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The trend and influencing factors of health literacy among residents in Hangzhou from 2016 to 2020 |
HE Xiaoyan, WANG Meng, JIANG Caixia, CHEN Yuyang, HUANG Yangmei, YU Feng, LIU Xiaofeng
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Department of Health Education, Hangzhou Center for Disease Control and Prevention, Hangzhou, Zhejiang 310021, China |
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Abstract Objective To understand the changing trend and influencing factors of health literacy among residents in Hangzhou from 2016 to 2020, so as to provide basis for health literacy promotion. Methods The monitoring data of health literacy of residents in Hangzhou from 2016 to 2020 were collected. The five year cumulative growth and average growth rate were used to reflect the changing trend. The multivariate logistic regression model under complex survey design was used to analyze the influencing factors for health literacy. Results From 2016 to 2020, the health literacy levels of Hangzhou residents were 26.91%, 29.49%, 31.83%, 34.73% and 38.00%, respectively. The five year cumulative growth was 11.09% and the average growth rate was 9.01%. Among three aspects of health literacy, the levels of basic knowledge and concept as well as healthy lifestyle and behaviors increased year by year (P<0.05), with the average growth rates of 15.12% and 2.92%. Among six types of health problems, the levels of chronic disease prevention and treatment, basic medical treatment, scientific view, health information as well as safety and first aid increased year by year ( P<0.05 ), with the average growth rates of 32.76%, 15.82%, 8.41%, 7.12% and 1.53%, respectively. The multivariate logistic regression analysis showed that education level ( junior high school, OR=5.359, 95%CI: 1.151-24.953;high school/vocational high school/technical secondary school, OR=9.214, 95%CI: 2.906-29.213; college or above, OR=29.977, 95%CI: 9.689-92.741 ) and occupation ( students, OR=2.564, 95%CI: 1.113-5.907 ) were the influencing factors for health literacy. Conclusion The health literacy levels of Hangzhou residents from 2016 to 2020 have been increasing year by year. The residents with higher education levels and students may have higher health literacy levels.
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Received: 05 March 2021
Revised: 25 April 2021
Published: 09 July 2021
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[1] 国家卫生和计划生育委员会宣传司,中国健康教育中心.2012 年中国居民健康素养监测报告[R].北京:国家卫生和计划生育委员会宣传司,2013. [2] 陈洁. 甘肃省孕产妇母婴健康素养现况及对妊娠结局的影响研究[D].兰州:兰州大学,2020. [3] 刘卓,谢伦芳,方兰,等.系统性红斑狼疮患者的健康素养对疾病活动度的影响[J].现代预防医学,2018,45(8):1532-1536. [4] FABBRI M, MURAD M H, WENNBERG A M,et al.Health literacy and outcomes among patients with heart failure:a systematic review and meta-snalysis[J].JACC Heart Fail,2020,8(6):451-460. [5] PAPADAKOS J K,HASAN S M,BARNSLEY J,et al.Health literacy and cancer self-management behaviors:a scoping review[J].Cancer,2018,124(21):4202-4210. [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. [7] 李金涛,张琼,张文辉,等. 杭州市居民健康素养现状调查[J]. 预防医学,2016,28(9):964-966,969. [8] 中华人民共和国国家卫生和计划生育委员会宣传司,中国健康教育中心. 2018年中国居民健康素养监测报告[R]. 北京:国家卫生和计划生育委员会宣传司,2019. [9] 浙江省疾病预防控制中心.2019年浙江省居民健康素养监测报告[R].2020. [10] 北京市卫生健康委员.2018年北京市居民健康素养水平持续提升[EB/OL]. (2019-03-25)[2021-04-25].http://wjw.beijing.gov.cn/xwzx/mtjj/201903/t20190325_266081.htm. [11] 潘新锋,丁园,陈润洁,等.2018年上海市居民健康素养水平及其影响因素分析[J].中国健康教育,2020,36(2):99-102. [12] 曹文栋,江初,李海生,等.北京市海淀区居民健康素养水平及影响因素分析[J].中国卫生统计,2020,37(1):28-32. [13] 徐倩倩,梅秋红,冯宏伟,等.2015—2019年宁波是居民健康素养辩护及影响因素分析[J].预防医学,2021,33(1):35-40. [14] 林军,杨文洁,陆瑛,等. 2014—2018 年上海市黄浦区成人健康素养监测结果分析[J].健康教育与健康促进,2019,14(4):314-318. [15] 付文,刘庆敏,裘欣,等.全科医生指导下社区糖尿病患者自我管理模式的效果评价[J].中华健康管理学杂志,2020,14(5):431-436. [16] 罗彦,马丽娜,余惠红,等.湖北省居民健康素养现况及其影响因素分析[J].实用预防医学,2019,26(5):599-602. [17] 李红,黄宝定,庞彩霞,等. 温岭市不同社会经济地位人群健康素养水平调查[J].预防医学,2018,30(4):341-344. [18] 任洪福,金玲玲,秦真真,等. 南京市居民慢性病防治健康素养现状及影响因素分析[J].中国公共卫生,2021,37(4):641-645. |
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