Zhang Mengjun June, Guo Xiangna, Wang Run Sherry, Mao Xiuhua, Xiang Guochun, Li Wenyuan, Zuo Chao, Zhou Hongwei, Xu Dong Roman
Shenzhen Hospital of Southern Medical University, Shenzhen, 518000, Guangdong, China.
Nanfang Hospital, Southern Medical University, Guangzhou, 510515, Guangdong, China.
Sci Rep. 2025 Sep 2;15(1):32320. doi: 10.1038/s41598-025-07094-3.
Health literacy is crucial for influencing health behaviors and outcomes; however, its development in China has been hindered by the lack of effective measurement tools and conceptual models. This study aimed to evaluate health literacy among Chinese residents using the HLS-Q47 and construct a health literacy model. A cross-sectional survey was conducted in Guangzhou from February to June 2023 involving 4047 participants. Data were collected on demographics, health literacy, education, socioeconomic status, health behaviors, and self-rated health. Descriptive statistics, logistic regression, and structural equation modeling were used to analyze associations and construct an empirical model. Results showed that only 23.7% of participants had sufficient health literacy. Age, education, and socioeconomic status significantly influence health literacy. Higher health literacy and participation in health education were associated with a lower likelihood of smoking, higher levels of physical activity, and more regular health checkups, but were not significantly associated with alcohol consumption. The findings underscore the applicability of HLS-Q47 in China and the importance of targeted health education and socioeconomic support in improving health literacy and promoting positive health behaviors. The study establishes an empirical model of health literacy, providing a foundation for interventions to enhance public health in China.
健康素养对于影响健康行为和结果至关重要；然而，在中国，其发展受到有效测量工具和概念模型缺乏的阻碍。本研究旨在使用HLS-Q47评估中国居民的健康素养，并构建一个健康素养模型。2023年2月至6月在广州进行了一项横断面调查，涉及4047名参与者。收集了有关人口统计学、健康素养、教育、社会经济地位、健康行为和自评健康的数据。使用描述性统计、逻辑回归和结构方程模型来分析关联并构建一个实证模型。结果显示，只有23.7%的参与者具备足够的健康素养。年龄、教育和社会经济地位显著影响健康素养。较高的健康素养和参与健康教育与较低的吸烟可能性、较高的身体活动水平以及更定期的健康检查相关，但与饮酒无显著关联。研究结果强调了HLS-Q47在中国的适用性以及有针对性的健康教育和社会经济支持在提高健康素养和促进积极健康行为方面的重要性。该研究建立了一个健康素养的实证模型，为中国加强公共卫生的干预措施提供了基础。
