Investigation On Health Literacy Of Employees In Public Places In An Urban Area Of Wuxi

Background Public place is an important area for people’s production and life,which has an important influence on the national economy and attracts a large number of employees.The characteristics of hygiene in public places make the health status of public places directly affect people’s health and even the outbreak and spread of infectious diseases,and the health literacy level of employees in public places greatly affects the health status of public places.Therefore,it is of great significance to study the health literacy of employees in public places.However,there is little attention paid to the health literacy of employees in public places at home and abroad.Objectives In order to understand the current situation of health literacy of employees in public places in an urban area of Wuxi,explore the health literacy level of such people and its influencing factors,analyze the differences of health literacy level of employees in different public places,and provide reference basis for relevant government departments to carry out targeted health education for employees in public places in order to promote people’s health,At the same time,it also provides scientific basis for health supervision departments to improve the health level of public places and carry out targeted health supervision and guidance.Methods Stratified random sampling was carried out for all public places in an urban area of Wuxi.After classification according to different types of public places,all employees from 256units were selected for questionnaire survey.The 2020 national residents’health literacy monitoring questionnaire is adopted,and the questionnaire survey is carried out by combining online filling and on-site investigation according to the actual situationχ~2test or Fisher exact probability method to screen the candidate factors affecting the overall situation,three aspects and six types of problems of health literacy,and further analyze the factors with statistically significant difference by multivariate binomial logistic regression.The regression analysis results are visualized through forest Figure 3,showing the OR value and 95%confidence interval.Statistical analysis selects two-sided test and test levelα=0.05.Results(1)Health literacy level:a total of 1001 employees in public places were investigated.The overall health literacy rate of employees in public places in this region is 38.37%,which is higher than that of national residents in 2020(23.15%)and residents in eastern China(29.06%).The overall health literacy of employees in different types of public places were 29.28%in hotels,43.98%in shopping malls and 28.57%in other types.The rate of health literacy in the three aspects exceeded 40%,of which the rate of health skill literacy was the highest(46.09%),followed by the rate of basic knowledge and concept literacy(43.69%),and the lowest was healthy lifestyle and behavior(41.71%);From high to low,the literacy rates of six types of health problems are safety and first aid(78.73%),scientific outlook on health(61.73%),health information(60.36%),prevention and control of infectious diseases(37.85%),basic medical treatment(37.12%)and prevention and control of chronic diseases(30.87%).(2)Analyzing the influential factors on the overall possession rate of health literacy:education level and age are the main factors affecting the overall possession rate of health literacy of employees in public places.The overall possession rate of health literacy of employees with high school and college education or above was 1.811 times(95%CI:1.271-2.581)and 2.555 times(95%CI:1.734-3.762)higher than that of those with junior middle school education or below.The overall possession rate of health literacy of employees aged≥45 was significantly lower than that of those aged<26(OR=0.572,95%CI:0.350-0.936).(3)Analyzing the influential factors on literacy rate of three aspects and six class problem:firstly,age,annual per capita income and educational level is the influence factors of three aspects of literacy rate.The younger the age,the higher the per capita annual income,the higher the education level,the health literacy rate of the basic knowledge and concept,healthy lifestyle and behavior,health skills is higher.Among the six types of question literacy,the level of education has an impact on the six types of question literacy,the higher the level of education,the higher the literacy rate of the six types of question literacy;Age has an effect on the literacy of other kinds of problems except the literacy of infectious disease prevention.The literacy literacy rate of age≥45is obviously lower than that of the lower age group.Per capita annual income has an impact on several other types of literacy except infectious disease prevention and control literacy.The literacy attainment rate of people with higher per capita annual income is significantly higher than that of people with lower income.Household registration has an impact on the literacy of scientific health view and health information,and the literacy rate of these two types of problems is higher in local household registration.The prevalence of chronic diseases has an impact on safety and first aid,chronic disease prevention and treatment,the scientific view of health,and health information literacy,and the literacy rate of these four kinds of problems is higher in patients with chronic diseases.Conclusion The overall possession rate of health literacy of employees in public places in the survey area is good,but there are great differences in the overall possession rate of different aspects and different types of problems,and the health literacy attainment rate of employees in different types of public places also varies greatly.We should formulate corresponding strategies and measures according to the characteristics of employees in public places,strengthen publicity and education for older and less educated people,and take targeted measures in combination with the weak links of different aspects and different types of health literacy,so as to promote the overall improvement of the level of health literacy of such people.