Wu Ying, Wang Lu, Cai Zhongyuan, Bao Luqi, Ai Pu, Ai Zisheng
Postdoctoral Research Station of Medicine, School of Medicine, Tongji University, Shanghai 200092, China.
Baoshan Center for Disease Control and Prevention of Shanghai, Baoshan 201900, China.
Int J Environ Res Public Health. 2017 Jun 12;14(6):628. doi: 10.3390/ijerph14060628.
Health literacy is an increasingly important public health concern. However, little is known about the health literacy of general public in China. The aim of this study was to evaluate the prevalence of low health literacy and demographic associations in Shanghai, China. This study was a community-based cross-sectional health survey utilizing a multi-stage random sampling design. The sample consisted of 1360 individuals aged 15-69 years with the total community-dwelling Chinese as the sample frame. Health literacy was measured by a questionnaire developed on the basis of a national health literacy manual released by the Chinese Ministry of Health. Multiple logistic regression models were used to identify whether common socio-demographic features were associated with health literacy level. The prevalence of low health literacy was 84.49% (95% CI, 82.56% to 86.41%). The prevalence of low health literacy was negatively associated with the level of education, occupation, and annual household income, but was not associated with gender, age, or the presence of non-communicable chronic disease. Simplifying health services, enhancing health education, and promoting interventions to improve health literacy in high-risk populations should be considered as part of the strategies in the making of health policy in China.
健康素养是一个日益重要的公共卫生问题。然而，对于中国普通公众的健康素养却知之甚少。本研究的目的是评估中国上海低健康素养的患病率及其与人口统计学特征的关联。本研究是一项基于社区的横断面健康调查，采用多阶段随机抽样设计。样本包括1360名年龄在15 - 69岁之间的个体，以社区居住的全体中国居民为抽样框架。健康素养通过基于中国卫生部发布的国家健康素养手册编制的问卷进行测量。使用多元逻辑回归模型来确定常见的社会人口学特征是否与健康素养水平相关。低健康素养的患病率为84.49%（95%置信区间，82.56%至86.41%）。低健康素养的患病率与教育水平、职业和家庭年收入呈负相关，但与性别、年龄或是否患有慢性非传染性疾病无关。简化卫生服务、加强健康教育以及推动针对高危人群提高健康素养的干预措施，应被视为中国卫生政策制定策略的一部分。
