The Level and the Effect Factors of Health Literacy among Residents in Shangcheng, Hangzhou
|Course||Epidemiology and Biostatistics,|
|Keywords||Public Health-literacy Status Analysis Influential factors Research|
Background & ObjectiveHealth literacy is an individual has the acquisition, understanding of health care and dealing with the basic health information and services, and use the information and services make the right decisions and judgments, maintain and promote ability to stay healthy. Quality of being healthy plays a big part in the civic diathesis, which is based on the innate physical through acquired environment, education and the influence of own practice, helps form a relatively stable physical state, psychological state and the ability of social adaptationIn January 2008, the Ministry of Health first 3rd notice issued a "Chinese citizens health literacy-the basic knowledge and skills (try out)", and defines the present the basic health citizens should master knowledge and basic skills. On May 12, the ceremony of Chinese citizens health literacy promotion and the launch of“the health 66 article-Chinese citizens health literacy reader" were held in the China’s great hall of the people, to advance citizens health literacy spur action nationwide, health ministry office in August 2008 issued documents on the work program of Chinese citizens health literacy promote action (2008-2010) ", bringing out the clear goals and requirements in improving citizen health literacy level within 3 yearsIn order to comprehensively and systematically keep the track of the health literacy level of residents in real time by comparison and analysis based on different provinces and for residents formulated pertinently health literacy intervention measures provide scientific basis, so as to gradually improve citizens health literacy levels, scientific assessment and promote public health education and health promotion, and establish the Shangcheng district public health literacy material database. According to "the national health education and health promotion program (2005-2010)" requirement, according to zhejiang province CDC unified arrangement and Hangzhou Shangcheng district is listed as zhejiang resident health literacy spot in 2009, will the public health literacy monitoring and urban and rural communities integrate monitoring work in health literacy, unified monitoring residents.Subjects & Methods1、The study subject: 440 residents with 15～69 years old were enrolled from shangcheng, hangzhou. The resident population refers to living and life for six months and more in the study area, within one year prior to the survey2、The investigation methods:Interviwers visited the subjects in their home, using face to face interview method 3、The investigation contents:"Chinese citizens health literacy-basic knowledge language skills (try out)" offers related content. The questionnaires were formulated by China’s health education center with unified form.The level of health literacy among residents in different cities was compared by descriptive analysis method, while using logistic regression to explore the influence factors of residents literacy.ResultsThe prevalence of health literacy among residents in Shangcheng, Hangzhou in 2009 was 22.50%, (population standardized 21.86%, China’s eastern city 10.78%, Zhejiang city13.8%, Gongshu district 38.29% in 2008). Level of basic knowledge, healthy lifestyle and basic skills of literacy was 45.68%(43.29% standardized values, the eastern Chinese city 21.17%,Zhejiang city 25.8%, Gongshu district57.43% in 2008), 5%(4.72%standardized values, the eastern Chinese city 11.89%, Zhejiang city 13.5%, Gongshu districtl9.76%in 2008) and 51.82%(51.58% standardized values, the eastern Chinese city 32.93%, Zhejiang city 42.80%,Gongshu district72.91% in 2008) respectively. Shangcheng district overall health literacy and three aspects health literacy, compare with residents health literacy in 2008 China’s eastern city and zhejiang province city, in addition to a healthy lifestyle and behavior literacy, other residents literacy are higher than China’s eastern city and Zhejiang city residents literacy average, but are below 2008 health literacy of Gongshu district residents in Hangzhou.The influence factors of Health literacy of Shangcheng resident by single factor and multi-factor Logistic regression analysis, finded educational level on the health literacy of residents are significantly influences (P<0.05). Education, occupation and income of residents on average family to the influence of basic knowledge and ideas literacy are significantly (P<0.05). Age to basic skills literacy of residents have significant influences (.P<0.05).Hangzhou Shangcheng district resident awareness of basic health knowledge rate for 73.61%; health behavior formation rate for 61.90%; health skills master rate for 70.39%, higher than people’s awareness of basic health knowledge rate for 64.3%, health behaviour