"Exploring health literacy in patients with chronic diseases in Chongqing, China: a cross-sectional study"

作者全名："Liu, Hongyan; Wen, Yaqi; Wu, Chengbin; Zhao, Yu; Lai, Weiyun; Zhao, Yong; Yuan, Jun; Liu, Yaxin; Zhou, Xiangxi; Sharma, Manoj; Chen, Yao; Zeng, Huan"

作者地址："[Liu, Hongyan; Wen, Yaqi; Zhao, Yong; Yuan, Jun; Liu, Yaxin; Zhou, Xiangxi; Zeng, Huan] Chongqing Med Univ, Coll Publ Hlth, Chongqing, Peoples R China; [Wu, Chengbin; Zhao, Yu; Lai, Weiyun] Chongqing Hlth Educ Inst, Project Off, Chongqing, Peoples R China; [Sharma, Manoj] Univ Nevada Las Vegas, Sch Publ Hlth, Social & Behav Hlth, Las Vegas, NV USA; [Chen, Yao] Chongqing Med Univ, Affiliated Hosp 2, Hlth Management Ctr, Chongqing, Peoples R China"

通信作者："Zeng, H (通讯作者)，Chongqing Med Univ, Coll Publ Hlth, Chongqing, Peoples R China.; Chen, Y (通讯作者)，Chongqing Med Univ, Affiliated Hosp 2, Hlth Management Ctr, Chongqing, Peoples R China."

来源：BMJ OPEN

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001042144500070

JCR分区：Q1

影响因子：2.4

年份：2023

卷号：13

期号：7

开始页：　

结束页：　

文献类型：Article

关键词：Health Literacy; Chronic Disease; Patient; China

摘要："ObjectivesPersonal health literacy is the degree to which individuals have the ability to find, understand and use information and services to inform health-related decisions and actions for themselves and others. Health literacy levels remain low, despite the many measures that have been taken to improve it. In addition, the number of patients with chronic diseases is increasing. Our study aimed to explore the different aspects and factors influencing health literacy among patients with chronic diseases in Chongqing, China. DesignCross-sectional study. Setting and patientsThis study was conducted in Chongqing using the 2018 National Questionnaire on Health Literacy of Residents administered to 27 336 patients with chronic diseases. Outcome measuresThe prevalence and factors of health literacy in patients with chronic diseases. ResultsAmong the patients who participated in the study (n=27 336), 51.3% were males. Only 21.6% of the patients with chronic diseases had adequate health literacy (questionnaire score was equal to or exceeded 80% of the total questionnaire score). Patients with chronic diseases aged 25-34 years (OR=1.18, 95% CI 1.02 to 1.36) and 35-44 years (OR=1.18, 95 % CI 1.03 to 1.35) had higher health literacy than patients aged 65-69 years. Patients from rural areas had higher health literacy levels than those from urban areas (OR=0.92, 95% CI 0.86 to 1.00). Furthermore, married patients had lower health literacy than unmarried patients (OR=0.88, 95% CI 0.80 to 0.97). Patients who were illiterate or slightly literate (OR=0.10, 95% CI 0.08 to 0.12) had lower health literacy than patients who were in junior college or had a bachelor's degree or above. In addition, non-farmers had higher health literacy levels than farmers (OR=1.18, 95% CI 1.08 to 1.28). In terms of inadequate health literacy, patients who self-rated themselves as healthy had higher health literacy than those who self-rated as unhealthy (OR=1.80, 95% CI 1.33 to 2.43). ConclusionsThe health literacy of patients with chronic conditions remains at a low level and varies significantly with their demographic and social characteristics. These findings indicate that targeted interventions may be useful to improve health literacy in patients with chronic conditions in China."

基金机构：Technology Foresight and System Innovation Project in Yuzhong District of Chongqing [20180161]

基金资助正文：This work was supported by the Technology Foresight and System Innovation Project in Yuzhong District of Chongqing (20180161).