Zhang Yan, Zhang Fan, Hu Ping, Huang Wenjie, Lu Lu, Bai Ruixue, Sharma Manoj, Zhao Yong
School of Public Health and Management, Chongqing Medical University, Chongqing, China.
Research Center for Medicine and Social Development, Chongqing Medical University, Chongqing, China.
PLoS One. 2016 Apr 6;11(4):e0152547. doi: 10.1371/journal.pone.0152547. eCollection 2016.
Health literacy is important in public health and healthcare, particularly in effective communication between patients and health professionals. Although most medical students will eventually work as health professionals after graduation, research on health literacy of medical students is scarce. This study aimed to assess the health literacy level of medical students in Chongqing, China, and its influencing factors. A cross-sectional study was conducted and 1,275 participants (250 males and 1,022 females) who majored in five different disciplines were involved. The Health Literacy Questionnaire was used as the survey tool. The junior students obtained the highest scores, whereas the freshman students had the lowest scores on each scale. The average score of males was higher than that of females except in "feeling understood and supported by healthcare providers," and the average score of students who reside in urban areas was higher than that of students in rural areas. Moreover, the average score of engineering students was higher than that of medical or health sciences students. Multiple linear regression models (Radj2 = 0.435, P = 0.000) showed that the grade, socioeconomic status, and parent's highest level of education were positively correlated with health literacy. In conclusion, the health literacy levels of the medical students are insufficient and need improvement.
健康素养在公共卫生和医疗保健中很重要,尤其是在患者与卫生专业人员之间的有效沟通方面。尽管大多数医学生毕业后最终会成为卫生专业人员,但对医学生健康素养的研究却很少。本研究旨在评估中国重庆医学生的健康素养水平及其影响因素。进行了一项横断面研究,涉及1275名参与者(250名男性和1022名女性),他们主修五个不同学科。使用健康素养问卷作为调查工具。在每个量表上,大三学生得分最高,而大一学生得分最低。除了“感到被医疗服务提供者理解和支持”这一项外,男性的平均得分高于女性,居住在城市地区的学生平均得分高于农村地区的学生。此外,工科学生的平均得分高于医学或健康科学专业的学生。多元线性回归模型(Radj2 = 0.435,P = 0.000)显示,年级、社会经济地位和父母的最高教育水平与健康素养呈正相关。总之,医学生的健康素养水平不足,需要提高。