Present Situation And Relevance Of Health Literacy,Physical Activity And Physique Of College Students Aged 17-19 In Guangxi

Objectives: To understand the status of health literacy,physical activity and physique of college students aged 17-19 in Guangxi,to analyze the influencing factors of health literacy and physical activity of this group,to explore the correlation between health literacy,physical activity and physique,and to provide a basis for improving the health literacy and health status of college students.Methods: Taking college students aged 17-19 in four colleges and universities in Guangxi as the research object,a stratified multi-stage random cluster sampling method was used,including 1466(52.1 %)in the first grade and 1348(47.9 %)in the second grade.The 2012 ’ Chinese Residents ’ Health Literacy Questionnaire ’ was used to investigate health literacy,and the ’ Adolescent Physical Activity Questionnaire PAQ-A ’ was used to investigate.The physical survey collected the physical measurement data of Guangxi Normal University and Guangxi Minzu University in the 2020-2021 academic year.Data analysis methods include X2 test,binary logistics regression analysis and F test.Results:(1)Health literacy status and influencing factors of college studentsThe overall health literacy level of adolescents aged 17-19 in Guangxi was46.27 %.Three aspects of health literacy from high to low : basic knowledge and concept literacy(68.98%),healthy lifestyle and behavior literacy(52.63%),basic skills literacy(44.35%).The six types of health literacy from high to low were : safety and first aid literacy(82.13%),chronic disease prevention literacy(81.06%),scientific health concept literacy(78%),infectious disease prevention literacy(56.82 %),health information literacy(55.51%),basic medical literacy(36.64%).Multivariate logistic regression results showed that female students(OR =1.577,95% CI : 1.315-1.891),medical major(OR = 1.689,95 % CI : 1.34-2.13),father’s occupation as medical staff(OR = 2.409,95% CI : 1.067-5.441),growing up in the city(OR = 1),and having health literacy learning experience(OR = 1.311,95 % CI :1.101-1.562)had higher health literacy level of college students(P < 0.05).Combined with the analysis of total health literacy,three aspects and six types of health literacy influencing factors,it is concluded that the influencing factors of college students ’health literacy are : gender,grade,major,family factors,health literacy learning experience.Among them,family factors are important factors affecting college students ’ health literacy,including father and mother ’s education level,father and mother ’s occupation,growth type,left-behind children experience.(2)Physical activity status and influencing factors of college studentsThe overall level of physical activity of 17-19-year-old college students in Guangxi is mainly concentrated in the level of moderate-intensity physical activity(54.79%),and the proportion of low-intensity physical activity(22.98%)and high-intensity physical activity(22.23%)is similar and relatively low.The results of multivariate logistic regression showed that the physical activity level of college students in grade 2(OR = 0.397,95% CI : 0.305-0.515),female students(OR = 0.506,95% CI : 0.370-0.692)and no health literacy learning experience(OR = 1)was lower(P < 0.05).The influencing factors of college students ’ physical activity level are grade,gender,major and health literacy learning experience.(3)The present situation of college students ’ physique and the influence of body shape on physiqueThe survey shows that the total score of college students ’ physical fitness measurement is 76.3% passing,17% good,0.5% excellent,and 6.2% failing.The proportion of college students with low BMI in Guangxi is relatively high(21.2 %).Body shape(BMI)is closely related to the total score of physical fitness measurement and various scores.The average score of physical fitness measurement of college students with normal BMI was the highest,followed by the average score from high to low were BMI underweight,overweight and obesity(P < 0.05).The physical measurement scores of girls were higher than those of boys,and the physical measurement scores of college students with health literacy learning experience were higher than those of college students without this experience(P < 0.05).(4)The correlation between health literacy,physical activity and physical fitness of college students.Basic knowledge and concept literacy,healthy lifestyle and behavior literacy,health skills literacy,health information literacy and chronic disease prevention literacy were positively correlated with physical activity intensity(P < 0.05).Improving the health literacy related to physical activity can help improve the enthusiasm of college students to participate in sports activities,and can increase the frequency,time and intensity of college students ’ exercise.The BMI index of college students with health literacy is higher than that of college students without health literacy in the normal range,and BMI index is an important influencing factor of college students ’ physique.High health literacy level can help universities maintain a healthy weight and play a positive role in promoting the physical health of college students.Conclusion:(1)The health literacy level of college students aged 17-19 in Guangxi is higher than that of national residents.In the three aspects of health literacy,the basic skills literacy level is the lowest,and in the six aspects of health literacy,the basic medical literacy level is the lowest.The main influencing factors are : gender,grade,major,family factors and health literacy learning experience.(2)The overall level of physical activity of college students aged 17-19 in Guangxi is mainly concentrated in the level of moderate-intensity physical activity,which is higher than that in many parts of the country.The main influencing factors were grade,gender,major,self-rated academic performance and health literacy learning experience.(3)The pass rate of physical fitness of college students aged 17-19 in Guangxi is76.3%.BMI index is an important factor affecting physical fitness measurement results.(4)Learning related health knowledge is an effective way to improve health literacy.The improvement of health literacy level can promote college students to participate in physical exercise,participate in physical exercise more,help to maintain normal BMI value,so as to achieve the purpose of improving physical health.There is a positive relationship of mutual promotion between health literacy,physical activity,and physique.