| Objective: To analyze the current independent factors affecting residents’ health literacy level through a survey of urban residents’ health literacy level and health literacy-related surveys in a city of Inner Mongolia Autonomous Region,and to make a comprehensive analysis and assessment of the current urban residents’ health literacy level and related influencing factors by constructing a structural model of residents’ health literacy and understanding the relationship between health knowledge,behaviors and skills,and to put forward residents’ health literacy enhancement path recommendations.Methods: PPS and KISH method was used to adjust the 2020 version of the National Health Literacy Monitoring Questionnaire in accordance with the needs of the survey form,and a cross-sectional survey on the health literacy level of permanent residents aged 15-69 was conducted using the Health Literacy Level Monitoring Questionnaire for Residents of a City in Inner Mongolia Autonomous Region and the Questionnaire on Urban Residents’ Knowledge of and Satisfaction with National Basic Public Health Service Programs.IBM SPSS 26.0 was used to conduct descriptive statistical analysis on the demographic characteristics of the survey respondents,test the factors influencing residents’ health literacy,and conduct logistic regression analysis on the overall health literacy level and three aspects of health literacy to analyze the factors influencing residents’ health literacy;the "Knowing,Believing,Acting" theoretical model was used as a reference to analyze the factors influencing residents’ health literacy.The theoretical model of "Knowing,Believing and Acting" was used as a reference to construct a model and analyze the paths of urban residents’ health literacy,and explore the interrelationship between different paths.Results: In this study on residents’ health literacy,a total of 1500 urban residents aged15-69 in a city of Inner Mongolia Autonomous Region were surveyed,1376 questionnaires were recovered,and the effective recovery rate was 94.44%;500questionnaires were distributed for the survey related to residents’ health literacy,469 valid questionnaires were recovered,and the effective recovery rate was 93.8,and the specific results include.(1)The overall health literacy level of urban residents in a city in 2022 is 22.2%,among which the basic knowledge and concept literacy level is 53.6%,the healthy lifestyle and behavior literacy level is 22.4%,and the health skills literacy level is21.6%;the six dimensions of health literacy levels from low to high are health information literacy(4.7%),infectious disease prevention and control literacy(12.7%),basic medical literacy(34.7%),scientific health concept literacy(55.6%),chronic disease prevention and control literacy(65.4%),and safety and first aid literacy(74.7%).(2)In the univariate analysis of the overall health literacy level,the differences in health literacy of urban residents were statistically significant in the five demographic characteristics of age,education level,marriage,occupational status,and past-year income;the differences in the levels of education level and past-year income of the population under the three aspects of health literacy were statistically significant,and the differences in the four demographic characteristics of age,marital status,length of residence,and past-year income The differences in age,marital status,length of residence,and past year’s income were statistically significant in the four demographic characteristics;the overall health literacy level and the results of the three aspects of health literacy were analyzed by multi-factor logistic regression analysis.(2)The population with the lowest health literacy(3)This time,the residents’ knowledge of basic public health service programs is average,with a total knowledge rate of 158 people(33.7%),and the highest satisfaction rate of free vaccination services,establishment of urban and rural residents’ health records and health management of children aged 0-6,with an overall satisfaction rate of59.3%;the level of health literacy has a strong correlation with the knowledge rate of basic public health services,and is positively correlated with the overall satisfaction rate of services.(4)In the correlation analysis of the health literacy structure model and internal improvement path of urban residents,all the links of health literacy have positive influence on each other,and health knowledge has a positive effect on the cultivation of health skills,especially on the formation of health concepts;meanwhile,the formation of healthy lifestyles and behaviors is mainly directly influenced by health knowledge and health concepts.Conclusion: The health literacy level of urban residents in a city of Inner Mongolia Autonomous Region has improved compared with that of last year,but the rate of improvement is slow,and targeted health literacy improvement programs need to be formulated according to the characteristics of different groups of people and the development needs of the region;residents’ knowledge of and overall satisfaction with national basic public health services are good,and the degree of residents’ knowledge is correlated with the overall satisfaction with basic public health services,and improving residents’ knowledge of Basic health knowledge is the basis for the formation of basic health concepts and has an important impact on healthy lifestyles and behaviors through health skills;it is recommended that in the future,we should emphasize the role of policy guidance,improve residents’ health awareness,promote health education and health promotion programs,expand health promotion channels and methods,and strengthen health concepts and healthy lifestyles.ways,strengthening health concepts and healthy lifestyles,attaching importance to residents’ health skills training and enhancing the degree of balanced development of basic public health services,and guaranteeing the effective and quality development of urban residents’ health literacy in the path of enhancement of health-related needs. |
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