| Background:Health literacy represent a comprehensive capacity of accessing,understanding and processing basic health information and service,and making appropriate health care decisions based on these information and services to maintain and promote own health.The WHO have attached great importance to the role of health literacy in health promotion and seen it as a new way and new strategies for health education and health promotion.In 2010,the Hubei provincial government launched the "Healthy Hubei" action on the basis of the "Healthy City" program."Fostering Basic Healthy Behavior" is one of the main tasks of the project and"National Health Literacy Promotion Action" was one of the activities.In 2015,our team was commissioned to carry out the final evaluation of the project,health literacy research is an important part of this assessment.Objectives:The aim of this study is to find out the level of health literacy of Hubei residents and the two dimension of sub-level(healthy knowledge and healthy behavior)at present,under the background of "Health Hubei" action.At the same time,to find out the key objects and weaknesses,and to provide references so as to improve the health literacy level of the residents in the later stage for the project of"Healthy Hubei".Research methods:6 communities were sampled by stratified cluster sampling method in Hubei province,including 2 demonstration communities and 4 non-demonstration communities.The residents of 15-69 years old in the community were surveyed on the final evaluation of "Healthy Hubei" by questionnaire.The health literacy level of the residents was analyzed from the two dimensions(health knowledge and health behavior),and the main influencing factors of health literacy were analyzed by logistics regression.Research results:Among the 2134 subjects,the health literacy level was 46.76%,the awareness rate of health knowledge was 73.78%,and formation the rate of health behaviors was 50.86%.The lowest awareness rate of health knowledge was about the choice of injections and medication(70.79%).The lowest formation rate of health behaviors was about physical exercise(55.72%).The influencing factors of health knowledge include geographical position,community,family resident population,age,ethnicity,marital status,political appearance,education and occupation.The influencing factors of health behavior include geographical position,community,family monthly income,age,political status,educational and occupation;geographical position,family monthly income,ethnicity,political status,education and occupation are the comprehensive factors of health literacy.The health literacy of residents in the middle(OR = 0.516)was lower than that of in the east,the control group.The health literacy of the residents with monthly per capita income of 1000-yuan(OR = 2.030)and 2000-yuan(OR = 1.971)was higher than that of the reference group,the monthly per capita income of which was<500 yuan(OR =1.733);the health literacy of ethnic minorities(OR=2.069)was higher than that of the Han people;The health literacy of residents with the Communist Youth League(OR= 1.733)or Communist Party(OR=1.676)political status was higher than that of the reference group,the political status of which was masses;the education level of the people with junior(OR = 1.733)or senior level(OR=1.873)had higher health literacy than that of the control group(OR = 0.442),education of which was illiteracy.The health literacy of farmers(OR=0.442),Service workers(OR=0.584),laid-off workers(OR = 0.537)was lower than that of institutions and enterprises.Conclusion:Health literacy of residents in Hubei is at a high level but the formation rate of health behavior is lower than the awareness of health knowledge,so more attention should be paid to cultivate health behavior.Geographical position,family monthly income,ethnicity,political status,education and occupation are the comprehensive factors of health literacy;Scientific medical treatment,rational use of drugs and physical examination are the focus field of health intervention;There were differences in the level of health literacy among different region,rural areas,low-income and low education level are key groups of intervention. |
