Objective To examine health literacy level and its influencing factors among primary school students undergoing healthy campus program in Qingdao city of Shandong province and to provide references for implementing effective health literacy intervention in the students.
Methods We carried out a survey among 6 144 pupils recruited with stratified cluster random sampling in 32 primary schools in Qingdao city using two versions of Health Literature Questionnaire for 1 – 3 grade and 4 – 6 grade students in October 2016, 12 years after the implementation of health campus program.
Results Of all the pupils, 76.3% were assessed as being with basic health literacy and the proportions of the pupils with basic health knowledge and theory, healthy lifestyle and behavior, and fundamental skills were 67.4%, 84.3%, and 81.0%, respectively. The results of multivariate logistic regression demonstrated that the girl pupils (odds ratio [ OR] = 1.311), low-grade pupils ( OR = 1.240), living in urban area ( OR = 1.636), being an only child ( OR = 1.240), and with a father working as a business man/a self-employed entrepreneur/in service industry ( OR = 1.452) were more likely to have a high health literacy; the pupils with a higher self-assessed education attainment and with higher parental education were also more likely to have a high health literature (both P < 0.05).
Conclusion The pupils undergoing healthy campus program in Qingdao city have a good health literacy and their health literacy is influenced by gender, grade of study, residing region, self-assessed education attainment, parental education, paternal occupation, and whether being an only child
【摘 要】 目的 了解青岛市“健康校园”小学生的健康素养水平及影响因素，为开展有针对性的健康素养干预提供参考依据。 方法 采用分层整群随机抽样的方法，对青岛市 6 144 名小学生进行健康素养问卷调查。 结果 青岛市小学生具备健康素养的比例为 76.3 %，健康基本知识与理念、健康生活方式与行为、健康技能的具备比例分别为67.4 %、84.3 %、81.0 %；多因素 logistic 回归分析显示, 女生（ OR = 1.311）、低年级（ OR = 1.240）、城市（ OR = 1.636）、独生子女（ OR = 1.240）、父亲职业为商业/个体/服务业（ OR = 1.452）学生的健康素养水平较高，自评成绩优秀、父母文化程度高的学生健康素养水平也校高（ P < 0.05）。 结论 青岛市“健康校园”小学生具备较好的健康素养，与性别、年级、居住地、自评成绩、父母文化程度、父亲职业、独生子女与否有关。