Objectives:To investigate health literacy profiles using a multidimensional tool in the elderly,analyze the factors related to health literacy,and explore the relationships between health literacy and health-related b...Objectives:To investigate health literacy profiles using a multidimensional tool in the elderly,analyze the factors related to health literacy,and explore the relationships between health literacy and health-related behaviors.Methods:A cross-sectional survey including 440 participants was conducted at a community health center and a village health center in Changsha,Hunan Province,between June 2020 and August 2020.We used the Health Literacy Questionnaire(HLQ)to assess the elderly’s health literacy.Sociodemographic data and health-related behaviors of them were surveyed with a self-designed questionnaire.Latent profile analysis,Pearson’s chi-squared and ordinal logistic regression were used to analyze the data.Results:The median age of the 440 respondents was 68 years.The participants had the lowest scores in the“appraisal of health information”subscale(2.22±0.52),followed by“navigating the healthcare system”subscale(2.89±0.81)of HLQ.Based on the analysis of three profiles,respondents who were 60 e74 years(OR=2.06,95%CI:1.23e3.42,P=0.006),living in urban areas(OR=3.28,95%CI:2.17e4.94,P<0.001),with secondary education or above(OR=2.86,95%CI:1.92e4.27,P<0.001),and having health insurance(OR=1.89,95%CI:1.02e3.51,P=0.042)were significantly associated with health literacy.Statistically significant associations were found between health literacy level and health-related behaviors,including medical service-seeking behavior(χ^(2)=25.14,P<0.001),exercising regularly(χ^(2)=34.08,P<0.001),and taking a medical examination in the past 12 months(χ^(2)=24.76,P<0.001).Conclusion:The multidimensional health literacy survey has identified the low health literacy level among the elderly in community settings.It revealed the relationships of sociodemographic character-istics,including age,education level and residence,with health literacy.These findings emphasized the importance of health literacy in promoting health behaviors,guiding a profound understanding of the Chinese elderly’s health needs and health literacy to develop community-based health promotion interventions.展开更多
目的分析湖南省40岁及以上女性艾滋病自愿咨询检测(voluntary counseling and testing,VCT)意愿的现状及相关影响因素。方法采用分层整群抽样方法,选择湖南省城乡958名40岁及以上女性,采用一般资料问卷、接受VCT服务意愿及相关知识问卷...目的分析湖南省40岁及以上女性艾滋病自愿咨询检测(voluntary counseling and testing,VCT)意愿的现状及相关影响因素。方法采用分层整群抽样方法,选择湖南省城乡958名40岁及以上女性,采用一般资料问卷、接受VCT服务意愿及相关知识问卷和HIV/AIDS相关知识、态度和行为问卷开展调查,采用单因素Logistic回归模型和多因素二项Logistic回归模型,分析40岁及以上女性愿意接受VCT服务的影响因素。结果958名调查对象中,52.4%(502人)的女性愿意接受VCT服务,VCT相关知识得分为(4.35±2.49)分,HIV/AIDS相关知识知晓率较低为51.7%;单因素分析显示,年龄(OR=0.926,95%CI:0.911~0.942)、居住地(OR=1.321,95%CI:1.025~1.704)、感知HIV感染风险(OR=2.483,95%CI:1.809~3.409)和HIV/AIDS相关知识(OR=1.136,95%CI:1.100~1.173)是影响女性接受VCT服务意愿的主要因素(P<0.05);多因素分析显示,年龄(OR=0.976,95%CI:0.954~0.999)、是否接受过VCT服务(OR=0.087,95%CI:0.042~0.177)、现在有无性生活(OR=1.697,95%CI:1.120~2.572)、感知HIV感染风险(OR=1.601,95%CI:1.114~2.302)、VCT相关知识得分(OR=1.102,95%CI:1.026~1.183)和HIV/AIDS相关知识得分(OR=1.095,95%CI:1.050~1.143)是女性愿意接受VCT服务的影响因素(P<0.05)。结论40岁及以上女性愿意接受VCT服务处于中等水平;应针对中老年女性人群普及VCT服务,提高其接受VCT服务的意愿,需要时能积极寻求VCT服务,预防艾滋病在此人群中进一步传播。展开更多
