Abstract:Objective To investigate the level of health literacy and its influencing factors among university students in Xi'an City, so as to provide the basis for improving the health literacy level among university students. Methods Students from five comprehensive universities in Xi'an City were selected using a multi-stage stratified random cluster sampling method from September to December 2023. Data of basic information and health literacy were collected using questionnaire surveys. The health literacy level of university students was analyzed and factors affecting health literacy level among university students were analyzed using a multivariable logistic regression model. Results A total of 1 815 students were surveyed, including 803 males (44.24%) and 1 012 females (55.76%), and had a mean age of (20.07±1.70) years. The overall health literacy level was 40.17%. The health literacy levels of basic knowledge and concept, healthy lifestyle and behaviors, and basic skills were 61.98%, 41.32% and 27.82%, respectively. The health literacy levels of safety and first aid, scientific health outlook, health information, chronic disease prevention and control, infectious disease prevention and control, and basic medical care were 73.44%, 70.14%, 53.50%, 50.36%, 39.34% and 33.72%, respectively. Multivariable logistic regression analysis showed that the university students who were female (OR=1.339, 95%CI: 1.034-1.733), majored in medicine (OR=1.668, 95%CI: 1.306-2.129), had a normal body mass index (OR=1.326, 95%CI: 1.056-1.688) and had no smoking history (OR=2.072, 95%CI: 1.122-2.192) had higher health literacy levels. Conclusions The health literacy levels among university students in Xi'an City are relatively low in terms of basic skills, infectious disease prevention and control, and basic medical care. Gender, major, body mass index and smoking history are influencing factors for health literacy level among university students.
吴亚琼, 房新柱. 西安市在校大学生健康素养水平分析[J]. 预防医学, 2025, 37(2): 197-200.
WU Yaqiong, FANG Xinzhu. Health literacy level among university students in Xi'an City. Preventive Medicine, 2025, 37(2): 197-200.
[1] 李英华,吴敬,李长宁.我国健康素养研究与实践[J].首都公共卫生,2023,17(2):65-70. LI Y H,WU J,LI C N.Research and practice of health literacy in China[J].Cap J Public Health,2023,17(2):65-70.(in Chinese) [2] 西安市人民政府.2022年西安市城乡居民健康素养水平稳步提升[EB/OL].[2024-12-10].http://www.xa.gov.cn/ztzl/ztzl/lwlbzt/bzhgsms/64b9e276f8fd1c1a70356443.html. [3] 杭州市人民政府.杭州市居民健康素养水平达到41.99%[EB/OL].[2024-12-10].https://www.hangzhou.gov.cn/art/2023/9/2/art_812270_59086991.html. [4] 广州市人民政府.广州市居民健康素养水平连年提升[EB/OL].[2024-12-10].https://www.gz.gov.cn/xw/zwlb/bmdt/content/mpost_9000888.html. [5] 石珺怡,车晓玉,刘菊芬.2016—2019年中国高校学生健康素养水平Meta分析[J].中国健康教育,2021,37(8):689-694. SHI J Y,CHE X Y,LIU J F.Meta-analysis on health literacy among undergraduates in China during 2016-2019[J].Chin J Health Educ,2021,37(8):689-694.(in Chinese) [6] 聂雪琼,李英华,李莉.2012年中国居民健康素养监测数据统计分析方法[J].中国健康教育,2014,30(2):178-181. NIE X Q,LI Y H,LI L.Statistical analysis method for monitoring data of Chinese residents' health literacy in 2012[J].Chin J Health Educ,2014,30(2):178-181.(in Chinese) [7] 中华人民共和国国家卫生健康委员会宣传司.2023年中国居民健康素养监测情况[EB/OL].[2024-12-10].http://www.nhc.gov.cn/xcs/s3582/202404/287e15ca9fd148b5ab9debce59f58c6d/files/ce8a57a52edd4858a2a95567e273a056.pdf [8] 张旭东,孙寅,宋瑾,等.在校大学生健康素养培育效果与优化路径研究[J].昆明理工大学学报(社会科学版),2022,22(5):123-131. ZHANG X D,SUN Y,SONG J,et al.Effects and optimization path for health literacy education for university students[J].J Kunming Univ Sci and Technol(Social Sci),2022,22(5):123-131.(in Chinese) [9] 杨华杰,张曼,卫庆国,等.广州市在校大学生健康素养现状及影响因素分析[J].中国卫生统计,2022,39(5):690-694,698. YANG H J,ZHANG M,WEI Q G,et al.Analysis on the status of health literacy and its influencing factors among college students in Guangzhou[J].Chin J Health Stat,2022,39(5):690-694,698.(in Chinese) [10] 何晓燕,王勐,姜彩霞,等.2016—2020年杭州市居民健康素养水平变化趋势及影响因素研究[J].预防医学,2021,33(7):670-674. HE X Y,WANG M,JIANG C X,et al.The trend and influencing factors of health literacy among residents in Hangzhou from 2016 to 2020[J].China Prev Med J,2021,33(7):670-674.(in Chinese) [11] 袁雪晴,于天贺,李路旋,等.河北省大学生健康素养水平与健康状况的关系研究[J].中国健康教育,2018,34(12):1072-1075,1089. YUAN X Q,YU T H,LI L X,et al.Study on the relationship between health literacy and health status of college students in Hebei Province[J].Chin J Health Educ,2018,34(12):1072-1075,1089.(in Chinese) [12] 陈丹,孙立波,张湘富.大学生健康素养研究进展[J].医学研究与教育,2018,35(1):65-69. CHEN D,SUN L B,ZHANG X F.Advances on developing health literacy of college students[J].Med Res Educ,2018,35(1):65-69.(in Chinese)