CURRENT STATUS AND INFLUENCING FACTORS OF HEALTH LITERACY AMONG RURAL RESIDENTS IN CHINA--A CROSS-SECTIONAL SURVEY
Volume 6, Issue 7, Pp 39-46, 2024
DOI: https://doi.org/10.61784/ejst3054
Author(s)
YuZhao Wang1, YuMin Dou2, PanPan Zhang2, ShouYing Wang2*
Affiliation(s)
1Wentworth Graduate College, University of York, York YO10 5DD, UK.
2Xinxiang Medical University, Xinxiang 453003, Henan, China.
Corresponding Author
ShouYing Wang
ABSTRACT
Objective: Research on the health literacy level of rural residents and its influencing factors can help to improve the health level of rural residents, but also promote the development of rural medical and health care, and provide decision-making references for relevant departments to formulate policies.
Method: The health literacy situation of rural residents in Fengqiu County was investigated by questionnaire star using the Chinese Residents' Health Literacy Questionnaire, and this study is a cross-sectional survey.
Results: The overall health literacy level of rural residents in Fengqiu County, Xinxiang City, Henan Province, was 24.17% in 2024. Those with basic knowledge and conceptual ability accounted for 23.54%, those with lifestyle and behavioral ability accounted for 24.75%, and those with health skills accounted for 18.33%. The knowledge and ability of rural residents in Fengqiu County in six categories of health issues, scientific health concepts accounted for 29.20%, infectious disease prevention, and treatment accounted for 18.25%, chronic disease prevention and treatment accounted for 4.23%, safety, and first aid accounted for 30.17%, basic medical care accounted for 20.19%, and health information accounted for 19.55%, which are all lower than the national level.
Among the 1233 respondents, 200 males had health literacy skills with a health literacy level of 67.23%, and 98 females had health literacy skills with a health literacy level of 32.77%, with a statistically significant difference in health literacy levels between the sexes (χ2=18.73, P<0.0001). The health literacy level of rural residents under the age of 18 years was the lowest at 12. 96% and the highest in the 18-25 age group was 62.18%, with a statistically significant difference in health literacy levels between different age groups (χ2=34.39, P<0.0001). and the highest in the 18-25 age group was 62.18%, with a statistically significant difference in health literacy levels of rural residents between different age groups (χ2=34.39, P<0.0001). Rural residents with primary school education or less, 385 people, accounting for 31.26%, had the lowest health literacy level, 3.67%, and the difference between different education levels was statistically significant (χ2=284.1, P<0.0001), as the education level increases, the health literacy level of rural residents also increases. Occupation affects the health literacy level, farmers have the lowest health literacy level, 12.11%, and the difference in health literacy level between different occupations is statistically significant (χ2=61.30, P<0.0001).
Conclusion: The overall health literacy level of rural residents in Fengqiu County, as well as the results in the three aspects of basic health literacy knowledge and concepts, lifestyle and behavior, and health skills, and the six types of health literacy questions, were lower than the national level. Gender, age, education level, and occupation can affect the health literacy level of rural residents, and relevant departments should take strong measures to promote the improvement of the health literacy level of rural residents.
KEYWORDS
Rural residents; Health literacy; Influencing factors; Education level; Occupation
CITE THIS PAPER
YuZhao Wang, YuMin Dou, PanPan Zhang, ShouYing Wang. Current status and influencing factors of health literacy among rural residents in China--a cross-sectional survey. Eurasia Journal of Science and Technology. 2024, 6(7): 39-38. DOI: https://doi.org/10.61784/ejst3054.
REFERENCES
[1] Chen J, Chen S, Landry P F. Migration, environmental hazards, and health outcomes in China. Social science & medicine, 2013, 80: 85-95.
[2] Wang L, Wang Z, Ma Q, et al. The development and reform of public health in China from 1949 to 2019. Globalization and health, 2019, 15: 1-21.
[3] Chen J, Chen S, Landry P F. Migration, environmental hazards, and health outcomes in China. Social science & medicine, 2013, 80: 85-95.
[4] Liu Y B, Liu L, Li Y F, et al. Relationship between health literacy, health-related behaviors and health status: a survey of elderly Chinese. International journal of environmental research and public health, 2015, 12(8): 9714-9725.
[5] Chen W, Ren H, Wang N, et al. The relationship between socioeconomic position and health literacy among urban and rural adults in regional China. BMC Public Health, 2021, 21: 1-10.
[6] Wang W, Zhang Y, Lin B, et al. The Urban-Rural Disparity in the Status and Risk Factors of Health Literacy: A Cross-Sectional Survey in Central China. International Journal of Environmental Research and Public Health, 2020, 17(11): 3848.
