Chen Junfang, Liu Kening, Cheng Qinglin, Wang Liuxi
Division of Public Health, Hangzhou Center for Disease Control and Prevention (Hangzhou Health Supervision Institution), No.568 Mingshi Road, Hangzhou, 310021, China.
School of Public Health, Hangzhou Normal University, Hangzhou, 310026, China.
BMC Public Health. 2025 Aug 12;25(1):2734. doi: 10.1186/s12889-025-23842-6.
How the willingness to acquire infectious-disease-specific health literacy (IDSHL) can be promoted is unknown among community residents. Community residents' willingness to acquire IDSHL (CRWAI) and its impact on health status is a multifaceted phenomenon that encompasses many factors, including socio-demographic characteristics, cognition, attitude, health behavior, perceived-efficacy, and knowledge needs related to infectious diseases. Early identification of associated-factors for CRWAI is essential. The objective of this research is to construct analytical models and examine the influencing factors relevant to CRWAI.
In this multi-center cross-sectional study, we included 3,921 subjects from Hangzhou City using the method of stratified cluster sampling. We applied a structural equation modeling (SEM) to examine the factors that affect the CRWAI.
The findings from the SEM indicated that socio-demographic factors (SDF) (β =0.017, p =0.021), infectious disease cognition (IDC) (β =0.105, p <0.001), infectious disease perceived-efficacy (IDPE) (β =0.109, p <0.001), and infectious disease knowledge needs (IDKN) (β =0.097, p <0.001) was positively correlated with CRWAI. There was no significant association between the attitude and health behavior regarding infectious disease and CRWAI (p>0.05). The results indicated that IDC and IDKN served as mediators in the connection between SDF and CRWAI. Moreover, it was found that IDPE played a mediating part in the relationship of IDC and CRWAI. IDKN functioned as a mediator in the link between IDPE and CRWAI.
Our findings have indicated potential mechanistic pathways and intervention targets for CRWAI. We have introduced the SEM to analyze the CRWAI. Given that SDF, IDC, IDPE, and IDKN demonstrate direct and interactive associations with CRWAI, strategic interventions targeting these determinants are critical for enhancing population health outcomes in community settings.
社区居民中如何促进获取传染病特定健康素养（IDSHL）的意愿尚不清楚。社区居民获取IDSHL的意愿（CRWAI）及其对健康状况的影响是一个多方面的现象，包含许多因素，包括社会人口学特征、认知、态度、健康行为、感知效能以及与传染病相关的知识需求。尽早识别CRWAI的相关因素至关重要。本研究的目的是构建分析模型并检验与CRWAI相关的影响因素。
在这项多中心横断面研究中，我们采用分层整群抽样方法纳入了来自杭州市的3921名受试者。我们应用结构方程模型（SEM）来检验影响CRWAI的因素。
SEM的结果表明，社会人口学因素（SDF）（β =0.017，p =0.021）、传染病认知（IDC）（β =0.105，p <0.001）、传染病感知效能（IDPE）（β =0.109，p <0.001）和传染病知识需求（IDKN）（β =0.097，p <0.001）与CRWAI呈正相关。关于传染病的态度和健康行为与CRWAI之间无显著关联（p>0.05）。结果表明，IDC和IDKN在SDF与CRWAI的联系中起中介作用。此外，发现IDPE在IDC与CRWAI的关系中起中介作用。IDKN在IDPE与CRWAI的联系中起中介作用。
我们的研究结果表明了CRWAI的潜在作用机制途径和干预靶点。我们引入了SEM来分析CRWAI。鉴于SDF、IDC、IDPE和IDKN与CRWAI表现出直接和交互关联，针对这些决定因素的战略干预对于改善社区环境中的人群健康结局至关重要。
