健康意识与健康素养的网络分析:从社会经济地位的分层视角
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安徽医科大学卫生管理学院

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校级质量工程项目”依托一流专业建设,基于理论与实践双驱动,培养注重知行合一的卫生管理人才”(2023gisylzy08)


Network Analysis of Health Awareness and Health Literacy: A Stratified Perspective Based on Socioeconomic Status
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School of Health Administration, Anhui Medical University

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    摘要:

    本文旨在分析居民健康意识与健康素养的关联特征及不同社会经济地位群体的网络结构差异。2024年5—7月采用目的性抽样调查安徽省5市1364名居民,运用正则化偏相关网络分析健康意识与健康素养的网络结构,并按社会经济地位分组比较网络差异。结果显示,整体网络中,健康意识条目“主动健康意识”(YS5)与健康素养维度“健康促进”(HLSY3)之间具有最强的跨维度关联;桥接中心性分析显示,“健康内控信念”(YS3)和“健康促进”(HLSY3)桥接作用最突出。高、低社会经济地位组网络结构差异具有统计学意义(P=0.034),高社会经济地位组存在较明确的核心节点,而低社会经济地位组未发现明显核心节点。健康意识与健康素养密切相关,不同社会经济地位群体存在网络异质性,应实施分层、精准的健康促进干预。

    Abstract:

    This study aims to analyze the associative characteristics between residents’ health awareness and health literacy, as well as differences in network structures among groups with varying socioeconomic statuses. From May to July 2024, a purposive sample of 1,364 residents from five cities in Anhui Province was surveyed. Regularized partial correlation network analysis was used to examine the network structures of health awareness and health literacy, and network differences were compared by grouping participants according to the socioeconomic status. The results show that, within the overall network, the health awareness item “Proactive Health Awareness” (YS5) exhibited the strongest cross-dimensional association with the health literacy dimension “Health Promotion” (HLSY3); bridge centrality analysis revealed that “Belief in Personal Control over Health” (YS3) and “Health Promotion” (HLSY3) played the most prominent bridging roles. Differences in network structure between the high- and low-socioeconomic status groups were statistically significant (P= 0.034); the high-socioeconomic status group exhibited a distinct core node, whereas no obvious core node was identified in the low-socioeconomic status group. Health awareness and health literacy are closely related, and network heterogeneity exists across different socioeconomic status groups; therefore, stratified and targeted health promotion interventions should be implemented.

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  • 收稿日期:2026-06-01
  • 最后修改日期:2026-07-29
  • 录用日期:2026-07-30
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