School of Administration, Shandong Normal University, Jinan, China.
School of Management, Shandong University of Traditional Chinese Medicine, Jinan, China.
Front Public Health. 2024 Jun 21;12:1358269. doi: 10.3389/fpubh.2024.1358269. eCollection 2024.
In the petrochemical industry, employees are exposed to various health hazards, which pose serious challenges to their health and hinder the sustainable development of the petrochemical industry. Investing in health has proved a potential strategy to enhance general health. However, global health investment is notably insufficient, mainly due to the public's limited intention to invest in their health. While past research has identified various determinants of health investment intentions, the relationship between health literacy and health investment intention remains somewhat controversial and needs more empirical validation.
This study aims to assess the level of health literacy and health investment intention among employees in one of China's largest petrochemical companies and to explore the effect of health literacy on health investment intention.
A cross-sectional study was conducted in a petrochemical company. The valid sample size for this study was 39,911 respondents. Data were collected using a designed questionnaire, including socio-demographic information, questions about health investment intention, and the "2020 National Health Literacy Monitoring Questionnaire." Several statistical analysis methods were employed, including descriptive analysis, Chi-square test, logistic regression, and multiple linear regression.
The study disclosed an average health literacy score of 56.11 (SD = 10.34) among employees, with 52.1% surpassing the qualification threshold. The "Chronic Disease" dimension exhibited the lowest qualification rate at 33.0%. Furthermore, 71.5% of the employees expressed an intention to invest in health, yet a significant portion (34.5%) opted for the minimal investment choice, less than 2,000 RMB. Logistic regression analysis indicated a positive correlation between health literacy and health investment intention (OR = 1.474; < 0.001). This association's robustness was further indicated by multiple linear regression analyses ( = 0.086, <0.001).
The employees' health literacy significantly exceeds the national average for Chinese citizens, yet the qualified rate in the "Chronic Disease" dimension remains notably low. A majority of employees have the intention to invest in health, albeit modestly. Furthermore, while health literacy does positively influence health investment intention, this effect is somewhat limited. Accordingly, personalized Health education should be prioritized, with a focus on improving chronic disease knowledge and facilitating the internalization of health knowledge into health beliefs.
在石化行业，员工面临着各种健康危害，这对他们的健康构成了严重威胁，也阻碍了石化行业的可持续发展。投资健康已被证明是增强整体健康的潜在策略。然而，全球卫生投资明显不足，主要是由于公众对投资自身健康的意愿有限。尽管过去的研究已经确定了健康投资意愿的各种决定因素，但健康素养与健康投资意愿之间的关系仍存在一些争议，需要更多的实证验证。
本研究旨在评估中国最大的石化公司之一的员工健康素养和健康投资意愿水平，并探讨健康素养对健康投资意愿的影响。
采用横断面研究方法，对一家石化公司进行调查。本研究的有效样本量为 39911 名受访者。数据收集采用设计好的问卷，包括社会人口学信息、健康投资意愿问题和 2020 年全国健康素养监测问卷。采用描述性分析、卡方检验、逻辑回归和多元线性回归等多种统计分析方法。
研究揭示了员工健康素养平均得分为 56.11（标准差=10.34），其中 52.1%的员工超过了合格门槛。“慢性病”维度的合格率最低，为 33.0%。此外，71.5%的员工表示有投资健康的意愿，但相当一部分（34.5%）选择了最低投资选择，投资金额少于 2000 元人民币。逻辑回归分析表明，健康素养与健康投资意愿之间呈正相关（OR=1.474；<0.001）。多元线性回归分析进一步表明这种关联具有稳健性（β=0.086，<0.001）。
员工的健康素养显著高于中国公民的平均水平，但“慢性病”维度的合格率仍然明显较低。大多数员工有投资健康的意愿，但投资金额较低。此外，虽然健康素养确实对健康投资意愿有积极影响，但这种影响有些有限。因此，应优先考虑个性化健康教育，重点提高慢性病知识，促进健康知识内化到健康信念中。
