Health Literacy Level Of Employees In Shihezi City And Influencing Factors

Objective:To understand the current status of health literacy of employees in Shihezi City,analyze the influencing factors of health literacy,describe the status of health-related behaviors and health status of employees with different characteristics,and discuss the relationship between health literacy and health-related behaviors of employees and health literacy and health status Provide scientific basis for health education,health promotion and targeted intervention of enterprise employees.Methods:Multi-stage stratified cluster sampling method is adopted.Surveyed employees in Shihezi City who had worked for more than one month from February to July 2019.Conduct a questionnaire survey on the social demographic characteristics,health literacy and health-related behaviors of enterprise employees,and obtain clinical medical examination data of employees over the same period.Epidata 3.0 software was used to input data,and SPSS 24.0 software was used for statistical analysis.Comparisons between groups were performed using t test,analysis of variance,and?~2 test.Logistic regression models were used to analyze the factors affecting health literacy,the relationship between health literacy and health-related behaviors,and the relationship between health literacy and health status.A total of 1264 questionnaires were distributed and 1,205 were recovered.The efficiency of the questionnaire was 95.33%.Results:(1)The health literacy score of employees in this survey was 42.12±10.86 points,with an availability rate of 19.25%.Among the three aspects,the healthy lifestyle and behavior literacy score was 18.98±4.78,the availability rate was 17.18%.The behavior literacy score was 11.86±3.76,with an availability rate of17.18%;the health skills literacy score was 10.66±3.34,with an availability rate of 32.37%;among the six dimensions,the infectious disease prevention literacy availability rate(11.87%)and the basic medical literacy availability rate(17.43%)and chronic disease prevention literacy availability rate(18.76%)was low.(2)Female employees have higher health literacy scores than male employees(P<0.001);Han employees have higher health literacy scores than minority employees(P<0.05);local household registration employees have higher health literacy scores than non-resident employees(P<0.001);Employees in the age group of 30~have the highest health literacy scores(P<0.001);Employees with college education/undergraduate degree or above have the highest health literacy scores(P<0.001);Employees have the highest health literacy scores(P<0.001);managers have the highest health literacy scores(P<0.01).Logistic regression analysis showed that the health literacy rate of female employees was1.907 times that of men(OR=1.907,95%CI:1.388~2.620);the health literacy rate of local registered employees was higher than that of non-residents(OR=0.627,95%CI:0.422~0.929);the per capita annual income and education level of the family are the influencing factors of health literacy(OR=1.244,95%CI:1.089~1.421;OR=2.209,95%CI:1.638~2.979).In addition,occupational nature also acts as an influencing factor of health literacy(P<0.01).The factors affecting health literacy in three aspects and six dimensions and the population distribution of scores were basically consistent with the overall health literacy.(3)The availability of healthy lifestyle and behavioral literacy is an influencing factor of smoking behavior(OR=1.613,95%CI:1.099~2.367);employees with healthy literacy,healthy lifestyle and behavioral literacy are more likely to drink in moderation(OR=1.531,95%CI:1.083~2.164;OR=1.654,95%CI:1.167~2.346);employees with health literacy,healthy lifestyle and behavior literacy,and health skills literacy are more likely to exercise regularly(OR=1.884,95%CI:1.348~2.632;OR=2.624,95%CI:1.828~3.766;OR=1.403,95%CI:1.070~1.839);employees with health literacy and three aspects of health literacy are more likely to have a balanced diet(OR=1.975,95%CI:1.271~3.072;OR=2.128,95%CI:1.421~3.186;OR=2.019,95%CI:1.294~3.150;OR=1.898,95%CI:1.352~2.665);have health literacy Situation,basic health knowledge and concept literacy,and health skills literacy are the influencing factors of employees'health knowledge(OR=2.285,95%CI:1.170~4.465;OR=1.864,95%CI:1.066~3.259;OR=1.833,95%CI:1.148~2.927).(4)Health literacy is an influencing factor of employee weight(OR=1.476,95%CI:1.073~2.031);employees with health literacy,basic knowledge and concept literacy are more likely to self-evaluate good health(OR=2.017,95%CI:1.275~3.191;OR=1.479,95%CI:1.001~2.183),there is no statistical correlation between the self-assessed health status and healthy lifestyle and behavioral literacy and health skills literacy(P=0.094,0.241,respectively).In addition,there is no statistical correlation between health literacy and health literacy and employee blood pressure(P=0.932,0.511,0.514,0.868,respectively).Conclusion:The health literacy availability rate of enterprise employees is higher than the health literacy level of Shihezi City residents in 2016,and it still needs to be further improved.Among the three aspects,the availability rate of healthy lifestyles and behavioral literacy is relatively low.low.Gender,age,household registration,education level,family annual income and occupational nature are the influencing factors of health literacy.There is a correlation between employee health-related behaviors and health literacy.Workers with health literacy have a higher percentage of normal weight and self-assessed health status.