Analysis of health literacy level and influencing factors among rural residents in Chongqing
Guo Tian
Yang Qinghua
Chi Xiangbo
Zhang Biao
Duan Yubo
Du Lei
Yu Weina
Lai Weiyun
Abstract：Objective To understand the health literacy level and its influencing factors among rural residents in Chongqing in 2022,providing decision-making support for relevant policy formulation.Methods Using multi-stage stratified cluster ran-dom sampling and probability proportional to size(PPS)sampling,permanent rural residents aged 15-69 in Chongqing were selected for questionnaire surveys.Descriptive analysis,χ2 test,and logistic regression analysis were employed to ex-plore health literacy levels and influencing factors among populations with different characteristics.Results The health lit-eracy level among rural residents in Chongqing in 2022 was 27.41%.Among the three dimensions of health literacy,health skills literacy(26.79%)was relatively low.Among the six categories of health literacy,chronic disease prevention and treatment literacy(23.88%)was relatively low.Univariate analysis results showed statistically significant differences in health literacy levels among rural residents with different ages,marital statuses,education levels,annual household income per capita,chronic disease status,and self-rated health status(P<0.05).Multivariate logistic regression analysis revealed that health literacy levels decreased with increasing age,with residents aged 65-69 having significantly lower health literacy than those aged 15-24(OR=0.210,95%CI:0.163-0.270).Married rural residents had higher health literacy levels compared to unmarried residents(OR=1.342,95%CI:1.133-1.588).Compared to illiterate/semi-illiterate residents,those with undergraduate education had the highest health literacy level(OR=34.464,95%CI:24.332-48.816).Resi-dents with annual household income per capita of over 3,000 yet under 5,000 yuan had the highest health literacy level com-pared to those with under 3,000 yuan(OR=1.318,95%CI:1.088-1.596).Regarding self-rated health,health literacy levels generally decreased as self-rated health declined;residents rating their health as "poor" had lower health literacy than those rating it as "good"(OR=0.549,95%CI:0.374-0.805).Conclusion Health literacy among rural residents in Chongqing has markedly improved in recent years but remains deficient in areas such as health skills and chronic disease pre-vention and treatment literacy.Enhancing health literacy requires comprehensive consideration of multiple factors and targe-ted health education strategies for different groups,particularly focusing on the elderly,those with low education,unmar-ried individuals,economically disadvantaged populations,and those with poor self-rated health.
Keywords：Health literacyChongqingRural residentsInfluencing factors
Publication Date：2025-03-20
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：8( 26-33 )