Health literacy and its effect on chronic disease prevention: evidence from China’s data

Liu, Lefan; Qian, Xujun; Chen, Zhuo; He, Tianfeng

doi:10.1186/s12889-020-08804-4

Cited by 95 publications

(101 citation statements)

References 19 publications

(43 reference statements)

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“…Among the participants, those with lower health literacy levels were more likely to be male, older, poorer, less educated, and suffering from chronic diseases. This is consistent with the research results of Liu L [1] , Verney SP [9] , S rensen K [25] and other scholars.…”

Section: Discussionsupporting

confidence: 92%

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Study on the Status of Health Literacy and its Relationship with Chronic Diseases in Poor Areas

Chen

Shi

Yang

et al. 2020

Preprint

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Aims We conducted an epidemiological survey of health literacy and chronic diseases among people in poverty-stricken areas in China to understand the current status of health literacy among poor individuals and the epidemic characteristics of chronic diseases. Methods In June 2018, multistage stratified random sampling was used to conduct a face-to-face questionnaire survey of 1,700 residents (response rate: 97.71%) in 7 national-level poverty-stricken counties in Henan Province, China. The questionnaire assessed social demographics, health literacy, health-related behaviours, and the status of chronic diseases (such as diabetes, hypertension, and heart disease). Structural equation models were used to examine the relationships among health literacy, health-related behaviours, and chronic diseases. Statistical analysis was performed using IBM SPSS Statistics 21.0 and Mplus 7.0. Results There were 69 people with sufficient health literacy in poverty-stricken areas, accounting for 4.15% of the total sample, with an average score of 31.95 ± 11.81 points. Individuals who were male, older, poorer, less educated and suffering from chronic diseases were less likely to have sufficient health literacy. A total of 574 patients had chronic diseases, accounting for 34.56% of the total sample. The health literacy score was related to the number of chronic diseases (β = 0.041, 95% confidence interval [CI]: 0.033 ~ 0.049), while health literacy and health-related behaviour were indirectly related (β = -0.002, 95% CI: -0.003~ -0.001). Health-related behaviours mediated the relationship between health literacy and the number of chronic diseases. Conclusions It is possible to further increase the health literacy level of residents in poverty-stricken areas by increasing the promotion of health literacy knowledge and avoiding unhealthy behaviours, thereby reducing the incidence of chronic diseases and improving their health status.

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Section: Discussionsupporting

confidence: 92%

“…1 Background "Health literacy", proposed in 1974, is playing an increasingly important role in the eld of public health [1] .…”

Section: Resultsmentioning

confidence: 99%

Study on the Status of Health Literacy and its Relationship with Chronic Diseases in Poor Areas

Chen

Shi

Yang

et al. 2020

Preprint

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“…Our data come from a sub-sample of the National Health Literacy Surveillance (NHLS) conducted in Ningbo, in 2018 and 2019 (see [ 13 ], for an overview on NHLS). Ningbo, located in the Yangtze River Delta in South China, was ranked the world’s fourth-largest port city in 2013 [ 14 ], and it is an important commercial and financial centre in South China.…”

Section: Methodsmentioning

confidence: 99%

“…We used a stratified, multi-stage probability proportional to population size (PPS) sampling frame. For details, please refer to our earlier publication in [ 13 ]. We pooled the observations from the 2018 survey (covering 10 counties, 43 streets, 242 villages/communities involving 6581 individuals) and 2019 survey (covering 10 counties, 45 streets, 124 villages/communities involving 6340 individuals), and obtained a total sample of 12,921 respondents.…”

Section: Methodsmentioning

confidence: 99%

Health Knowledge about Smoking, Role of Doctors, and Self-Perceived Health: A Cross-Sectional Study on Smokers’ Intentions to Quit

Liu

Huang

et al. 2021

IJERPH

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Limited empirical work has been done to compare the effects that health knowledge and advice from doctors have on smokers’ intentions to quit. This paper examines the association of smokers’ intentions to quit with health knowledge, advice from doctors, and self-perceived health. A sample of 2509 smokers aged 15–69 years old in Ningbo was used from China’s National Health Literacy Surveillance survey, conducted in 2018 and 2019. Respondents were asked whether they agree smoking causes stroke, heart attack, lung cancer; and heart diseases in adults, lung illnesses in children, and lung cancer in adults, by secondhand smoke, respectively. Using the logistic model, we found that knowing that smoking causes stroke and lung cancer more than doubles the odds of one’s intention to quit (OR = 2.705, p < 0.01), the effect of which is much greater than knowing that smoking causes lung cancer only (OR = 1.795, p < 0.01). Doctors’ advice to quit is more important than health knowledge, in terms of predicting smokers’ past cessation behaviours. In addition, smokers’ self-perceived health is negatively associated with their decisions to quit. This paper highlights that more resources should be directed towards training health care providers to advise smokers to quit, which might be more effective than health education alone.

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“…For example, a study from China found that the fatality rate of men with the virus was approximately 65% higher than that of women [ 21 ]. Although there are uncertain explanations for this pattern as the earlier work suggests that cardiovascular disease rate (i.e., high blood pressure), and unhealthy or unsafe habits (i.e., smoking) among men is higher than women [ 22 ], - immune response is also different in the two genders [ 21 ]. Males also tend to suffer from the SARS disease more seriously than women, which may partially explain disparities in gendered use of tobacco [ 23 ].…”

Section: Gender and Pandemicsmentioning

confidence: 99%

COVID-19 risk perception and coping mechanisms: Does gender make a difference?

Rana

Bhatti

Aslam

et al. 2021

International Journal of Disaster Risk Reduction

137

101

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The novel coronavirus disease (COVID-19) emerged as a real threat to humans, drastically disrupting everyday life in 2020–21. Although the pandemic affected people from all walks of life, irrespective of age or gender, the way the risk is perceived varies from one person to another. The pandemic risk reduction strategies can only be effective if individuals and communities respond positively to them, and for that, it is important to understand how the risk is perceived and responded to, differently by different groups of people. Gender plays a vital role in shaping risk perceptions and coping strategies, reflecting the predisposition of the public to accept health interventions and take precautionary measures. This study aims to understand the gender differences in COVID-19 risk perception and coping mechanisms – Pakistan is selected as a case study area. Following on from designing the questionnaire, which included 40 indicators grouped into domains (four risk perception and three coping mechanisms domains), an online survey was conducted, and a sample of 389 respondents was collected (248 male and 141 female). An index-based approach was used to quantify risk perception and its domains (fear, behaviour, awareness, and trust), and likewise coping mechanisms and their domains (problem, emotion, and action). Statistical tests were employed to ascertain the differences among both genders, whereas regression modelling was used to measure the effect of gender on overall risk perception and coping mechanisms. Results reveal that perceived fear and trust varied significantly between Pakistani men and women, while coping mechanisms were also notably different between the two genders. Females were found to perceive risks higher, complied more with the government's guidelines, and coped better than males in response to COVID-19. These findings imply that the gender aspect must be incorporated in designing effective communication and risk reduction strategies to efficiently address the current and potential future pandemic situations.

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Health literacy and its effect on chronic disease prevention: evidence from China’s data

Cited by 95 publications

References 19 publications

Study on the Status of Health Literacy and its Relationship with Chronic Diseases in Poor Areas

Study on the Status of Health Literacy and its Relationship with Chronic Diseases in Poor Areas

Health Knowledge about Smoking, Role of Doctors, and Self-Perceived Health: A Cross-Sectional Study on Smokers’ Intentions to Quit

COVID-19 risk perception and coping mechanisms: Does gender make a difference?

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