| Background:low health literacy is often associated with poor health outcomes such as the low level of self-efficacy,increased mortality,poor health and lower quality of life.In this study health literacy(HL)and quality of life(QOL)were investigated among the college students of 3 universities in Nanjing and 18 universities in Jiangsu province.We constructed the individual factors model of HL and QOL,and evaluated the relationship between HL and QOL combining with systematic review and meta-analysis in order to improve college students’health literacy level,and provide a basis to modify their quality of life.Method:(1)5,706 freshmen and juniors from three universities in Nanjing in 2017were the research objects.The stratified cluster random sampling method was adopted to conduct a face-to-face questionnaire survey on some college students in Nanjing by using the health literacy questionnaire and EQ-5D scale questionnaire.SPSS software was used to analyze information of HL and QOL with descriptive analysis and univariate analysis,and multivariate analysis for college students’health literacy level and incidence of depression,as well as correlation analysis of HL and QOL.(2)5,706 college students from three universities in Nanjing in 2017 were the research objects.Amos software was used to construct a structural model to analyze the influencing factors of HL and QOL among college students,and set up the best path through the critical ratio and Modification Index.(3)61977 college students from 18schools in Jiangsu province in 2018 were selected to study the correlation between HL and QOL from the contest on health literacy.SPSS software was used to analyze descriptive analysis and correlation analysis of HL and QOL.Results:(1)The level of college health literacy in Nanjing was 38.06%.The mean value of EQ-5D was 0.92±0.11.The univariate analysis showed that female,senior,medicine and the higher education level of mothers was correlated with the higher health literacy level of college students(P<0.05),but male,junior and arts and sciences were associated with higher quality of life of college students(P<0.05).Multivariate analysis showed that subjects,grades,schools,mother’s education level,learning status and monthly consumption had impact on health literacy of college students.Also,grades,gender,schools and health status had impact on incidence of anxiety and depression among the college students.The correlation coefficient between HL and QOL was 0.042(0.040 and 0.046 for medical students and non-medical students,respectively).(2)The modified model conforms to the evaluation criteria(X~2=13.423,P=0.098).Path analysis results showed that health status(0.070),subjects(0.054),maternal education level(0.031),health-related behaviors(0.066)and health-information-related ability(0.108)had direct impact on college students’health literacy.Meanwhile,the overall effect on college students’life quality ranked from strong to weak as follows:health status(-0.270)>health-related behavior(0.233)>health-information-related ability(0.124)>monthly consumption(-0.039)>maternal education level(0.031)>subjects(-0.008).(3)The level of college health literacy in Jiangsu province was 33.55%,and the average score of health literacy was 74.88±9.26.The life quality of college students in Jiangsu province was 0.96,and the incidence of anxiety and depression was 15.26%.In addition,the highest mean scores of health literacy in a university was 86.17±6.94,and lowest was 66.69±11.05.Multivariate analysis showed that subjects、grades、school and answering time had impact on health literacy of college students.Also,the correlation coefficient of HL and QOL was 0.112,and the correlation coefficient of HL and anxiety and depression was-0.066.Conclusions:College students have a higher level of health literacy,the incidence of anxiety and depression was high in Jiangsu province,and there is a weak positive correlation between health literacy and quality of life. |
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