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Int. J. Environ. Res. Public Health 2017, 14(6), 628; doi:10.3390/ijerph14060628

Prevalence and Risk Factors of Low Health Literacy: A Community-Based Study in Shanghai, China

1,†
,
2,†
,
2
,
2
,
3
and
4,*
1
Postdoctoral Research Station of Medicine, School of Medicine, Tongji University, Shanghai 200092, China
2
Baoshan Center for Disease Control and Prevention of Shanghai, Baoshan 201900, China
3
Department of Clinic Medicine, Anhui Medical University, Hefei 230022, China
4
Department of Medical Statistics, School of Medicine, Tongji University, 1239 Siping Road, Yangpu District, Shanghai 200092, China
Ying Wu and Lu Wang contributed equally to this work.
*
Author to whom correspondence should be addressed.
Academic Editor: Sharon Lawn
Received: 24 April 2017 / Revised: 2 June 2017 / Accepted: 8 June 2017 / Published: 12 June 2017
(This article belongs to the Section Global Health)
View Full-Text   |   Download PDF [1991 KB, uploaded 12 June 2017]   |  

Abstract

Background: Health literacy is an increasingly important public health concern. However, little is known about the health literacy of general public in China. The aim of this study was to evaluate the prevalence of low health literacy and demographic associations in Shanghai, China. Methods: This study was a community-based cross-sectional health survey utilizing a multi-stage random sampling design. The sample consisted of 1360 individuals aged 15–69 years with the total community-dwelling Chinese as the sample frame. Health literacy was measured by a questionnaire developed on the basis of a national health literacy manual released by the Chinese Ministry of Health. Multiple logistic regression models were used to identify whether common socio-demographic features were associated with health literacy level. Results: The prevalence of low health literacy was 84.49% (95% CI, 82.56% to 86.41%). The prevalence of low health literacy was negatively associated with the level of education, occupation, and annual household income, but was not associated with gender, age, or the presence of non-communicable chronic disease. Conclusions: Simplifying health services, enhancing health education, and promoting interventions to improve health literacy in high-risk populations should be considered as part of the strategies in the making of health policy in China. View Full-Text
Keywords: health literacy; prevalence; health education; knowledge; China health literacy; prevalence; health education; knowledge; China
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MDPI and ACS Style

Wu, Y.; Wang, L.; Cai, Z.; Bao, L.; Ai, P.; Ai, Z. Prevalence and Risk Factors of Low Health Literacy: A Community-Based Study in Shanghai, China. Int. J. Environ. Res. Public Health 2017, 14, 628.

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