Abstract:The aging process is increasingly accelerating in China, and the improvement of health literacy is a prerequisite to achieving health for all, and is an important strategy to promote healthy aging. Based on recent studies pertaining to health literacy among the elderly, this review, from the perspective of aging, summarizes the level and common influencing factors of health literacy among Chinese elderly populations, and discusses the health literacy promotion strategies among the elderly, so as to provide insights into improving the health literacy surveillance and promotion quality and health literacy levels among the elderly.
[1] 中华人民共和国国家卫生健康委员会.2020年度国家老龄事业发展公报[EB/OL].(2021-10-15)[2021-12-11].http://www.nhc.gov.cn/lljks/pqt/202110/c794a6b1a2084964a7ef45f69bef5423.shtml. [2] 总报告起草组.国家应对人口老龄化战略研究总报告[J].老龄科学研究,2015,3(3):4-38. The Drafting Goup of General Report. The general research report of Chinese strategic for dealing with population aging[J].Sci Res Aging,2015,3(3):4-38. [3] 健康中国行动推进委员会.健康中国行动(2019—2030年)[EB/OL].(2019-07-15)[2021-12-11].http://www.gov.cn/xinwen/2019-07/15/content_5409694.htm. [4] 石名菲,李英华,刘莹钰,等.2012—2017年60~69岁老年人健康素养水平及其影响因素分析[J].中国健康教育,2019,35(11):963-966,988. SHI M F,LI Y H,LIU Y Y,et al.Study on health literacy and its influencing factors of Chinese residents aged 60-69 years from 2012 to 2017[J].Chin J Health Educ,2019,35(11):963-966,988. [5] NUTBEAM D.Health literacy as a public health goal:a challenge for contemporary health education and communication strategies into the 21st century[J].Health Promot Int,2000,15(3):259-267. [6] WOLF M S,GAZMARARIAN J A,BAKER D W.Health literacy and functional health status among older adults[J].Arch Intern Med,2005,165(17):1946-1952. [7] SMITH S G,JACKSON S E,KOBAYASHI L C,et al.Social isolation,health literacy,and mortality risk:findings from the English Longitudinal Study of Ageing[J].Health Psychol,2018,37(2):160-169. [8] 陈艳莉,梅迎雪,闫树英,等.银川市养老机构老年人健康素养与认知功能的相关性[J].中国老年学杂志,2020,40(22):4883-4886. CHEN Y L,MEI Y X,YAN S Y,et al.Correlation between health literacy and cognitive function among elderly people in nursing institutions in Yinchuan City[J].Chin J Gerontol,2020,40(22):4883-4886. [9] MATSUOKA S,TSUCHIHASHI-MAKAYA M,KAYANE T,et al.Health literacy is independently associated with self-care behavior in patients with heart failure[J].Patient Educ Couns,2016,99(6):1026-1032. [10] 王晓霞,王红阳.糖尿病并发肺结核老年患者健康素养与治疗效果的关系[J].预防医学,2017,29(1):28-31. WANG X X,WANG H Y.An analysis on the relationship between health literacy level and prognosis in elderly patients with diabetes mellitus complicated with pulmonary tuberculosis[J].Prev Med,2017,29(1):28-31. [11] KOBAYASHI L C,WARDLE J,VON WAGNER C.Limited health literacy is a barrier to colorectal cancer screening in England:evidence from the English Longitudinal Study of Ageing[J].Prev Med,2014,61:100-105. [12] RASU R S,BAWA W A,SUMINSKI R,et al.Health literacy impact on national healthcare utilization and expenditure[J].Int J Health Policy,2015,4(11):747-755. [13] 王萍,毛群安,陶茂萱,等.2008年中国居民健康素养现状调查[J].