摘要
随着中国医疗保障制度的不断完善,我国居民健康水平有了大幅度的提高,但是民族地区由于特殊的自然、经济、社会环境,其居民健康水平普遍低于全国平均水平。健康素养是维护及提升国民健康水平的有力工具,提升民族地区居民尤其是农村居民健康素养成为改善该地区居民健康状况进而实现全民健康这一战略目标的重要路径。恩施土家族苗族自治州是武陵山连片特殊困难地区扶贫攻坚的主战场,本文在对该地区730户农村居民进行调查的基础上,建立Logistic回归模型,实证分析了民族地区农村居民健康素养的现状及其影响因素。研究结果显示,民族地区农村居民健康知识知晓、健康技能具备、健康行为形成和整体健康素养四项指标均远低于全国农村居民平均水平;民族地区农村居民健康知识向健康技能,尤其是健康行为的转化有待进一步的提高;民族地区农村居民健康素养受个体特征、家庭禀赋和外部环境的影响。因此,应加强健康教育宣传力度,推动健康技能培训和健康行为指导,因地制宜地开展重点人群健康干预计划,从而不断提升民族地区农村居民的健康素养水平。
With the constant improvement of China’s medical security system,China has made great achievements in promoting residents’health,but the health level of residents in ethnic areas is still lower than that of the national average level.Health literacy is a powerful tool for the maintenance and improvement of residents’health.Improving the health literacy of its residents,especially the rural residents,has become the key to realize the goal of universal health strategy.Enshi autonomous prefecture belongs to the main battlefield of poverty alleviation in Wuyi Mountain contiguous poor areas.Based on the survey on 730 rural residents in the region,this paper establishes a Logistic regression model and analyzed the present situation of rural residents’health literacy and its influencing factors.Results show that health knowledge,health skills,healthy behaviors and overall health literacy of rural residents in ethnic areas are below that of the national average of rural residents.The transformation of health knowledge to health skills and health behaviors needs promoting.Health literacy of rural residents in ethnic areas is affected by individual characteristics,family endowment and external environment.Therefore,we should strengthen health education propaganda,promote the training and guidance of health skills,and carry out health intervention program for target population.
作者
黄瑞芹
Huang Ruiqin(School of Public Administration,South-central University for Nationalities,Wuhan 430074)
出处
《华中师范大学学报（人文社会科学版）》
CSSCI
北大核心
2018年第4期19-26,共8页
Journal of Central China Normal University:Humanities and Social Sciences
基金
国家社会科学基金一般项目"健康扶贫导向的民族地区医疗保障体系优化策略研究(17BMZ080)
湖北民族地区经济社会发展研究中心招标课题"精准扶贫背景下民族地区社会保障制度建设研究"
关键词
民族地区
农村居民
健康素养
ethnic areas
rural residents
health literacy
