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Resident Health Literacy Questionnaire Report
Resident health literacy questionnaire report 1
Abstract
I. Background
Citizen health literacy is one of the important contents of literacy education, is an important part of the quality of health. Its basic meaning is the ability of individuals to obtain and understand basic health information and services, and use them to make sound judgments to maintain and promote their own health. Improving the health literacy of all citizens is an important task in implementing the scientific concept of development, building a moderately prosperous society and constructing a harmonious socialist society, and is an important embodiment of people-oriented thinking.
In order to determine the most important and basic health knowledge, health behaviors and skills for Chinese residents, the Ministry of Health organized more than 100 experts in the field of medicine and health in 2007, and conducted a large number of studies, and finally clarified the basic content of health literacy for Chinese citizens. in January 2008, the Ministry of Health issued the 3rd bulletin, "Chinese Citizens' Health Literacy? Basic Knowledge and Skills (for Trial Implementation)" (hereinafter referred to as the "Announcement"). This Bulletin is the first document in the world published by a government that comprehensively defines the content of citizens' basic health literacy.
In order to understand the level of health literacy of the residents of our province, according to the unified arrangement of the Ministry of Health and in conjunction with the Central Subsidized Local Project, we conducted a province-wide survey in 2008.
Second, the survey methodology and content
The province *** determined 17 survey sites, of which 8 and 9 were urban and rural survey sites respectively. *** Recovered 8,591 questionnaires, of which 8,546 were valid questionnaires, with a validity rate of 99.48%. The survey object is the resident population aged 15 to 69 in 17 cities.
The survey included 3 parts: basic information, health literacy, and investigator evaluation. The survey data were entered using the epidata database and analyzed using SAS 9.2 statistical software, and the results were standardized according to the 2005 National 1% Population Sample Survey Data.
III. Main results
The overall level of health literacy among the residents of Shandong Province was 8.16%. In terms of the three aspects of health literacy, the proportion of people with basic knowledge and conceptual literacy, healthy lifestyle and behavior literacy, and basic skills literacy are 17.04%, 8.09% and 24.43% respectively.
Overall health literacy and the three aspects of health literacy show the following characteristics: first, the rate of health literacy among urban residents is higher than that in rural areas; second, the rate of health literacy among male residents is higher than that among females; third, the rate of health literacy among residents in the age group below 45 is higher than that in the age group of 45 and above; fourth, the higher the education level, the higher the proportion of people who have health literacy, and the proportion of residents who have health literacy among those who are illiterate/fewer than those with primary school education and those who are not literate/less than those with elementary school education is higher than that among those with primary school education and those with primary school education. The proportion of residents with illiteracy and elementary school education with health literacy is much lower than the provincial average.
Based on the content of the survey, we also divided the issues involved into five categories, namely, scientific concept of health, prevention of infectious diseases, prevention of chronic diseases, safety and first aid, and basic medical care, and analyzed the current status of health literacy related to these five categories of health issues and their influencing factors. The proportion of residents in our province who possessed the relevant health literacy in each category was 30.83% for scientific health concept, 17.65% for safety and first aid, 4.43% for infectious disease prevention, 20.88% for basic medical care, and 9.77% for chronic disease prevention. An analysis of the overall responses to the 71 assessment items found that the correct response rate for five indicators was less than 20%, namely: ? Awareness of diseases spread by the four pests? (5.28%), ? Correct knowledge of obesity? (17.016%), ? Correct understanding of sedative painkillers? (12.26%),? Handling of fracture injuries? (19.27%),? Daily alcohol consumption of adults? (15.33%).
