Wang Xin, Zhang Xueli, Chen Shuyu, Shi Keqing, Cui Wenhui, Shi Fuyan, Wang Suzhen, Wang Qiang
College of Public Health, Shandong Second Medical University, Shandong, China.
Department of Histology and Embryology, Shandong Second Medical University, Shandong, China.
Medicine (Baltimore). 2025 Apr 4;104(14):e42084. doi: 10.1097/MD.0000000000042084.
Rural residents face a higher risk of infectious diseases, and infectious disease-specific health literacy (IDSHL) is a crucial means of managing these risks. This study intended to survey the levels of IDSHL among rural residents in Shandong Province, China, and explore the influencing factors of IDSHL. In 2022, a cross-sectional design investigation was carried out in Shandong Province of China, involving 2283 participants recruited through a multistage sampling approach in rural regions. A cognitive questionnaire was used to assess participants' levels of IDSHL. Pearson χ2 test was performed to compare the differences in the distribution of categorical variables between the adequate and inadequate IDSHL groups. Multicollinearity diagnosis analysis was utilized to evaluate multicollinearity. Multiple logistic regression was used to detect the possible influencing factors of IDSHL. Among the participants, 31.80% had adequate IDSHL. Multiple logistic regression demonstrated that education (odds ratio (OR)junior high school = .71, 95% confidence interval (CI) of OR: 0.51-0.99, P = .04; ORuniversity or above = 2.62, 95% CI of OR: 1.67-4.11, P < .01), occupation (ORbusiness = 2.19, 95% CI of OR: 1.34-3.57, P < .01; ORothers = 1.46, 95% CI of OR: 1.02-2.10, P = .04), family income (OR1-3 10,000 RMB = 2.83, 95% CI of OR: 1.98-4.05, P < .01; OR3-6 10,000 RMB = 1.75, 95% CI of OR: 1.21-2.53, P < .01), "whether the participant used a smartphone in daily life" (OR = 2.02, 95% CI of OR: 1.32-3.09, P < .01) and "whether knowledge of infectious disease prevention and control could be acquired" (OR = 11.77, 95% CI of OR: 6.44-21.54, P < .01) were associated with adequate IDSHL. The rural residents' level of adequate IDSHL in China's Shandong Province, was unsatisfactory. Special health education is needed to be implemented to enhance rural residents' IDSHL and should target key populations with low levels of IDSHL.
农村居民面临着更高的传染病风险，而特定传染病健康素养（IDSHL）是管理这些风险的关键手段。本研究旨在调查中国山东省农村居民的IDSHL水平，并探讨影响IDSHL的因素。2022年，在中国山东省进行了一项横断面设计调查，通过多阶段抽样方法在农村地区招募了2283名参与者。使用认知问卷评估参与者的IDSHL水平。进行Pearson χ2检验以比较IDSHL充足组和不足组之间分类变量分布的差异。利用多重共线性诊断分析来评估多重共线性。使用多元逻辑回归检测IDSHL的可能影响因素。在参与者中，31.80%的人具有充足的IDSHL。多元逻辑回归表明，教育程度（初中的比值比（OR）=0.71，OR的95%置信区间（CI）：0.51 - 0.99，P = 0.04；大学及以上的OR = 2.62，OR的95% CI：1.67 - 4.11，P < 0.01）、职业（商业的OR = 2.19，OR的95% CI：1.34 - 3.57，P < 0.01；其他的OR = 1.46，OR的95% CI：1.02 - 2.10，P = 0.04）、家庭收入（1 - 3万人民币的OR = 2.83，OR的95% CI：1.98 - 4.05，P < 0.01；3 - 6万人民币的OR = 1.75，OR的95% CI：1.21 - 2.53，P < 0.01）、“参与者在日常生活中是否使用智能手机”（OR = 2.02，OR的95% CI：1.32 - 3.09，P < 0.01）以及“是否能够获得传染病预防控制知识”（OR = 11.77，OR的95% CI：6.44 - 21.54，P < 0.01）与充足的IDSHL相关。中国山东省农村居民充足的IDSHL水平并不理想。需要实施特殊的健康教育以提高农村居民的IDSHL，并且应该针对IDSHL水平较低的重点人群。
