Department of Health Education, Wuhan Center for Disease Control and Prevention, No. 288 Machang Road, Changqing Street, Jianghan District, Wuhan, 430024, Hubei, China.
Medical Department, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, No. 26 Shengli Street, Jiang'an District, Wuhan, 430014, Hubei, China.
BMC Public Health. 2020 Sep 17;20(1):1417. doi: 10.1186/s12889-020-09520-9.
In recent years, research on health literacy has become increasingly focused on the health care system and public health. This cross-sectional study aimed to investigate health literacy and analyse the risk factors that affect health literacy in Wuhan, China.
Multistage stratified random sampling was used to select 5304 urban and rural residents aged 15 to 69 years from 204 monitoring points in 15 districts of Wuhan. Using the Chinese Citizen Health Literacy Questionnaire (HLQ) (2018 edition), a face-to-face survey was conducted from November to December 2018. Risk factors that may affect health literacy were assessed using the Chi-square test and multivariate logistic regression models.
The knowledge rate of health literacy was relatively low (19.3%). The knowledge rate of health-related behaviour and lifestyle (BAL, 17.3%) was the lowest of the three aspects of health literacy, and the knowledge rate of chronic diseases (CD, 19.0%) was the lowest of the six dimensions of health literacy. Respondents who lived in urban areas, had higher education levels, worked as medical staff, had a higher household income and did not suffer from chronic diseases were likely to have higher health literacy.
The health literacy levels of citizens in Wuhan are insufficient and need to improve.
近年来，健康素养的研究越来越关注医疗保健系统和公共卫生。本横断面研究旨在调查中国武汉的健康素养，并分析影响健康素养的危险因素。
采用多阶段分层随机抽样方法，从武汉市 15 个区 204 个监测点中抽取 5304 名 15 至 69 岁的城乡居民。2018 年 11 月至 12 月，采用中国公民健康素养调查问卷（HLQ）（2018 年版）进行面对面调查。采用卡方检验和多因素 logistic 回归模型评估可能影响健康素养的危险因素。
健康素养知识率相对较低（19.3%）。健康相关行为和生活方式（BAL，17.3%）的知识率是健康素养三个方面中最低的，慢性病（CD，19.0%）的知识率是健康素养六个维度中最低的。居住在城市地区、文化程度较高、从事医务人员、家庭收入较高、没有患慢性病的受访者，健康素养可能较高。
武汉市民的健康素养水平不足，需要提高。
