初中生健康素养与不良饮食行为的关联性
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摘要
目的分析初中生健康素养与不良饮食行为之间的相关性,为改善青少年饮食行为、增强青少年体质提供科学依据。方法采用多阶段整群抽样方法,抽取北京市、广东省、吉林省16所中学2 565名初中生进行健康素养及不良饮食行为(挑食/偏食行为、食用西式快餐行为)调查。结果北京市、广东省、吉林省初中生健康素养总平均得分为(72.45±8.99)分,具备基本健康素养的比例分别为19.5%,10.0%,26.2%;挑食/偏食行为和过去7 d食用西式快餐行为的发生率分别为34.1%和42.9%;二分类Logistic回归分析结果显示,基本健康素养不足和不具备基本健康素养会增加初中生发生挑食/偏食行为(OR=2.022,95%CI=1.598~2.559;OR=3.614,95%CI=2.472~5.080)及食用西式快餐行为(OR=1.494,95%CI=1.205~1.853;OR=3.614,95%CI=2.472~5.080)的风险。结论具备基本健康素养能够降低初中生不良饮食行为的发生率。学校、家长可通过全面提升学生健康素养的方式来改善饮食行为,从而达到增强学生体质的目的。
Objective To analyze the relationship between health literacy and unhealthy diet behaviors among junior high school students,and to provide scientific evidence for strategies development of adolescent healthy diet behaviors and physique.Methods A total of 2 565 students from 16 junior high schools selected from Beijing,Guangdong and Jilin Province by multi-stage cluster sampling method were investigated for their health literacy and diet behavior( choosy in food/dietary bias,eating westernstyle fast food).Results The average score of middle schools students' health literacy in Beijing,Guangdong,Jilin Province was( 72.45±8.99),and the proportion of having basic health literacy among junior high students was 19.5%,10.0%,26.2% in Beijing,Guangdong,Jilin Province.Incidence of preference for food was 34.1%,eating western fast food was 42.9%.Binary Logistic analysis showed that lack of health literacy and inadequate health literacy would increase the risk of preference for food( OR = 2.022,95%CI = 1.598-2.559; OR = 3.614,95% CI = 2.472-5.080) and eating western fast food( OR = 1.494,95% CI = 1.205-1.853; OR =3.614,95%CI = 2.472-5.080).Conclusion The possess of health literacy may decrease the incidence of preference for food and eating western fast food,the improvement of health literacy should be emphasized in the design of adolescent diet behaviors improvement.
Objective To analyze the relationship between health literacy and unhealthy diet behaviors among junior high school students,and to provide scientific evidence for strategies development of adolescent healthy diet behaviors and physique.Methods A total of 2 565 students from 16 junior high schools selected from Beijing,Guangdong and Jilin Province by multi-stage cluster sampling method were investigated for their health literacy and diet behavior( choosy in food/dietary bias,eating westernstyle fast food).Results The average score of middle schools students' health literacy in Beijing,Guangdong,Jilin Province was( 72.45±8.99),and the proportion of having basic health literacy among junior high students was 19.5%,10.0%,26.2% in Beijing,Guangdong,Jilin Province.Incidence of preference for food was 34.1%,eating western fast food was 42.9%.Binary Logistic analysis showed that lack of health literacy and inadequate health literacy would increase the risk of preference for food( OR = 2.022,95%CI = 1.598-2.559; OR = 3.614,95% CI = 2.472-5.080) and eating western fast food( OR = 1.494,95% CI = 1.205-1.853; OR =3.614,95%CI = 2.472-5.080).Conclusion The possess of health literacy may decrease the incidence of preference for food and eating western fast food,the improvement of health literacy should be emphasized in the design of adolescent diet behaviors improvement.
引文
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[13]邱顺翼,张俊青,凤翀.合肥市初中学生健康素养水平现状调查[J].安徽预防医学杂志,2016,22(4):225-228.
[14]冷艳,孙桐,张少华,等.山东省城市初中学生健康素养影响因素分析[J].中国健康教育,2016,32(8):681-685.
[15]林玲,尹仕伟,蔡波,等.南通市中小学生健康素养现状[J].中国学校卫生,2014,35(11):1625-1627.
[16]林翩翩,陈钊娇,张杰,等.杭州市初中生健康素养现状调查及对策研究[J].健康研究,2013,33(5):324-328.
[17]李学军,袁媛媛,顾清,等.天津市初中生健康素养调查及需求评估[J].中国慢性病预防与控制,2012,20(2):172-175.
[18]余小鸣.学生健康素养的提升及对策[J].中国学校卫生,2015,36(7):965-967.
[2]孙浩林,傅华.健康素养的含义研究现状[J].中国慢性病预防与控制,2011,19(3):323-326.
[3]马军.成年期疾病的早期预防[J].中国学校卫生,2004,25(5):514-518.
[4]马军.儿童少年卫生发展[J].中华疾病控制杂志,2017,21(9):863-865.
[5]张雪莹,赵学芳.苏州市大学生营养状况及其影响因素分析[J].中国学校卫生,2013,34(3):257-259,262.
[6]SANDERS L M,FEDERICO S,KLASS P,et al.Literacy and child health:a system review[J].Arch Pediatr Adolesc Med,2009,163(2):131-140.
[7]CHISOLM D J,MANGANELLO J A,KELLEHER K J,et al.Health literacy,alcohol expectancies,and alcohol use behaviors in teens[J].Pat Edu Couns,2014,97(2):291-296.
[8]谭雪庆,余小鸣,宋玉珍,等.3省市高中生健康素养与吸烟、饮酒行为的关联分析[J].中国健康教育,2017,33(3):199-202.
[9]唐庆蓉.上海市民办高职院校学生健康素养与健康危险行为相关性分析[J].中国学校卫生,2014,35(4):514-516.
[10]余小鸣,张芯,郭帅军,等.构建中小学生健康素养评价体系及工具的探索性研究[J].中国健康教育,2017,33(7):581-586.
[11]江洁,杨金侠.健康素养内涵模型探讨[J].中国卫生事业管理,2011,279(9):646-648.
[12]彭林丽,何芳,王曦林,等.重庆市某主城区初中生健康素养水平及影响因素分析[J].中国学校卫生,2017,38(11):1727-1730.
[13]邱顺翼,张俊青,凤翀.合肥市初中学生健康素养水平现状调查[J].安徽预防医学杂志,2016,22(4):225-228.
[14]冷艳,孙桐,张少华,等.山东省城市初中学生健康素养影响因素分析[J].中国健康教育,2016,32(8):681-685.
[15]林玲,尹仕伟,蔡波,等.南通市中小学生健康素养现状[J].中国学校卫生,2014,35(11):1625-1627.
[16]林翩翩,陈钊娇,张杰,等.杭州市初中生健康素养现状调查及对策研究[J].健康研究,2013,33(5):324-328.
[17]李学军,袁媛媛,顾清,等.天津市初中生健康素养调查及需求评估[J].中国慢性病预防与控制,2012,20(2):172-175.
[18]余小鸣.学生健康素养的提升及对策[J].中国学校卫生,2015,36(7):965-967.