Wuhan Center for Disease Control and Prevention, Wuhan, China.
Medical Department, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Front Public Health. 2023 Feb 24;11:1092892. doi: 10.3389/fpubh.2023.1092892. eCollection 2023.
Health literacy is an effective strategy to promote more cost-effective use of health care services and a crucial tool for preventing the spread of infectious diseases. The main objective of this study was to analyze changes in health literacy from 2019 to 2021.
Data were from the latest three-round cross-sectional studies with the same study design.
Although the prevalence of adequate health literacy rose significantly over time, increasing from 26.9% (95% CI 20.1-33.7) in 2019 to 34.1% (32.9-35.3) in 2021, it was still at a relatively low level. The most significant decrease was observed for health skills among the three aspects and health information literacy among the six dimensions. Working as medical staff was a protective factor for adequate health literacy, health skills literacy, and health information literacy. Risk factors for adequate health literacy and health information literacy were older age and lower education level. Furthermore, adequate health information literacy was positively related to annual family income.
More practical and effective policies targeting health literacy for critical aspects and groups in Central China, are urgently needed, especially during the epidemic.
健康素养是提高医疗服务成本效益的有效策略，也是预防传染病传播的关键工具。本研究的主要目的是分析 2019 年至 2021 年健康素养的变化情况。
数据来自采用相同研究设计的最新三轮横断面研究。
尽管适当健康素养的流行率随着时间的推移显著上升，从 2019 年的 26.9%（95%置信区间：20.1-33.7）上升到 2021 年的 34.1%（32.9-35.3），但仍处于较低水平。在三个方面中，健康技能方面和在六个维度中，健康信息素养方面的下降幅度最大。作为医务人员是适当健康素养、健康技能素养和健康信息素养的保护因素。适当健康素养和健康信息素养的危险因素是年龄较大和教育程度较低。此外，适当的健康信息素养与家庭年收入呈正相关。
需要针对华中地区关键方面和群体制定更实际、更有效的健康素养政策，特别是在疫情期间。
