Health literacy level and its influencing factors among Uyghur residents in Kashgar in 2021
Objective To investigate the health literacy level of Uyghur residents in Kashgar and its influencing factors,so as to provide scientific evidence for targeted health education measures.Methods From September to November 2021,5 172 Uyghur residents in Kashgar were recruited using multi-stage stratified random sampling method,and surveyed using the national Health Literacy Monitoring Questionnaire.Results The health literacy level of Uyghur residents in Kashgar was 4.33％,in which the literacy levels in the dimensions of basic knowledge and concept,healthy lifestyle and behavior,and health skills were 10.63％,6.75％,and 3.83％,respectively.The literacy levels of six types of health-related topics,in descending order,were 19.68％for scientific health concept,13.38％for safety and first aid,12.01％for health information,11.68％for infectious disease prevention and treatment,10.94％for basic medical literacy,and 9.40％for chronic disease prevention and treatment.Multivariable logistic regression analysis showed that the health literacy level was higher in urban areas than that in rural areas(OR=1.65,95％CI:1.11-2.45),lower in married people(OR=0.86,95％CI:0.55-1.35)but higher in separated/divorced/widowed people(OR=1.73,95％CI:0.90-3.32)compared with unmarried people;higher in people with junior high school(OR=1.83,95％CI:1.27-2.65),senior high school(OR=1.83,95％CI:1.09-3.09),college/bachelor degree or above(OR=2.95,95％CI:1.60-5.44)compared with those with primary school education or below,increasing with the education level;and higher in medical professionals compared with civil servants(OR=8.01,95％CI:1.01-63.78).Conclusions Uyghur residents in Kashgar had a low health literacy level.Health education and health promotion should therefore be strengthened in this area,especially for farmers,people with low educational level and other key groups.It is also necessary to improve the accessibility of health education,thereby continuously elevating the health literacy level of local residents.
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