Investigation of Health Literacy Status in Beijing, China

Abstract

Background: The Chinese government uses health literacy as an evaluation to estimate population health status in national strategic planning. A health literacy survey system for the city of Beijing, China was established in 2012 with triennial surveys to obtain representative data for the whole city. Objective: The objective of this study was to examine results of the 2015 Beijing Health Literacy Survey and to identify population subgroups that may warrant intervention due to high risk for not having adequate health literacy. Methods: This was a cross-sectional study in which participants were selected by multistage stratified cluster sampling. The information was collected in 2015 in face-to-face interviews on the Chinese Citizen Health Literacy Questionnaire. A total of 12,876 interviews were included in the final analyses. Weighting was conducted in all statistical analyses to obtain representative estimates, and multiple logistic regression was applied to examine the independent influencing factors on health literacy level (adequate/inadequate). Key Results: Overall, 28% of participants had adequate health literacy. Urban residents had a higher proportion of participants with adequate health literacy compared to rural residents (29.5% vs. 19%, p < .01). Women (29.7%) had a higher proportion of participants with adequate health literacy compared to men (29.7% vs. 26.4%, p < .01). The proportion of participants with adequate health literacy was significantly different among age groups (χ 2 = 332.9, p < .01). Residents age 25 to 34 years had the highest rate of adequate health literacy (33.9%). The proportion of participants with adequate health literacy increased as participants obtained more education (χ 2 = 818.4, p < .01). Residents in households with higher income had a higher rate of adequate health literacy (χ 2 = 462.4, p < .01). Gender, age, education, and household income were independently associated with the level of health literacy. Conclusions: Substantial variation exists in health literacy level among age groups, gender groups, and education groups. Taking these disparities into account is important when developing health policies and allocating resources. [HLRP: Health Literacy Research and Practice. 2020;4(3):e174-e184.] Plain Language Summary: The results of this investigation revealed the health literacy status of residents in Beijing, China, and the high-risk population that may be more likely to have low health literacy. Targeted health education interventions may be helpful to improve health literacy.

Family-based improvement for health literacy among the Yi nationality (FAMILY) in Liangshan: protocol of an open cohort stepped wedge cluster randomized controlled trial

“…Organize experts to prepare health literacy knowledge brochures and make operating manuals and activity calendars with reference to the 66 Articles of Health Literacy for Chinese Citizens [ 31 , 32 ]. The experts include the experts of health education and NCDs prevention and control from Sichuan University, the experts from Sichuan Center for Disease Control and Prevention (CDC), the head of Health Education Institute and the hard-core of Chronic Infectious Disease Prevention and Control Institute in Liangshan CDC, the director of Health Committee of Liangshan, an expert in the Communication and Health Promotion Department and an expert in Disease Prevention and Control Department in Health Committee of Liangshan, the directors and deputy directors of Meigu CDC and Yanyuan CDC, and an expert from Xichang Community Health Service Center.…”

“…Step 0. Project preparation Organize experts to prepare health literacy knowledge brochures and make operating manuals and activity calendars with reference to the 66 Articles of Health Literacy for Chinese Citizens [31,32] The above experts are organized to establish an advisory committee to provide supports including health knowledge, health skills, information technology, and financial to each family branch sponsor, etc.…”

Hubungan Demografi Dan Penerapan Protokol Covid-19 Dengan Literasi Kesehatan Di Kelurahan Silaberanti Kota Palembang

“…Hal ini dapat mempengaruhi tingkat kemampuan dalam mengakses, memahami, menilai dan mengaplikasi informasi kesehatan. Lebih lanjut (Nurjanah and Rachmani, 2015;Nutbeam, 2017;Rachmani et al, 2019) menjelaskan informasi dan pendidikan kesehatan dari penyedia layanan kesehatan sebagai media sebagai alat penyebaran informasi kesehatan menjadi akses Mengubah perilaku di masyarakat dapat dilakukan dengan literasi kesehatan (Sorensen et al, 2012;Sorensen and Brand, 2013;Oo et al, 2015;Okan et al, 2019;Shi et al, 2020), sehingga literasi kesehatan merupakan variabel penting untuk memberdayakan kesehatan pada individu khususnya dan masyarakat umumnya. Literasi kesehatan telah diakui sebagai salah satu faktor dari variabel kesehatan dan menjadi salah satu tujuan pembangunan kesehatan masyarakat (Nutbeam, 2017;Okan et al, 2019;.…”

Multidimensional health literacy profiles and health-related behaviors in the elderly: A cross-sectional survey

“…Many studies in China have shown that the influencing factors for low health literacy include gender, age, education background, income, occupation, etc. [ [11] , [12] , [13] ]. Some studies focused on the positive influence of health literacy on health-related behaviors [ 14 ].…”