formation rate 57.7% and health skill mastery rate 60.4% of Foshan city of Guangdong province in 2009. Below basic health knowledge rate of Changchun city residents for 76.83%, healthy lifestyle and behavioral formation rate for 68.71%, health skill mastery rate for 74.22% in 2009.According to the current major health problems, epidemic prevention, health idea of science, chronic diseases prevention and safety emergency, basic medical and so on five class health problems related to health literacy status and influence factors were analyzed. Shangcheng district residents have the proportion of five types of health literacy from high to low, respectively, safety and emergency literacy 69.77% (standardized values67.60%, China’s eastern city26.08%. Zhejiang city 35.7% in 2008, Tianjin city 73.99% in 2009), the proportion of health idea of science 51.59% (standardized values 49.24%, China’s eastern city 35.36%, Zhejiang city 35.3% in 2008, Tianjin city76.98% in 2009), epidemic prevention literacy 35.45%(standardized values34.52%, China’s eastern city22.92%,Zhejiang city 27.7% in 2008, Tianjin city69.73% in 2009), chronic disease prevention literacy 25.00%(standardized values 24.56%, China’s eastern city 7.09%, Zhejiang city 8.81% in 2008,Tianjin city47.31% in 2009), basic medical literacy 21.14%(standardized values 19.85%, China’s eastern city 12.27%, Zhejiang city 16.60% in 2008, Tianjin city56.28% in 2009), are higher than five types health literacy level of China’s eastern city residents and city residents of zhejiang in 2008. But are below 2009 tianjin urban residents five category health literacy level. ConclusionsSurvey outcome indicates that the residents with adequate level of health literacy in Shangcheng district accounts for only 22.50% of the population.The health literacy level of residents is still low. As the overall health literacy of residents is determined by cultural influences, health knowledge and perceptions by educational level, profession and average family monthly income, level of basic health skills by ages, different target groups of people are taken with the benefit of various health education materials which vary in form, content, the way they are schemed and the difficulty level, thereby they become more popularized for people to accept and more practical to carry out, the health education and promoting mode which are notably more efficient are more focused on practical problems and are to be taken in a step-by-step form, solidifying and giving full play to the position and function of health-driving and the educational work in improving peoples health literacy., thereof the advocating of health policy is supposed to be widely applied, in the meantime the "government-led, department-cooperating, social-mobilizing form should be taken alongside with people to be educated to fit in with the atmosphere of health education and health promotion relying on platforms such as citizen health literacy promoting actions, schools of health promotion, enterprises of health, hospitals of health, healthy community activities, forming a structure of health based on schools, mines and other enterprises, hospitals, and community health service centers (stations) in order to put in practice the extensive integrated Assisting Health Related Activity to elevate residents’basic health knowledge and skills, and to promote residents health behaviors, with special focus on key groups of people and key health problems, to establish a scientific, accessible, feasible and effective advocating strategy and widely set up health education and health promotion measures, and explore the new approaches and methods to improve people’s health literacy by Making full use of TV, Internet, multimedia, SMS etc popular forms of mass media to effectively and further develop activities focused on public health in order to improve the health literacy of Shangcheng district residents.To ensure the effectiveness and sustainability of health promotion and education, health promotion and education intervention activities are supposed to be widely and continually carried out to steadily improve Shangcheng district residents’health literacy level.The lecture tours on health literacy should also be periodically held which are closely connected with the health literacy lecture tour team of Shangcheng district, to assess the effect of health literacy promoting action, a yearly resident health literacy monitoring action would be launched in the future in an effort to develop and release monitoring outcomes in time and to systematically master health literacy level of Shangcheng district residents, make great efforts on the institutionalization, regularity and glasnost of the residents health literacy monitoring work which allows people in this district to leran about more of knowledge on health literacy and the health literacy level based on the public information released giving full play to health promotion and health education.