Abstract：Objective To investigate the occupational health literacy (OHL) level and its influencing factors of key populations in Jinhua City, Zhejiang Province, so as to provide a basis for promoting occupational health. Methods The front-line workers of 7 secondary industry enterprises (institutions) and 15 tertiary industry enterprises (institutions) in Jinhua City were selected from April to October 2023 using a stratified random cluster sampling method. Date of gender, age, length of service, and OHL were collected using the National Occupational Health Literacy Monitoring Survey for Key Population Personal Questionnaire. Factors affecting OHL level among key populations were identified using multivariable logistic regression model. Results A total of 3 305 people were investigated, including 1 750 males (52.95%) and 1 555 females (47.05%). The median age and the length of service were 37 (interquartile range, 17) and (interquartile range, 9) years, respectively. The level of OHL was 45.63%. Multivariable logistic regression analysis identified gender (female, OR=1.675, 95%CI: 1.428-1.964), educational level (junior high school, OR=1.499, 95%CI: 1.089-2.063; high school, OR=1.905, 95%CI: 1.361-2.667; junior college, OR=4.065, 95%CI: 2.858-5.782; bachelor degree and above, OR=5.087, 95%CI: 3.597-7.194), personal monthly income (3 000-< 5 000 yuan, OR=1.373, 95%CI: 1.035-1.821; 5 000-<7 000 yuan, OR=1.653, 95%CI: 1.230-2.220; ≥7 000 yuan, OR=1.798, 95%CI: 1.322-2.447) and length of service (2-<6 years, OR=1.265, 95%CI: 1.032-1.551; 6-<11 years, OR=1.517, 95%CI: 1.184-1.943; ≥11 years, OR=1.337, 95%CI: 1.040-1.719) as factors affecting OHL level among key populations. Conclusions The OHL level of the key populations in Jinhua City is related to gender, age, education level, personal monthly income, and length of service. It is necessary to strengthen the occupational health education and health promotion of the key populations.
[1] LI Z H,TIAN Y Q,GONG Z C,et al.Health literacy and regional heterogeneities in China:a population-based study[J/OL].Front Public Health,2021,9[2025-07-01].https://doi.org/10.3389/fpubh.2021.603325. [2] FRIEDRICH J,MUNCH A K,THIEL A,et al.Occupational Health Literacy Scale(OHLS):development and validation of a domain-specific measuring instrument[J/OL].Health Promot Int,2023,38(1)[2025-07-01].https://doi.org/10.1093/heapro/daac182. [3] LI Y,LYU X,LIANG J,et al.The development and progress of health literacy in China[J/OL].Front public health,2022,10[2025-07-01].https://doi.org/10.3389/fpubh.2022.1034907. [4] 张丽,胡洁,周国伟,等.北京市某区重点行业劳动者职业健康知识调查[J].预防医学,2023,35(8):714-717. ZHANG L,HU J,ZHOU G W,et al.Investigation on occupational health knowledge among workers in key industries in a district of Beijing Municipality[J].China Prev Med J,2023,35(8):714-717.(in Chinese) [5] 张秋豪,魏金玉,刘洋,等.重庆市汽车制造业职业健康素养与焦虑现状及其影响因素研究[J].现代医药卫生,2025,41(4):962-966,974. ZHANG Q H,WEI J Y,LIU Y,et al.Survey of occupational health literacy and anxiety status among workers in the Chongqing automobile manufacturing industry and their influencing factors[J].J Mod Med Health,2025,41(4):962-966,974.(in Chinese) [6] 刘晓旭,张美辨.职业健康素养测评和干预研究进展[J].中国职业医学,2022,49(2):216-221. LIU X X,ZHANG M B.Research progress on occupational health literacy assessment and intervention[J].Chin Occup Med,2022,49(2):216-221.(in Chinese) [7] 雷钧艳,尹颀,王村建,等.重庆市涪陵区重点职业人群职业健康素养及其影响因素[J].环境与职业医学,2024,41(8):867-875. LEI J Y,YIN Q,WANG C J,et al.Occupational health literacy and its influencing factors among key occupational populations in Fuling District,Chongqing[J].J Environ Occup Med,2024,41(8):867-875.(in Chinese) [8] 陆唯怡,张舒娴,朱静芬.上海部分企业职业人群健康素养与抑郁情绪的相关性研究[J].环境与职业医学,2023,40(10):1183-1189. LU W Y,ZHANG S X,ZHU J F,et al.Association between health literacy and depressive emotion among occupational groups in Shanghai[J].J Environ Occup Med,2023,40(10):1183-1189.(in Chinese) [9] 孙彦彦,孙新,万霞,等.我国2022年重点人群职业健康素养水平及其影响因素[J].中国职业医学,2023,50(3):241-247. SUN Y Y,SUN X,WAN X,et al.Occupational health literacy level and its influencing factors among key populations in China in 2022[J].Chin Occup Med,2023,50(3):241-247.(in Chinese) [10] 雷钧艳,尹颀,王令,等.2022年重庆市涪陵区企业重点人群职业健康素养水平及其影响因素分析[J].职业卫生与病伤,2024,39(5):271-277. LEI J Y,YIN Q,WANG L,et al.Analysis of occupational health literacy level and its influencing factors among key populations of enterprises in Fuling District of Chongqing 2022[J].Occup Health Damage,2024,39(5):271-277.(in Chinese) [11] 曾东,陈龙,张丹华,等.快递外卖行业人群的职业健康素养水平及其影响因素[J].现代疾病预防控制,2024,35(12):907-911,921. ZENG D,CHEN L,ZHANG D H,et al.The occupational health literacy level and its influencing factors of the population in the take-out express delivery industry[J].Mod Dis Control Prev,2024,35(12):907-911,921.(in Chinese) [12] 何文蕾,杨军红,贺瑶瑶,等.贵州省2022年职业人群职业健康素养水平与影响因素分析[J].中国职业医学,2023,50(4):394-398,404. HE W L,YANG J H,HE Y Y,et al.Analyzing the occupational health literacy and its influencing factors among occupational populations in Guizhou Province,2022[J].Chin Occup Med,2023,50(4):394-398,404.(in Chinese) [13] 付文娟,戴霞云,沈洪春,等.武汉市第二产业6个行业重点人群职业健康素养水平及其影响因素[J].职业与健康,2025,41(1):82-86. FU W J,DAI X Y,SHEN H C,et al.Occupational health literacy and its influencing factors among key groups in six industries of secondary industry in Wuhan City[J].Occup and Health,2025,41(1):82-86.(in Chinese) [14] 曾垂焕,曾靖雯,柯宗枝.2022年福建省第二产业4类行业职业人群健康素养水平及影响因素分析[J].预防医学论坛,2023,29(12):924-928. ZENG C H,ZENG J W,KE Z Z,et al.Analysis on health literacy level and influencing factors of occupational population in the four categories of secondary industry in Fujian province in 2022[J].Prev Med Trib,2023,29(12):924-928.(in Chinese)
