Status and influencing factors of health literacy among non-graduation middle school students in Jing’an District， Shanghai in 2023
10.19428/j.cnki.sjpm.2025.25012
- VernacularTitle:2023年上海市静安区非毕业班中学生健康素养现况及影响因素
- Author:
Hongyun LYU
1
;
Jing WANG
1
;
Yanhua XI
1
;
Yawen GUO
1
;
Yanjin SHI
2
;
Junling GAO
3
Author Information
1. Shanghai Jing’an District Center for Disease Control and Prevention (Shanghai Jing’an District Health Supervision Institute), Shanghai 200072, China
2. Jing’an District Education Bureau, Shanghai 200072, China
3. School of Public Health, Fudan University, Shanghai 200032, China
- Publication Type:Journal Article
- Keywords:
middle school student;
health literacy;
status;
influencing factor;
linear regression
- From:
Shanghai Journal of Preventive Medicine
2025;37(8):705-711
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo assess the level of health literacy and its influencing factors among middle school students aged 12‒18 years in Jing’an District, Shanghai, so as to provide a solid scientific foundation for further developing more targeted intervention measures. MethodsA stratified cluster random sampling method was used to randomly select 4 middle schools in Jing’an District, Shanghai from November to December 2023, and conducted a health literacy questionnaire survey on non-graduating middle and high school students, respectively. The2023 Survey on the Status of Health Literacy among Middle School Students in Jing’an District, Shanghai was adopted, which consisted of two parts: health literacy and basic information. Health literacy was divided into three dimensions: health knowledge and concept literacy, healthy lifestyle and behavior literacy, and health skill literacy. Three dimensions could be categorized into six types of health literacy issue: scientific health literacy, infectious disease prevention and control literacy, chronic disease prevention and control literacy, safety and first aid literacy, basic health literacy, and health information literacy. ResultsA total of 1 161 middle school students were enrolled into this study, including 571 males and 570 females. The overall health literacy level of middle school students was 33.51%, with 34.81% among middle school students and 31.69% among high school students, respectively. Results of logistic regression analysis showed that health knowledge acquisition and awareness, as well as application frequency of health knowledge, were the influencing factors for the overall health literacy level among middle school students (P<0.05). The degree of family attention to health maintenance, health knowledge acquisition and awareness, and application frequency of health knowledge were the main influencing factors for the three dimensions and literacy of six types of health issues among middle school students (P<0.05). ConclusionThe levels of different types of health literacy among middle school students in Jing’an District are uneven, with the highest being safety and first aid literacy and the lowest being basic health literacy. It is recommended to take targeted measures to comprehensively improve the health literacy level of middle school students.