基金funded with the Hunan Key Laboratory Platform for Nursing(2017TP1004)。
文摘Objectives:To investigate health literacy profiles using a multidimensional tool in the elderly,analyze the factors related to health literacy,and explore the relationships between health literacy and health-related behaviors.Methods:A cross-sectional survey including 440 participants was conducted at a community health center and a village health center in Changsha,Hunan Province,between June 2020 and August 2020.We used the Health Literacy Questionnaire(HLQ)to assess the elderly’s health literacy.Sociodemographic data and health-related behaviors of them were surveyed with a self-designed questionnaire.Latent profile analysis,Pearson’s chi-squared and ordinal logistic regression were used to analyze the data.Results:The median age of the 440 respondents was 68 years.The participants had the lowest scores in the“appraisal of health information”subscale(2.22±0.52),followed by“navigating the healthcare system”subscale(2.89±0.81)of HLQ.Based on the analysis of three profiles,respondents who were 60 e74 years(OR=2.06,95%CI:1.23e3.42,P=0.006),living in urban areas(OR=3.28,95%CI:2.17e4.94,P<0.001),with secondary education or above(OR=2.86,95%CI:1.92e4.27,P<0.001),and having health insurance(OR=1.89,95%CI:1.02e3.51,P=0.042)were significantly associated with health literacy.Statistically significant associations were found between health literacy level and health-related behaviors,including medical service-seeking behavior(χ^(2)=25.14,P<0.001),exercising regularly(χ^(2)=34.08,P<0.001),and taking a medical examination in the past 12 months(χ^(2)=24.76,P<0.001).Conclusion:The multidimensional health literacy survey has identified the low health literacy level among the elderly in community settings.It revealed the relationships of sociodemographic character-istics,including age,education level and residence,with health literacy.These findings emphasized the importance of health literacy in promoting health behaviors,guiding a profound understanding of the Chinese elderly’s health needs and health literacy to develop community-based health promotion interventions.
文摘目的分析湖南省40岁及以上女性艾滋病自愿咨询检测(voluntary counseling and testing,VCT)意愿的现状及相关影响因素。方法采用分层整群抽样方法,选择湖南省城乡958名40岁及以上女性,采用一般资料问卷、接受VCT服务意愿及相关知识问卷和HIV/AIDS相关知识、态度和行为问卷开展调查,采用单因素Logistic回归模型和多因素二项Logistic回归模型,分析40岁及以上女性愿意接受VCT服务的影响因素。结果958名调查对象中,52.4%(502人)的女性愿意接受VCT服务,VCT相关知识得分为(4.35±2.49)分,HIV/AIDS相关知识知晓率较低为51.7%;单因素分析显示,年龄(OR=0.926,95%CI:0.911~0.942)、居住地(OR=1.321,95%CI:1.025~1.704)、感知HIV感染风险(OR=2.483,95%CI:1.809~3.409)和HIV/AIDS相关知识(OR=1.136,95%CI:1.100~1.173)是影响女性接受VCT服务意愿的主要因素(P<0.05);多因素分析显示,年龄(OR=0.976,95%CI:0.954~0.999)、是否接受过VCT服务(OR=0.087,95%CI:0.042~0.177)、现在有无性生活(OR=1.697,95%CI:1.120~2.572)、感知HIV感染风险(OR=1.601,95%CI:1.114~2.302)、VCT相关知识得分(OR=1.102,95%CI:1.026~1.183)和HIV/AIDS相关知识得分(OR=1.095,95%CI:1.050~1.143)是女性愿意接受VCT服务的影响因素(P<0.05)。结论40岁及以上女性愿意接受VCT服务处于中等水平;应针对中老年女性人群普及VCT服务,提高其接受VCT服务的意愿,需要时能积极寻求VCT服务,预防艾滋病在此人群中进一步传播。