中国健康教育,2010,26(4):243-246. WANG P,MAO Q A,TAO M X,et al.Survey on the status of health literacy of Chinese residents in 2008[J].Chin J Health Educ,2010,26(4):243-246. [14] 杜维婧,李英华,聂雪琼,等.我国60~69岁老年人健康素养现状及其影响因素分析[J].中国健康教育,2015,31(2):129-133. DU W J,LI Y H,NIE X Q,et al.Analysis of status and influence factors of health literacy of Chinese residents aged 60-69 years[J].Chin J Health Educ,2015,31(2):129-133. [15] 徐倩倩,梅秋红,冯宏伟,等.2015—2019年宁波市居民健康素养变化及影响因素分析[J].预防医学,2021,33(1):35-40. XU Q Q,MEI Q H,FENG H W,et al.Changing trend and influencing factors of health literacy among residents in Ningbo from 2015 to 2019[J].Prev Med,2021,33(1):35-40. [16] 中华人民共和国国家卫生健康委员会.2020年全国居民健康素养水平升至23.15%[EB/OL].(2021-04-01)[2021-12-11].http://www.nhc.gov.cn/xcs/s7847/202104/6cede3c9306a41eeb522f076c82b2d94.shtml. [17] 孟铃洁,李玉华.2017年青岛市市北区60~69岁老年人健康素养现状分析[J].中国社区医师,2018,34(32):164-166. MENG L J,LI Y H.The analysis of health literacy status of 60-69 year old elderly in Shibei district of Qingdao city in 2017[J].Chin Community Doct,2018,34(32):164-166. [18] 陈亦芳,吴龙辉,崔鑫,等.老年人群健康素养及其影响因素分析[J].预防医学,2018,30(9):964-966. CHEN Y F,WU L H,CUI X,et al.Health literacy and its influencing factors among old people[J].Prev Med,2018,30(9):964-966. [19] 王可,赵华硕,黄水平,等.徐州市区老年人健康素养现状及影响因素分析[J].社区医学杂志,2019,17(9):498-501. WANG K,ZHAO H S,HUANG S P,et al.Investigation and analysis on the status quo of health literacy of the elderly in Xuzhou area and its influencing factors[J].J Community Med,2019,17(9):498-501. [20] 徐文丽,马维红,冉冉,等.2018年开封市城区老年人群健康素养水平[J].江苏预防医学,2019,30(5):587-588. XU W L,MA W H,RAN R,et al.Health literacy levels of the elderly population in urban areas of Kaifeng City in 2018[J].Jiangsu J Prev Med,2019,30(5):587-588. [21] 苏莹,曹原,刘文会,等.黑龙江省2019年60~69岁老年人健康素养水平及其影响因素分析[J].中国公共卫生管理,2020,36(6):841-843. SU Y,CAO Y,LIU W H,et al.Analysis on health literacy level and its influencing factors among elderly aged 60-69 years in Heilongjiang Province in 2019[J].Chin J Public Health Manag,2020,36(6):841-843. [22] 梅秋红,高鑫阳,冯宏伟,等.宁波市60~69岁人群健康素养调查[J].预防医学,2020,32(8):851-853. MEI Q H,GAO X Y,FENG H W,et al.Health literacy of 60 to 69 year-old people in Ningbo[J].Prev Med,2020,32(8):851-853. [23] 罗彦,马丽娜,周亮,等.湖北省60~69岁老年居民健康素养现况及趋势分析[J].中国健康教育,2018,34(10):943-946. LUO Y,MA L N,ZHOU L,et al.Analysis on the status and the trend of health literacy among residents aged 60-69 years in Hubei Province[J].Chin J Health Educ,2018,34(10):943-946. [24] GANGULI M,HUGHES T F,JIA Y,et al.Aging and functional health literacy:a population-based study[J].Am J Geriatr Psychiatry,2021,29(9):972-981. [25] 彭孟果,刘兴荣.甘肃45~69岁人群健康素养水平及影响因素[J].