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| Health literacy among the elderly in nursing homes in Xiangshan County |
| YE Lumeng, ZHENG Guangyong
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| Xiangshan County Center for Disease Control and Prevention, Xiangshan, Zhejiang 315700, China |
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Abstract Objective To investigate the health literacy level and its influencing factors among the elderly in nursing homes in Xiangshan County, Zhejiang Province, so as to provide the reference for improving the health literacy of the elderly in nursing homes. Methods In September to November 2024, elderly individuals aged ≥60 years from nursing homes in Xiangshan County were selected by a stratified random sampling method. Data on basic information and health literacy were collected using the Chinese Elderly Health Literacy Questionnaire. The health literacy level of the elderly in nursing homes was analyzed. The influencing factors of their health literacy level was analyzed using a multivariable logistic regression model. Results Among the surveyed participants, there were 265 males (41.09%) and 380 females (58.91%). The median age was 83.00 (interquartile range, 12.00) years. A total of 42 individuals had health literacy, giving a health literacy level of 6.51%. The health literacy levels of basic concepts, basic skills and basic knowledge were 15.04%, 15.04% and 5.74%, respectively. The health literacy levels of health service utilization and chronic disease management, scientific view of aging, information acquisition and self-care, healthy lifestyle, intrinsic capacity and geriatric syndromes, and safety and first aid, were 49.15%, 39.22%, 24.81%, 20.78%, 11.63% and 1.71%, respectively. Multivariable logistic regression analysis showed that gender (female, OR=3.720, 95%CI: 1.687-8.203), age (70-<80 years old, OR=0.084, 95%CI: 0.016-0.428), educational level (junior high school, OR=5.690, 95%CI: 1.433-22.600; senior high school/vocational high school/technical secondary school and above, OR=14.620, 95%CI: 3.321-64.361), marital status (unmarried/divorced/widowed, OR=0.263, 95%CI: 0.122-0.567), and personal monthly income (1 000-<3 500 yuan, OR=0.136, 95%CI: 0.024-0.763) were factors affecting the health literacy level of the elderly in nursing homes. Conclusions The health literacy level among the elderly in nursing homes in Xiangshan County are relative low in terms of basic knowledge, intrinsic capacity and geriatric syndromes, and safety and first aid. Gender, age, educational level, marital status, and monthly income are influencing factors for health literacy level among the elderly in nursing homes.
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Received: 23 January 2025
Revised: 17 April 2025
Published: 24 June 2025
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