Health Literacy and associated factors among primary school students in Shandong province

Abstract

Objective To understand the status of health literacy and its associated factors among primary school students in Shandong Province.

Methods By using stratified cluster sampling method, 9 063 children in grade 1 to 3 from 5 cities in Shandong Province were investigated with self-designed questionnaire. Chi square and multivariate logistic regression were used to analyze associated factors for health literacy.

Results Rate of proficient health literacy among grade 1-3 primary school students was 62. 8% (5 689/9 063)，with 75.6% (6 850/9 063)，56.3% (5 106/9 063) and 80.1% (7 261/9 063) in dimension of safety emergency, health care and disease prevention and control. Proficient health literacy was 47.7% (4 327/9 063), 88.3% (8 003/9 063) and 73.6% (6 672/9 063) in domain of health knowledge and concept, health behavior and health skills. Univariate analysis showed that the health literacy varied by gender, only-child in the family, grade, living area, cities, self-perceived academic performance, father educational attainment, mother educational attainment, father occupation and mother occupation ( χ ² = 39. 66, 161. 09, 193.05，89.23, 1 107.75, 196.35, 99.43, 74.39, 64.86, 16.70, P<0.01). Multivariate analysis found that gender, only-child in the family, grade, living area, city, self-perceived academic performance, father’s occupation and educational attainment were positively associated with health literacy among elementary students.

Conclusion High level of health literacy has been found among primary school students in Shandong Province, but varied in area and different demographic characteristics, which needs further specific intervention.

Abstract

【摘要】目的了解山东省小学生健康素养水平及其影响因素，为制定针对小学生的健康教育政策提供依据。 方法 采用分层整群抽样方法，对山东省5市一至三年级小学生9 063名进行问卷调査。健康素养的单因素分析采用； χ ²检验，多 因素分析采用二分类Logistic回归分析。 结果山东省小学生的健康素养具备率为62.8% (5 689/9 063)。按领域分类，安 全应急素养、卫生保健素养和疾病防治素养的具备率分别为75.6% (6 850/9 063)、56.3% (5 106/9 063)和80.1% (7 261/ 9 063)；按维度分类，健康知识与理念、健康行为和健康技能的具备率分别是47.7% (4 327/9 063)、88.3% (8 003/9 063)和 73.6% (6 672/9 063)。单因素分析显示，小学生健康素养水平与性别、是否独生、年级、居住地、所在地区、自评学习成绩、 父/母文化程度、父/母职业相关 ( χ ² 值分别为 39.66，161.09，193.05，89.23，1 107.75，196.35，99.43，74.39，64.86，16.70，P 值 均<0.01)；多因素Logistic回归分析显示，性别、是否为独生、年级、居住地、所在地区、自评学习成绩、父亲职业及父亲文化 程度为小学生健康素养的影响因素（ P值均<0.05 )。 结论山东省一至三年级小学生健康素养水平较髙，但不同特征学生 之间健康素养水平存在差异，需要针对影响小学生健康素养的因素开展针对性教育或干预。