：0.081~0.587；

=0.046，95%

：0.018~0.118)、积极应对(

=1.052，95%

：1.033~1.072)、消极应对(

=0.950，95%

：0.929~0.972)。

结论

该部队高原军人健康素养水平整体较低，相关部门应根据健康素养的影响因素，积极探索有效的干预措施，全面提升其健康素养。

Abstract

Objective

To investigate the status quo of health literacy among military personnel stationing on plateau and analyze its influencing factors.

Methods

National Health Literacy Monitoring Questionnaire (2015)

self-made questionnaire for demographic data based on literature

Connor-Davidson Resilience Scale

Simplified Coping Style Questionnaire

and Positive and Negative Affect Scale were employed to survey 2 516 officers and soldiers stationing on plateau with aid of a WeChat APP Questionnaire Star. Their current status of health literacy and its influencing factors were analyzed.

Results

The survey results showed that the overall health literacy level was 20.03% among the 2 516 participants. The literacy levels of basic knowledge and concepts

healthy lifestyles and behaviors

and health skills were 31.08%

26.23%

and 26.63%

respectively

and the health literacy levels of scientific health concepts

infectious disease prevention and treatment

chronic disease prevention and treatment

safety and first aid

basic medical care

and health information were 40.58%

19.36%

9.62%

82.75%

29.61%

and 45.03%

respectively. Multivariate unconditional logistic regression analysis indicated that the influencing factors of health literacy level were years of working (

=1.857

95%

: 1.391~2.479;

=4.657

95%

: 3.297~6.578)

ethnicity (

=0.394

95%

: 0.251~0.620)

marriage (

=0.609

95%

: 0.430~0.861)

only-child family (

=0.759

95%

: 0.585~0.985)

home location (

=0.545

95%

: 0.359~0.827)

smoking (

=1.579

95%

: 1.254~1.988)

education level (

=3.638

95%

: 1.500~8.822)

weekly online game time (

=0.517

95%

: 0.365~0.731;

=0.351

95%

: 0.172~0.716)

number of physical checkups per year (

=3.251

95%

: 1.359~7.778;

= 4.545

95%

: 1.841~11.221)

father's occupation (

=5.185

95%

: 1.800~14.933;

=3.229

95%

: 1.261~8.270)

mother's occupation (

=0.221

95%

: 0.086~0.568;

=0.218

95%

: 0.081~0.587;

=0.046

95%

: 0.018~0.118)

positive coping (

=1.052

95%

: 1.033~1.072)

and negative coping (

=0.950

95%

: 0.929~0.972).

Conclusion

The overall health literacy level is quite low among the plateau military personnel in this ministry

and the relevant departments should actively explore effective interventions to comprehensively improve their health literacy based on the influencing factors.

关键词

Keywords

references

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