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| Health literacy among residents in Zhoushan City from 2015 to 2023 |
| DUAN Jiangwen1, JIN Qitao1, TONG Zhendong2
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1. Department of Health Education, Zhoushan Center for Disease Control and Prebention, Zhoushan, Zhejiang 316021, China;
2. Zhoushan Center for Disease Control and Prebention, Zhoushan, Zhejiang 316021, China |
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Abstract Objective To understand the level and trend of health literacy among residents in Zhoushan City, Zhejiang Province from 2015 to 2023, so as to provide the reference for developing promotion strategies and interventions of health literacy. Methods Permanent residents aged 15 to 69 years in Zhoushan City were selected as the survey subjects using a multi-stage stratified random sampling combined with population-size proportional sampling method. The residents' health literacy was investigated using the Questionnaire on the Health Literacy among Chinese Residents, and standardized by Zhoushan City population data captured from the national population census in China. The absolute increase and growth rate of health literacy level from 2015 to 2023 were calculated to investigate the changing trends in health literacy levels. Results A total of 19 296 residents were monitored from 2015 to 2023, including 8 006 men (41.49%) and 11 290 women (58.51%), and had a mean age of (50.06±12.67) years. The health literacy levels among residents in Zhoushan City from 2015 to 2023 were 13.10%, 18.33%, 20.35%, 23.71%, 27.58%, 30.75%, 34.36%, 37.03% and 39.47%, respectively, showing an upward trend (P<0.05), with an average annual growth rate of 2.93%. The 9-year absolute increase rates of 26.37%, and the growth rate reached 201.30%. The health literacy levels of basic knowledge and concept, healthy lifestyle and behaviors and basic skills all appeared increasing trends (all P<0.05), and the 9-year absolute increase and growth rate of the basic skills were the smallest (7.64% and 34.60%). The health literacy levels of six categories of health issues all showed upward trends (all P<0.05). The health literacy levels of residents in different regions and genders showed upward trends (both P<0.05). Except for the age of 65 to 69 years, the health literacy levels among all the other age groups showed upward trends (all P<0.05). There was no significant changing trend in the health literacy level among illiterate/semi-literate residents (P>0.05), the health literacy level among residents with primary school education showed a downward trend (P<0.05), while the health literacy levels of residents with other educational levels all showed upward trends (all P<0.05). There was no significant changing trend in the health literacy level among farmers (P>0.05), while the health literacy levels among residents with other occupations showed upward trends (all P<0.05). Conclusions The health literacy level among residents in Zhoushan City steadily increased from 2015 to 2023. Health education and promotion efforts have been targeted at key populations of the elderly aged over 65 years, residents with a primary school education or below and farmers.
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Received: 26 March 2024
Revised: 04 July 2024
Published: 15 October 2024
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[1] 彭晶,傅文婷,杨秀琳.甘南藏族自治州老年人群健康素养调查[J].预防医学,2023,35(6):546-550.
[2] 闫晓彤,徐越,姚丁铭,等.2016—2021年浙江省农村居民健康素养分析[J].预防医学,2022,34(10):1053-1058.
[3] 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.
[4] 聂雪琼,李英华,李莉,等.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.
[5] 舟山市人民政府.舟山市人民政府办公室关于推进健康舟山行动的实施意见[EB/OL].[2024-07-04].http://xxgk.zhoushan.gov.cn/art/2020/11/30/art_1229019434_41309.html.
[6] 浙江省卫生健康委员会. 2021年浙江省居民健康素养水平达36.11%[EB/OL].[2024-07-04].https://mp.weixin.qq.com/s/ISVmiUrDWIC0D-nTiGoUwQ.
[7] 中华人民共和国国家卫生健康委员会.2021年全国居民健康素养水平达到25.40%[EB/OL].[2024-07-04].http://www.nhc.gov.cn/xcs/s3582/202206/5dc1de46b9a04e52951b21690d74cdb9.shtml.
[8] 姚丁铭,吴青青,徐水洋,等.2016—2020年浙江省居民健康素养水平变化趋势研究[J].中国预防医学杂志,2023,24(2):150-155.
[9] 中华人民共和国国家卫生健康委员会.2022年中国居民健康素养监测情况[EB/OL].[2024-07-04].http://www.nhc.gov.cn/xcs/s3582/202308/cb6fa340a2fd42b6b7112310b2e1830a.shtml.
[10] 李瑞,陈仁友,刘维量,等.山东省2012—2021年居民健康素养水平及变化趋势[J].中国公共卫生,2023,39(10):1336-1341.
[11] 王晓妍,田向阳,董建,等.综合医院门诊患者健康素养现状及其影响因素研究[J].中国全科医学,2022,25(19):2342-2348.
[12] GEBOERS B,DE WINTER A F,SPOORENBERG S L W,et al.The association between health literacy and self-management abilities in adults aged 75 and older,and its moderators[J].Qual Life Res,2016,25(11):2869-2877.
[13] 王微,赵乾.贵州省农村居民健康素养调查及影响因素研究[J].卫生经济研究,2022,39(8):45-48. |
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