Health Literacy Status And Its Relationship With Health Outcomes Among High Risk Population Of Stroke In Yanji

Objective:The aim of this study is to describe the status of health literacy and health outcomes among high risk population of stroke in Yanji; To investigate factors affecting the health literacy of high risk population of stroke and the impact of health literacy on health outcomes; To provide evidences for improving health literacy and promote health outcomes among high risk population of stroke.Methods:This study is a non-experimental study. We applied cluster convenient sampling method to select 330 stroke high risk humans of stroke in Yanji; conducted questionnaire method targeting health literacy, self-efficacy and quality of life; measured the blood pressure, height, weight, biochemical indicators including fasting blood glucose and lipid.Spssl7.0(Chinese version) was used to do the statistical analysis, using frequency and percentage to describe the general demographic characteristics of study objects; using mean, standard deviation and constituent ratio to describe health outcomes status including health literacy, self-efficacy, quality of life and so on; using one-way ANOVA analysis to clear the differences of objects’ health literacy in demographic characteristics; using single factor analysis of variance to test differences on health outcomes between the two groups when objects were at different levels of health literacy; using the Pearson correlation test to analysis the relevance of health literacy and health outcomes (self-efficacy, quality of life)among humans at high risk of stroke; using multiple linear regression analysis to find the linear relationship between health literacy and health outcomes.Results:(1)The average score of health literacy among high risk population of stroke was(167.51±34.80) points; Each dimension of health literacy scores from high to low were the ability of reading, comprehension and calculation; Of 330 people surveyed, approximately 17.6% had inadequate health literacy,28.5% had margin health literacy, while 53.9% had adequate health literacy. Age, gender, marital status, living status, occupation, education level and monthly income affected the health literacy in high risk population of stroke. (2)In the health outcomes among high risk population of stroke, the average self-efficacy score was (26.12± 7.28), lower than the international normal mode; the average score in Quality of life was(83.40± 11.54); in clinical relevant indicators, BM1 was(24.65±3.39),it was on the overweight state; the average glucose was(6.12 ± 1.50),it was slightly high; total cholesterol was(4.94 ± 1.00), triglycerides was(1.77±1.10), low-density lipoprotein was(3.00±0.75), high density lipoprotein was(1.40±0.34),they were within the normal range. There was a significant difference between self-efficacy and blood glucose in high risk population of stroke with different levels of health literacy, (P≤0.05, P≤0.01), no significant difference with other indicators (P>0.05). (3)Health literacy and self-efficacy scores were positively correlated (r=0.185,P≤0.01); Health literacy and scores in quality of life showed a significantly positive correlation (r=0.130, P≤0.05).Health literacy and blood glucose were significantly negatively correlated (r=-0.144, P≤0.01). (4)Health literacy in high risk population of stroke influenced their health outcomes and it was a factor influencing their self-efficacy, quality of life and blood glucose.With increased health literacy level, objects would get higher scores in self-efficacy, better quality of life and superior glucose control.Conclusions:(1)High risk people of stroke in Yanji had middle level of health literacy,their self-efficacy scores were lower than the international normal mode in health outcomes, the average score in Quality of life was(83.40±11.54). BMI belonged to the overweight status, blood glucose was high, and serum lipids were generally good. We recommend relevant departments in Yanji should actively develop and effectively carry out scientific health education intervention strategies and prevention or control measures to gradually improve people’s health literacy, self-efficacy and quality of life,decrease BMI and glycemic index in the mean time.(2)Age, gender, marital status, living status, occupation, smoking, alcohol consumption, education level and monthly income were associated with health literacy in high risk population of stroke.(3)Health literacy in high risk population of stroke was associated with self-efficacy, quality of life and blood glucose. Different levels of health literacy affected the self-efficacy, quality of life and blood sugar in high risk population of stroke.