[7] Long Y, Jia C, Luo X, et al. The Impact of Higher Education on Health Literacy: A Comparative Study between Urban and Rural China. Sustainability, 2022, 14(19): 12142.
[8] Health China Action Promotion Committee. Healthy China initiative (2019–2030), 2019. http://www.gov.cn/xinwen/2019-07/15/content_5409694.htm.
[9] Li Y H, Wu J, Li C N. Research and practice of health literacy in China. Capital Public Health, 2023, 17(2): 65-70.
[10] Leak C, Goggins K, Schildcrout J S, et al. Effect of health literacy on research follow-up. Journal of health communication, 2015, 20(sup2): 83-91
[11] McDonald M, Shenkman L. Health literacy and health outcomes of adults in the United States: Implications for providers, 2018.
[12] Keller D L, Wright J, Pace H A. Impact of health literacy on health outcomes in ambulatory care patients: a systematic review. Annals of Pharmacotherapy, 2008, 42(9): 1272-1281.
[13] Baker D W. The meaning and the measure of health literacy. Journal of general internal medicine, 2006, 21: 878-883.
[14] Berkman N D, Sheridan S L, Donahue K E, et al. Low health literacy and health outcomes: an updated systematic review. Annals of internal medicine, 2011, 155(2): 97-107.
[15] Schillinger D, Grumbach K, Piette J, et al. Association of Health Literacy With Diabetes Outcomes. JAMA, 2002, 288(4):475–482.
[16] Du S, Zhou Y, Fu C, et al. Health literacy and health outcomes in hypertension: an integrative review. International journal of nursing sciences, 2018, 5(3): 301-309.
[17] Xia YJ, Xu D, Xie J, et al. Survey on health literacy status of rural residents in Anhui Province in 2022. Health Education and Health Promotion, 2023, 18(05): 449-453.
[18] LIU W, Leng Y, WANG L, et al. Analysis of health literacy level and influencing factors of rural residents in Shandong Province. Journal of Community Medicine, 2023, 21(14): 707-712.
[19] Yan XT, Xu Y, Yao DM, et al. Analysis of health literacy among rural residents in Zhejiang Province, 2016-2021. Preventive Medicine, 2022, 34(10): 1053-1058.
[20] WANG Y, YAN W, SHANG T, et al. Problems and coping strategies of rural grassroots health education in Henan Province. China Adult Education, 2022(12): 48-51.
[21] Li M, Niu D, Lv BY, et al. A study on health literacy survey and influencing factors of low-income people in rural Henan Province. Chinese Family Medicine, 2021, 19(05): 860-862+879.
[22] NHSC press conference reported by Bai Jianfeng. Health literacy level of national residents steadily improving. People's Daily, 2024-04-25. https://www.toutiao.com/article/7361605475730948658/?upstream_biz=doubao&source=m_redirect.
[23] Strasser R, Kam S M, Regalado S M. Rural health care access and policy in developing countries. Annual review of public health, 2016, 37(1): 395-412.
[24] Shao Y, Wang T. A study on equity of human capital investment in education. In 2018 7th International Conference on Industrial Technology and Management (ICITM). IEEE, 2018: 404-410.
[25] Zhu CY, Zhu XJ, Yang M. Problems and countermeasures of community health service centers. Journal of Community Medicine, 2004, 2(6): 51-51.
[26] Xu W, Pan Z, Li Z, et al. Job burnout among primary healthcare workers in rural China: a multilevel analysis. International journal of environmental research and public health, 2020, 17(3): 727.
[27] Zhou F, Deng H. Creation or disruption? Doubts from the internet applications in China's rural sector. Journal of Innovation & Knowledge, 2023, 8(4), 100450.
[28] Wang W, Zhang Y, Lin B, et al. The urban-rural disparity in the status and risk factors of health literacy: a cross-sectional survey in central China. International Journal of Environmental Research and Public Health, 2020, 17(11), 3848.
[29] Long Y, Jia C, Luo X, et al. The impact of higher education on health literacy: a comparative study between urban and rural China. Sustainability, 2022, 14(19): 12142.
[30] Zhao Y, Sheng Y, Zhou J, et al. Influencing factors of residents’ environmental health literacy in Shaanxi province, China: a cross-sectional study. BMC Public Health, 2022, 22(1): 114.
[31] Mei X, Zhong Q, Chen G, et al. Exploring health literacy in Wuhan, China: a cross-sectional analysis. BMC Public Health, 2020, 20: 1-9.
[32] Li C, Guo Y. The effect of socio-economic status on health information literacy among urban older adults: evidence from Western China. International journal of environmental research and public health, 2021, 18(7): 3501.