Abstract：Objective To analyze the health literacy possession rate and its trend among residents in Lishui City, Zhejiang Province from 2016 to 2024, so as to provide the evidence for improving health promotion strategies and intervention measures. Methods Multi-stage stratified random sampling combined with probability proportionate to size sampling method was adopted to select permanent residents aged 15-69 years in Lishui City as survey subjects. Demographic information and health literacy possession status were collected through questionnaire survey. The health literacy possession rate was calculated. The data from 2016 to 2019 and from 2020 to 2024 were standardized using the population data of Lishui City from the Sixth National Population Census in 2010 and the Seventh National Population Census in 2020, respectively. The trend of health literacy possession rate from 2016 to 2024 was analyzed. Results A total of 42 691 people were surveyed, including 20 509 males (48.04%) and 22 182 females (51.96%), with an average age of (51.63±12.13) years. From 2016 to 2024, the health literacy possession rates were 20.40%, 25.83%, 26.96%, 28.82%, 32.30%, 34.02%, 37.53%, 39.21% and 43.17%, respectively, showing an upward trend (P<0.05). Among the three aspects, the possession rates of basic knowledge and concepts, healthy lifestyle and behaviors, and basic skills all showed upward trends (all P<0.05), with basic knowledge and concepts showing the largest increase and basic skills showing the smallest increase. Among the six health issues, the possession rates of scientific health view, chronic disease prevention and control, safety and first aid, basic medical care, and health information showed upward trends, while the infectious disease prevention and control literacy possession rate showed a downward trend (all P<0.05). The possession rates in the 65-69 age group, illiterate/semi-literate residents, and farmers showed upward trends (all P<0.05), but with small increases and remaining at low levels. Conclusions From 2016 to 2024, the health literacy possession rate of residents in Lishui City showed an overall upward trend, but the increase in basic skills literacy possession rate was relatively slow, and the infectious disease prevention and control literacy possession rate showed a downward trend. It is necessary to strengthen health education for weak links and knowledge among elderly people, residents with low educational level, and farmers to improve health literacy level.
马亚萍, 邱理杨, 陈晓蕾, 肖靓, 赵启源, 李启, 杨延平. 2016—2024年丽水市居民健康素养分析[J]. 预防医学, 2026, 38(2): 206-210.
MA Yaping, QIU Liyang, CHEN Xiaolei, XIAO Liang, ZHAO Qiyuan, LI Qi, YANG Yanping. Health literacy among residents in Lishui City from 2016 to 2024. Preventive Medicine, 2026, 38(2): 206-210.
[1] LI Y Y,LV X F,LIANG J,et al.The development and progress of health literacy in China[J/OL].Front Public Health,2022,10[2026-01-24]. https://doi.org/10.3389/fpubh.2022.1034907. [2] HART M,DOS SANTOS A,LECLAIR L,et al.Improving indigenous stroke outcomes by shifting our focus from health to cultural literacy[J/OL].Curr Neurol Neurosci Rep,2024,25(1)[2026-01-24]. https://doi.org/10.1007/s11910-024-01395-2. [3] MACKEY L M,DOODY C,WERNER E L,et al.Self-management skills in chronic disease management:what role does health literacy have[J].Med Decis Making,2016,36(6):741-759. [4] 中华人民共和国国家卫生健康委员会.国家卫生健康委办公厅关于印发中国公民健康素养——基本知识与技能(2024年版)的通知[EB/OL].[2026-01-24].https://www.gov.cn/zhengce/zhengceku/202405/content_6954649.htm. [5] 国家卫生健康委办公厅,国家中医药局综合司,国家疾控局综合司.关于开展全民健康素养提升三年行动(2024—2027年)的通知[J].中华人民共和国国家卫生健康委员会公报,2024(5):4-6. [6] 浙江省卫生健康委员会.省委省政府健康浙江建设领导小组办公室等关于印发浙江省健康知识普及行动2023—2025三年实施方案的通知[EB/OL].[2026-01-24].https://wsjkw.zj.gov.cn/art/2023/11/2/art_1229560650_2494827.html. [7] 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. [8] 顾璐,顾兴成.2020—2023年邹城市居民健康素养水平及影响因素分析[J].中国初级卫生保健,2025,39(1):83-87. [9] 段蒋文,金启韬,仝振东.2015—2023年舟山市居民健康素养分析[J].预防医学,2024,36(10):905-909. [10] 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. [11] 杨明,甄世祺,张娟.江苏省江阴市居民健康素养水平变化趋势及其影响因素[J].医学与社会,2025,38(7):54-62. [12] 吴艳梅,舒美茹,赵燕.2014—2023年陕西省居民传染病防治素养水平及变化趋势研究[J/OL].预防医学情报杂志,2025[2026-01-24].https://doi.org/10.19971/j.cnki.1006-4028.250478N. [13] 林本翔,陈锦辉,谢美美,等.2016—2021年福建省女性居民传染病防治素养水平及影响因素分析[J].疾病预防控制通报,2025,40(2):35-40. [14] 蔡睿杰,姜丹,杨超群,等.健康村社创建对居民健康素养水平影响调查及分析[J].健康研究,2025,45(4):410-415. [15] FU Y S,XIE J R,XU D,et al.Health literacy status and associated factors among residents in Anhui Province,China:a cross-sectional study[J/OL].Front Public Health,2025,12[2026-01-24]. https://doi.org/10.3389/fpubh.2024.1493682. [16] 张小兰,李泽美,沈小华.国内外老年人群健康促进政策与实践[J].预防医学,2025,37(6):632-636. [17] SHI Z,DU X X,LI J,et al.Factors influencing digital health literacy among older adults:a scoping review[J/OL].Front Public Health,2024,12[2026-01-24]. https://doi.org/10.3389/fpubh.2024.1447747. [18] 侯锐,隗瑛琦,方凯,等.老年人群健康素养促进策略研究进展[J].预防医学,2025,37(2):154-157. [19] PARK C L,CHO D,MOORE P J.How does education lead to healthier behaviours?Testing the mediational roles of perceived control,health literacy and social support[J].Psychol Health,2018,33(11):1416-1429. [20] 郭泰鼎,秦雪征.中国居民健康素养的水平、差异及影响因素[J].人口与经济,2024(2):124-139.
