Jiangxi Provincial Institute of Parasitic Diseases, Jiangxi Province Key Laboratory of Schistosomiasis Prevention and Control, Nanchang, China.
Centre for Epidemiology and Evidence-based Practice, Department of Social and Preventive, Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Medicine (Baltimore). 2024 Aug 2;103(31):e39107. doi: 10.1097/MD.0000000000039107.
This cross-sectional study aimed to assess the levels of health literacy and the associated factors among the general population living in 2 schistosomiasis-endemic villages in Jiangxi Province, China. Multistage stratified random sampling was used to select participants, and a face-to-face survey was conducted from July to August 2021 to collect participants' socio-demographic characteristics and levels of overall health literacy (HL) and its 3 subscales: health literacy of basic knowledge and concepts (HL-BKC), health literacy of behavior and lifestyle (HL-BAL), and health literacy of health-related skills (HL-HRS). The Chi-square test and logistic regression models were used to assess the association between socio-demographic characteristics and low HL levels. The prevalence rates of low overall HL, HL-BKC, HL-BAL, and HL-HRS were 84.3%, 61.8%, 82.6%, and 86%, respectively. In addition, no significant differences (P > .05) were noted between the 2 villages regarding overall HL scores and the 3 subscales of health literacy scores. Older age (P < .001), occupation (P < .001), lower educational level (P < .001), and lower annual household income (P < .05) were associated with an increased risk of low HL. Multivariate logistic regression revealed that occupation as a student (OR = 32.289, 95% CI:1.965-530.462, P < .05) and fishermen (OR = 27.902, 95%CI:1.91-407.642, P < .05), lower education level (OR = 0.384, 95%CI:0.149-0.99, P < .05), older age (OR = 5.228, 95%CI:1.458-18.75, P < .001), and lower annual household income (OR = 0.452, 95%CI:0.24-0.851, P < .05) were independently associated with low HL. The prevalence of low HL is high among the population in the schistosomiasis-endemic villages of Jiangxi Province, China. Age, education level, occupation, and annual household income were all independent factors associated with HL levels. Health educational interventions to improve HL should be simultaneously conducted in health promotion work to reduce risky habits.
本横断面研究旨在评估中国江西省 2 个血吸虫病流行村的一般人群的健康素养水平及其相关因素。采用多阶段分层随机抽样方法选取研究对象，并于 2021 年 7 月至 8 月期间进行面对面调查，收集参与者的社会人口统计学特征以及总体健康素养（HL）及其 3 个亚量表的水平：基础知识和概念健康素养（HL-BKC）、行为和生活方式健康素养（HL-BAL）和健康相关技能健康素养（HL-HRS）。采用卡方检验和逻辑回归模型评估社会人口统计学特征与低 HL 水平之间的关联。低总体 HL、HL-BKC、HL-BAL 和 HL-HRS 的流行率分别为 84.3%、61.8%、82.6%和 86%。此外，2 个村庄之间的总体 HL 评分和健康素养评分的 3 个亚量表评分无显著差异（P>0.05）。年龄较大（P<0.001）、职业（P<0.001）、受教育程度较低（P<0.001）和家庭年收入较低（P<0.05）与 HL 水平较低的风险增加相关。多变量逻辑回归显示，职业为学生（OR=32.289，95%CI：1.965-530.462，P<0.05）和渔民（OR=27.902，95%CI：1.91-407.642，P<0.05）、较低的教育水平（OR=0.384，95%CI：0.149-0.99，P<0.05）、年龄较大（OR=5.228，95%CI：1.458-18.75，P<0.001）和家庭年收入较低（OR=0.452，95%CI：0.24-0.851，P<0.05）与 HL 水平较低独立相关。江西省血吸虫病流行村的人群中，低 HL 的流行率较高。年龄、教育水平、职业和家庭年收入是与 HL 水平相关的独立因素。在健康促进工作中，应同时开展健康教育干预措施，以改善 HL，减少危险行为。
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