[Association of the health literacy and the incidence of injuries among Chinese middle school students in five provinces].

The purpose of this study was to examine the association between health literacy (HL) and the incidence of injuries in middle school students in China. From November 2013 to February 2014, middle school students in Liaoning, Henan, and Guangdong provinces, Chongqing municipality, Xinjiang Uygur Autonomous Region were selected by using cluster sampling method. A total of 27 044 questionnaires were issued and 25 378 questionnaires were valid. According to the Chinese Adolescent Interactive Health Literacy Questionnaire (CAIHLQ), scores were conducted a tripartite group. Multiple logistic regression analyses were conducted to examine the association between HL and injuries. The scores of CAIHLQ were 103.55±23.91 among 25 378 students. The detection rate of self-injuries and unintentional injuries was 27.5% (=6 971) and 47.8% (=12 119). Compared with the students with high HL, the (95) values of self-injuries among students with low and middle HL were 2.56 (2.35-2.79) and 1.96 (1.81-2.12). Compared with the students with high HL, the (95) values of unintentional injuries among students with low and middle HL were 1.63 (1.53-1.73) and 1.47 (1.37-1.58). The risk of self-injuries and unintentional injuries of middle school students is related to HL.