Comparaion on status and influencing factors of health literacy among residents in Hexi district,Tianjin city,2019 and 2021
Objective To know the status and population characteristics of residents'health literacy in Hexi district of Tianjin city in 2019 and 2021,so as to provide scientific basis for further formulating emergency policies and measures of health education.Methods The survey targets were non-collectively residing permanent residents in Hexi District,Tianjin city,and the multi-stage cluster random sampling method was employed in both 2019 and 2021.Using the national-ly standardized"National Residents'Health Literacy Monitoring Survey Questionnaire",the respondents who could cor-rectly answered 80％or more of the questions related to 3 aspects and 6 types of health issues were considered to possess health literacy.The data was analyzed by SPSS 22.0 statistical software,and multi-factor binary logistic regression was employed for the analysis of influencing factors.Results In 2019,902 people were surveyed,and in 2021,633 people were surveyed.In 2021,the health literacy level of residents in Hexi district in terms of healthy lifestyles and behaviors was higher than that in 2019(x2=9.806,P＜0.05).In 2021,the proportion of residents in Hexi district with health lit-eracy was higher than that in 2019,but the difference was not statistically significant(x2=3.253,P＞0.05).The level of health literacy in terms of commuaicble disease Control was higher for residents of Hexi district in 2021 than in 2019(x2=39.929,P＜0.001).In 2019,the level of health literacy varied among residents with different ages,educational levels,occupations,smoking status,and family incomes were different(x2=60.667,94.535,42.208,13.709,31.519,respectively,P＜0.05).In 2021,the level of health literacy varied among residents with different ages,educational levels,occupations,smoking status,chronic disease status,and family incomes were statistically significant different(x2=45.038,51.837,44.295,8.46,10.114,27.6,respectively,P＜0.05).The influencing factors of residents'health literacy levels in 2019 and 2021 were highly consistent,mainly manifested as high educational levels,high family incomes,and young age being protective factors for residents'health literacy levels(2019:OR=1.955,1.381,0.881,respectively,P＜0.05;2021:OR=1.619,1.037,0.814,respectively,P＜0.05).The resi-dents with the higher educational level,the more family income,and the younger age,had the higher level of health litera-cy.Conclusion The overall level of health literacy among residents in Hexi district,Tianjin city were relatively higher,and factors such as education level,family income,and age influenced their level of health literacy.
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