目的 了解安徽居民中医药养生保健素养状况及影响因素。方法 采用按容量比例概率抽样法(PPS)和简单随机抽样方法,抽取全省8个县(区)645名15~69岁常住居民进行问卷调查,依据《中国公民中医养生保健素养》,制定调查问卷,主要包括中医养生保健素养3个层次和8个维度内容,根据调查内容评估调查对象中医养生保健素养水平。结果 2014年安徽8个监测点居民中医养生保健素养水平为8.89%,男性高于女性,差异无统计学意义(χ²=0.84,P=0.89),25~34岁人群素养水平最高,为17.00%,素养水平随文化程度的升高而升高,多因素logistic回归分析显示,文化程度是影响中医养生保健素养水平的主要因素(OR值:2.357,95%CI:2.350~4.796)。结论 居民中医养生保健素养水平不高,应进一步发挥医疗机构和大众媒体在普及中医养生保健素养知识中的作用,重点加强传播基本理念和知识、情志以及养生保健信息的传播。

Objective To investigate the status and its influencing factors of health care literacy of Chinese medicine among residents in Anhui,and provide a scientific basis for developing intervention strategy. Methods 645 residents aged 15-69 years old from 8 towns were randomly chosen by multi-stage stratified random cluster sampling. Results The overall level of health care literacy of Chinese medicine among the residents in 8 monitoring points in Anhui Province in 2014 was 8.89%, the rate of male was higher than that of female, but the difference had no statistical significant difference (χ²=0.84,P=0.89),the rate of 25-34 age group was 17%, which was the highest rate.Literacy level increases with the increase of educational level.In the three levels of health care literacy of Chinese medicine, the standard of healthy lifestyle and behavior literacy was the highest (23.42%), and the content and method of health care were the lowest (3.23).In the eight dimensions, the highest level was physical fitness and health care (71.41%), and the lowest was emotional health and health care (2.10%).The literacy level of those person got the information about Chinese medicine through the medical institutions and the mass media, was higher than those without contact (χ²=0.001 and<0.001,P=0.001 and<0.001).Higher education level (OR=2.323, 95%CI:1.596~3.381) and health care information understanding ability (OR=18.057, 95%CI:7.904~41.254) were more likely to have health care literacy of Chinese medicine. Conclusion Medical institutions and mass media should been enforced in popularizing the knowledge of health care literacy in Chinese medicine, and the content of dissemination should been focused on basic concepts and knowledge,emotion and the comprehension of health care information.