中国农村卫生事业管理,2020,40(4):278-283. PENG M G,LIU X R.Health literacy level and its influencing factors among residents aged 45-69 years in Gansu Province[J].Chin Rural Health Serv Adm,2020,40(4):278-283. [26] CHESSER A K,KEENE WOODS N,SMOTHERS K,et al.Health literacy and older adults:a systematic review[J/OL].Gerontol Geriatr Med,2016,2[2021-12-11].https://doi.org/10.1177/2333721416630492. [27] 石名菲,李英华,刘莹钰,等.我国老年人慢性病防治素养水平与慢性病患病状况相关性分析[J].中国健康教育,2020,36(5):387-391,417. SHI M F,LI Y H,LIU Y Y,et al.Study on the relationship between chronic diseases literacy and health status of Chinese residents aged 60-69 years[J].Chin J Health Educ,2020,36(5):387-391,417. [28] 朱秋静,余运贤.2型糖尿病伴骨质疏松患者健康素养状况及影响因素分析[J].中国骨质疏松杂志,2018,24(7):926-929,953. ZHU Q J,YU Y X.Analysis of the health literacy status and influencing factors in type 2 diabetic patients with osteoporosis[J].Chin J Osteoporos,2018,24(7):926-929,953. [29] 姜雪,刘瑾文,孙文霞,等.老年糖尿病患者健康素养影响因素的研究进展[J].延边大学医学学报,2020,43(1):61-64. JANG X,LIU J W,SUN W X,et al.Progress in the study of factors affecting health literacy among elderly people with diabetes[J].J Med Sci Yanbian Univ,2020,43(1):61-64. [30] 温秀芹,赵洁,曾庆奇,等.提高老年人群健康素养对其基本公共卫生服务利用的影响研究[J].中华疾病控制杂志,2016,20(2):204-206. WEN X Q,ZHAO J,ZENG Q Q,et al.Influence of increasing health literacy on utilization of essential public health services among elderly population[J].Chin J Dis Control Prev,2016,20(2):204-206. [31] 成前,李月.流动人口公共卫生服务均等化的健康效应研究[J].西北人口,2021,42(6):26-35. CHENG Q,LI Y.The health effect analysis of basic public health services equalization for floating population[J].Northwest Popul J,2021,42(6):26-35. [32] 朱志勇. 延吉市老年人健康素养、家庭关怀与健康投入相关性研究[D].延边:延边大学,2016. ZHU Z Y.Health literacy,family solicitude and health engagement in Yanji older adultas:a correlation study[D].Yanbian:Yanbian University,2016. [33] 刘俊华,王卫峰,何景阳,等.动员全民积极参与,探索健康村创建模式[J].中国卫生检验杂志,2021,31(19):2418-2419. LIU J H,WANG W F,HE J Y,et al.Mobilising active participation of all people to explore the model of creating a healthy village[J].Chin J Health Lab Technol,2021,31(19):2418-2419. [34] 李莉,唐鑫汇,赖玲,等.回授法联合家庭参与对老年2型糖尿病患者健康素养和生存质量的影响[J].安徽医学,2020,41(12):1471-1475. LI L,TANG X H,LAI L,et al.The impact of a teach-back approach combined with family involvement on health literacy and quality of life in older people with type 2 diabetes[J].Anhui Med J,2020,41(12):1471-1475. [35] 王礼华,高敏国,安芮莹,等.基于PDCA循环的居民健康素养促进工作模式构建及效果评价[J].中国健康教育,2020,36(12):1077-1081. WANG L H,GAO M G,AN R Y,et al.Construction and effect evaluation of residents' health literacy promotion work mode based on PDCA cycle[J].Chin J Health Educ,2020,36(12):1077-1081. [36] 蒋维连,李芳,杨平,等.老年慢性心力衰竭患者的多学科健康素养管理实践[J].中华全科医学,2021,19(3):416-420. JIANG W L,LI F,YANG P,et al.Multidisciplinary health literacy management practices in elderly patients with chronic heart failure[J].Chin J Gen Pract,2021,19(3):416-420.