IV. Conclusion and Recommendations
First, increase the intensity of health education and health promotion, and comprehensively improve the health literacy of the population
The results of the survey show that the overall level of health literacy of the residents of the province is only
8.16%, which further confirms the "Opinions of the Central Committee of China and the State Council on Deepening the Reform of the Medical and Health Care System" and "Recent Key Implementation Programs for the Reform of the Medical and Health Care System of the State Council". This further confirms the correctness and necessity of the Opinions of the Central Committee and State Council on Deepening the Reform of the Medical and Health Care System and the State Council's Immediate Priority Implementation Program for the Reform of the Medical and Health Care System (2009-2011) on strengthening health education and health promotion. Raising the level of health literacy among the entire population requires the concerted efforts of the entire society. Governments at all levels should play a leading role, and in conjunction with the in-depth development of the new medical reform, attach great importance to the low-input, high-output work of health education and health promotion, give full play to the role of health education and health promotion in raising the level of health literacy among the entire population, increase funding and human resources, further establish and improve the province's health education institutions and networks, provide standardized and high-quality services, and promote the equal enjoyment of basic public services such as health education and health promotion for both urban and rural residents. Education and health promotion and other basic public **** health services, to ensure that the level of health literacy of the entire population has been gradually improved.
Second actively explore the new situation to improve the health literacy of the mode and method With the development of China's economy and society, the current health education and health promotion methods and methods should also be innovative and change. In view of the current situation that the level of health literacy of the residents of our province is still low, all units at all levels should seriously analyze the weak links in the work, pay special attention to the key populations and key health issues, develop scientific, feasible and effective health knowledge dissemination strategies, and explore new ideas and methods to improve the health literacy of the whole population. On the one hand, it is necessary to make full use of mass media and new media communication forms that are popular among the masses, such as television, radio, the Internet and cell phone text messages, to carry out extensive health communication activities aimed at improving the health literacy of the entire population; on the other hand, it is necessary to organize and carry out specialized health education and health promotion activities, such as relying on the National Billion Farmers' Health Promotion Action to promote the health of farmers. On the other hand, specialized health education and health promotion activities should be organized, such as relying on the National Hundred Million Farmers' Health Promotion Action and the National Health Promotion Program. and the National Health Promotion Action for Hundreds of Millions of Farmers. Healthy Community Programs The company's activities, such as platforms, schools, factories and mining enterprises, hospitals, community health service centers (stations) and township health centers (rooms) as a position, widely carried out to improve basic health knowledge and skills, and to promote the formation of health behavior for the purpose of comprehensive intervention activities.
Third, the establishment of the province's health literacy monitoring mechanism, timely monitoring and release of the province's residents of health literacy changes
To regularly monitor the province's urban and rural residents of health literacy changes in a timely manner to identify problems in the work; at the same time, in different areas can be targeted at the local major health problems and public **** health incidents to carry out a thematic or emergency response to the investigation, in order to dynamically respond to the residents of health literacy level change trends. Trends in health literacy levels. The results of the monitoring should be released in a timely manner, so that the whole society can have a comprehensive and systematic grasp of the level of health literacy of the residents of the province and the factors affecting health, and provide a scientific basis for the development of medical and health service policies.
Resident Health Literacy Questionnaire Report Part 2
I. Background
Health literacy refers to an individual's ability to obtain and understand basic health information and services, and to utilize them to make correct decisions to maintain and promote their own health. Health literacy is an important determinant of health, a comprehensive reflection of economic and social development, and is influenced by a variety of factors such as political, economic, cultural, educational, and health development levels. Therefore, the enhancement of health literacy requires the efforts of the whole society, not just the health planning department. Enhancing public health literacy is the main strategy for coping with chronic non-communicable diseases and emerging and re-emerging communicable diseases, and is a fundamental way to improve public health.In 2013, the World Health Organization pointed out that improving public health literacy is ? a top priority in the field of public ****health? ,? Governments should make the improvement of public health literacy an explicit goal of health and education policy?
