Huang Lixing, Wei Fenfang, Liu Yangjun, Xu Jialin, Wu Jianru, Wang Qian, Wang Shuling, Wu Wenyu
School of Business Administration, Shenyang Pharmaceutical University, Shenyang, Liaoning, China.
Shenzhen Institute of Pharmacovigilance and Risk Management, Shenzhen, Guangdong, China.
Front Public Health. 2025 Aug 18;13:1605296. doi: 10.3389/fpubh.2025.1605296. eCollection 2025.
To assess the current status and identify factors influencing the medication literacy level of community residents, providing a scientific basis to enhance medication literacy and effectively promote the safe use of medications.
A questionnaire survey was conducted among 2,008 community residents in Shenzhen, employing economic stratification and proportionate sampling methods. The analysis utilized various statistical methodologies, including T-tests, F-tests, multiple linear stepwise regression, and structural equation modeling to assess the current medication literacy status and the factors influencing it.
The levels of medication literacy among community residents typically exhibit a normal distribution. Specifically, 10.16% of residents achieved the excellent level, 40.49% reached the good level, 37.40% were classified as passing, and 11.95% were deemed to have failed. The analysis of factors influencing medication literacy revealed that demographic characteristics, such as age and educational level, as well as various elements of medication knowledge, attitude, behaviors, and skills, significantly impact medication literacy. Notably, medication knowledge emerged as the most critical factor. Structural equation modeling demonstrated that medication knowledge, attitude, behaviors, and skills mediate medication literacy, which can indirectly affect medication literacy and be utilized in multiple ways to improve it and ensure the safety of medication use effectively.
The level of medication literacy among community residents was commendable. However, the proportion of individuals with high medication literacy levels remained insufficient. Key influencing factors, such as medication knowledge, attitude, behaviors, and skills, are explored, offering insights for the government to implement initiatives that publicize medication knowledge, monitor and improve public medication behaviors, promote health education, and enhance community medication literacy and health development.
评估社区居民用药素养水平的现状并识别影响因素，为提高用药素养及有效促进安全用药提供科学依据。
采用经济分层与按比例抽样方法，对深圳2008名社区居民进行问卷调查。分析运用多种统计方法，包括t检验、F检验、多元线性逐步回归和结构方程模型，以评估当前用药素养状况及其影响因素。
社区居民用药素养水平呈正态分布。具体而言，10.16%的居民达到优秀水平，40.49%达到良好水平，37.40%为及格，11.95%为不及格。对影响用药素养因素的分析表明，年龄、教育程度等人口统计学特征以及用药知识、态度、行为和技能等各方面因素，对用药素养有显著影响。值得注意的是，用药知识是最关键的因素。结构方程模型表明，用药知识、态度、行为和技能介导用药素养，可间接影响用药素养，并可通过多种方式加以利用以提高用药素养并有效确保用药安全。
社区居民用药素养水平值得肯定。然而，用药素养水平高的个体比例仍显不足。探讨了用药知识、态度、行为和技能等关键影响因素，为政府实施宣传用药知识、监测和改善公众用药行为、促进健康教育以及提高社区用药素养和健康发展的举措提供了思路。
