Analysis of infectious disease prevention and control literacy and its influencing factors among residents aged 15-69 years in Wuhan City from 2019 to 2021
Objective To analyze the changes and influencing factors of infectious disease prevention and control literacy among permanent residents aged 15-69 in Wuhan from 2019 to 2021,and to provide a theoretical basis for formulating health policies and interventions.Methods A multi-stage random sampling method was used to investigate permanent residents aged 15-69 in Wuhan City.The National Health Literacy Monitoring Survey Questionnaire for Residents developed by the Chinese Health Education Center was used,and face-to-face interviews were conducted at the participants'homes.A logistic regression model with complex sampling design was used to analyze the influencing factors of infectious disease prevention and control literacy.Results The number of residents surveyed in Wuhan City aged 15-69 in 2019,2020,and 2021 were 2 544,2 295,and 3 088,respectively.The level of infectious disease prevention and control literacy of 15-69-year-old residents in Wuhan City was 19.83％(95％CI:12.92％-26.74％),39.93％(95％CI:31.61％-48.25％),and 39.43％(95％CI:28.14％-50.71％),respectively,showing an increasing trend year by year,and the difference was statistically significant(Z=848.04,P＜0.01).The results of multivariate logistic regression analysis showed that the age group of 30-45 years had a higher likelihood of possessing infectious disease prevention and control literacy compared to the age group of 15-30 years(OR=1.15,95％CI:1.01-1.30).Participants with a college degree or above had a higher likelihood of possessing infectious disease prevention and control literacy compared to those with high school or below(OR=1.70,95％CI:1.07-2.71).Participants without chronic diseases had a higher likelihood of possessing infectious disease prevention and control literacy compared to those with chronic diseases(OR=1.30,95％CI:1.06-1.58);and participants in medical(OR=3.95,95％CI:1.86-8.39)and public service/teaching/other professional positions(OR=2.28,95％CI:1.33-3.91)had a higher likelihood of possessing infectious disease prevention and control literacy compared to farmers/workers.Conclusions From 2019 to 2021,the level of infectious disease prevention and control literacy of residents in Wuhan City showed an overall upward trend.The main influencing factors were age,education level,occupation,and chronic disease status.Targeted health education promotion measures should be taken according to the characteristics of infectious disease prevention and control literacy in different populations.
Health literacyPrevention and control of infectious diseasesAwareness rate
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