Department of Preventive Medicine.
Department of Internal Medicine, Xingtai Medical College.
Medicine (Baltimore). 2021 Mar 12;100(10):e24848. doi: 10.1097/MD.0000000000024848.
This study aimed to evaluate the low health literacy prevalence and its socio-demographic related factors in Xingtai.This study was a community-based, cross-sectional survey performed in Xingtai, with a sample size of 960. Participants' socio-demographic characteristics were collected, and their health literacy status was evaluated by the questionnaire designed by the 2012 Chinese Resident Health Literacy Survey.There were 904 (94.2%) participants who provided valid questionnaires and they were included in the analyses. The mean health literacy score was 63.0 ± 16.6; for its subscales, the mean scores of health literacy of basic knowledge and concepts, lifestyle, and health-related skills were 31.6 ± 8.7, 17.1 ± 4.7, and 14.3 ± 3.9, respectively. Low total health literacy prevalence was 83.1%; as for its subscales, the prevalence of low health literacy of basic knowledge and concepts, lifestyle, and health-related skills was 72.5%, 87.8%, and 87.4%, respectively. Meanwhile, age, male and rural location were positively correlated, but education level and annual household income were negatively correlated with low health literacy risk. Further multivariate analysis revealed that lower education level was the only independent related factor for low total health literacy, and the most important independent related factor for low total health literacy of basic knowledge and concepts, lifestyle and health-related skills.Low health literacy prevalence is 83.1%, and lower education level is the most critical related factor for low health literacy in Xingtai.
本研究旨在评估邢台市低健康素养的流行情况及其与社会人口学相关的因素。本研究是一项基于社区的横断面调查，在邢台市进行，样本量为 960 人。收集参与者的社会人口学特征，并通过 2012 年中国居民健康素养调查设计的问卷评估其健康素养状况。有 904 名（94.2%）参与者提供了有效问卷，这些参与者被纳入分析。健康素养得分的平均值为 63.0±16.6；在其亚量表中，基本健康知识和概念、生活方式和健康相关技能的健康素养平均得分分别为 31.6±8.7、17.1±4.7 和 14.3±3.9。低总健康素养的流行率为 83.1%；在其亚量表中，基本健康知识和概念、生活方式和健康相关技能的低健康素养流行率分别为 72.5%、87.8%和 87.4%。同时，年龄、男性和农村地区与低健康素养风险呈正相关，而教育水平和家庭年收入与低健康素养风险呈负相关。进一步的多变量分析显示，较低的教育水平是低总健康素养的唯一独立相关因素，而基本健康知识和概念、生活方式和健康相关技能的低总健康素养的最重要独立相关因素。低健康素养的流行率为 83.1%，较低的教育水平是邢台市低健康素养的最关键相关因素。
