Changes in health literacy about chronic disease prevention and treatment and their influencing factors among residents in Wuhan City,2019-2021
Objective To understand the changes and influencing factors of health literacy about chronic disease prevention and treatment among residents in Wuhan City from 2019 to 2021.Methods A multi-stage random sampling method was used to select 2,880,2,520 and 3,120 permanent residents aged 15-69 years in Wuhan City in September-December of each year during 2019-2021 for the face-to-face questionnaire survey.All data analysis was based on a complex sampling design.The differences in the level of heath literacy about chronic disease prevention and treatment were compared using chi-square tests.The Cochran-Armitage trend test was employed to analyze the trend of changes in the level of heath literacy about chronic disease prevention and treatment.Logistic regression analysis was performed to identify the factors influencing the level of heath literacy about chronic disease prevention and treatment.Results The levels of heath literacy about chronic disease prevention and treatment among the residents aged 15-69 years in Wuhan City in 2019,2020 and 2021 were 37.15％(95％CI:26.78-47.53),32.67％(95％CI:25.10-40.23)and 37.48％(95％CI:32.45-42.51)respectively,showing a slow upward trend,and the differences were statistically significant(Z=13.836,P＜0.001).The results of multivariate logistic regression analysis revealed that participants with education levels of junior/senior high school,junior college and above in 2021 were 1.499 times(95％CI:1.129-1.990,P=0.005)and 3.326 times(95％CI:1.745-6.340,P＜0.001)more likely to have heath literacy about chronic disease prevention and treatment than those with education level of primary school and below.Participants with 3-4 family members were 1.412 times(95％CI:1.040-1.915,P=0.027)more likely to have heath literacy about chronic disease prevention and treatment than those with 1-2 family members.In 2020,participants with an annual family income of≥100,000 yuan were 1.703 times(95％CI:1.127-2.573,P=0.012)more likely to have heath literacy about chronic disease prevention and treatment than those with an annual family income of＜50,000 yuan.Conclusion The level of health literacy about chronic disease prevention and treatment among the residents in Wuhan City in 2019-2021 showed an overall slow upward trend.Educational background,annual family income and the number of family members are the main influencing factors.
health literacychronic disease prevention and treatmentinfluencing factor
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