Ningbo Municipal Center for Disease Control and Prevention, Ningbo, Zhejiang, China.
Front Public Health. 2023 Feb 20;11:1058029. doi: 10.3389/fpubh.2023.1058029. eCollection 2023.
Health literacy (HL) is a protective factor for some chronic diseases. However, its role in the Coronavirus Disease 2019 (COVID-19) pandemic has not been clarified. This study aims to explore the association between HL and COVID-19 knowledge among residents in Ningbo.
A total of 6,336 residents aged 15-69 years in Ningbo were selected by multi-stage stratified random sampling method. The "Health Literacy Questionnaire of Chinese Citizens (2020)" was used to evaluate the relationship between COVID-19 knowledge and HL. Chi-square test, Mann-Whitney test and logistic regression were used to analyze the data.
The HL and COVID-19 knowledge levels of Ningbo residents were 24.8% and 15.7%, respectively. After adjusting for confounding factors, people with adequate HL were the more likely to have adequate COVID-19 knowledge compared with those with limited HL ( = 3.473, 95% CI = 2.974-4.057, <0.001). Compared with the limited HL group, the adequate HL group had a higher rate of COVID-19 knowledge, a more positive attitude, and a more active behavior.
COVID-19 knowledge is significantly associated with HL. Improving HL may influence people's knowledge about COVID-19, thereby changing people's behaviors, and finally combating the pandemic.
健康素养（HL）是一些慢性病的保护因素。然而，其在 2019 年冠状病毒病（COVID-19）大流行中的作用尚未明确。本研究旨在探讨宁波市居民 HL 与 COVID-19 知识之间的关系。
采用多阶段分层随机抽样方法，选取宁波市 15-69 岁居民 6336 人。采用“2020 年中国公民健康素养问卷”评估 COVID-19 知识与 HL 之间的关系。采用卡方检验、Mann-Whitney U 检验和 logistic 回归分析数据。
宁波市居民 HL 和 COVID-19 知识水平分别为 24.8%和 15.7%。调整混杂因素后，与 HL 有限的人群相比，具有足够 HL 的人群更有可能具有足够的 COVID-19 知识（ = 3.473，95%CI = 2.974-4.057， <0.001）。与 HL 有限的人群相比， HL 足够的人群具有更高的 COVID-19 知识知晓率、更积极的态度和更积极的行为。
COVID-19 知识与 HL 显著相关。提高 HL 可能会影响人们对 COVID-19 的认识，从而改变人们的行为，最终对抗大流行。