In recent years, China's government has attached great importance to improving the health literacy of its residents as an important part of deepening the reform of the medical and health system, and has taken a variety of measures to vigorously carry out the work of promoting health literacy. 2008, the former Ministry of Health issued the "Chinese Citizens' Health Literacy? Basic Knowledge and Skills (for Trial Implementation), and formulated and issued the Work Program for Health Literacy Promotion Actions for Chinese Citizens (2008-2010), launching health literacy promotion actions nationwide. 2009 saw the introduction of health literacy as an important component of the National Basic Public **** Services Health Education Program, which was generally implemented in urban and rural primary healthcare institutions. 2012 saw the introduction of the ? health literacy level of the population? indicators were incorporated into the National Basic Public **** Service System Construction? The Twelfth Five-Year Plan Plan and the Health Care Development Plan. Twelfth Five-Year Plan. Plan, became an important indicator to measure the level of national basic public **** services and people's health level. 2012, the state launched the central subsidies for local health literacy promotion action project, health literacy monitoring is one of the contents of the project.
The concept of health literacy and the implementation of health literacy promotion programs is a major innovation in the theory and practice of health education, which not only promotes the vigorous development of health education, but also has a broad and profound impact on other public **** health fields. The Guidelines for Health Education in Primary and Secondary Schools, the Maternal and Child Health Literacy? Basic Knowledge and Skills (Trial)", "Chinese Citizens' Environment and Health Literacy (Trial)", "Chinese Citizens' Literacy in Chinese Medicine and Health Care", etc., are all developed on the basis of health literacy research and practice.
In order to keep abreast of the level of health literacy among the population and its trends, analyze the factors influencing health literacy, formulate intervention strategies for the promotion of health literacy, and provide a scientific basis for the formulation of relevant policies by governments at all levels and by health and family planning administrations, the National Health and Family Planning Commission organizes and carries out dynamic monitoring of the level of health literacy of the population across the country. The results of the monitoring show that the health literacy level of China's residents was 6.48% in 2008 and 8.80% in 2012, generally at a low level. The results of the 2013 monitoring are reported below.
Second, the monitoring methodology and content
(a) Monitoring scope
In 2013, health literacy monitoring was carried out in 336 monitoring sites in 31 provinces (autonomous regions and municipalities directly under the central government) across the country (excluding Hong Kong, Macao, and Taiwan); among them, there were 150 monitoring sites in urban areas and 186 in rural areas; 126 monitoring sites in the east, 96 monitoring sites in the center, and 114 monitoring sites in the west; the number of monitoring sites was 114; and the number of monitoring sites in the west and the number of monitoring sites in the north was 114; the number of monitoring sites in the west was 114; and the number of monitoring sites in the east and the number of monitoring sites in the west was 114. Monitoring points 114; covering 336 counties (districts) 1008 townships (streets).
(II) Monitoring Objects
The 2013 Health Literacy Monitoring*** surveyed 95,915 people in the resident population aged 15-69 years old across the country, with 93,785 valid questionnaires used for analysis, and the recovery rate of valid questionnaires was 97.78%.
Among the 93,785 people who filled out the questionnaire in a standardized way, the urban population was 41,702, accounting for 44.47%, the rural population was 52,083, accounting for 55.53%, and the ratio of urban to rural population was 0.80:1; 37,506 people in the eastern region, accounting for 39.99%, 25,871 people in the central region, accounting for 27.59%, and 30,408 people in the western region, accounting for 32.42%; male 47024 people, accounting for 50.14%, female 46761 people, accounting for 49.86%, male to female sex ratio of 1.00:1.
The average age of the survey respondents was 45.0?13.3 years old, 15 to 24 years old, 25 to 34 years old, 35 to 44 years old, 45 to 54 years old, 55 to 64 years old, 65 to 69 years old respondents respectively accounted for 7.85% (7,365), 15.68% (14,708), 23.42% (21,965), 24.84% (23,294), 21.41% (20082), and 6.79% (6,371).
In terms of literacy level, the percentages of illiterate/low literacy, elementary school, junior high school, senior high school/vocational high school/secondary school, and college/undergraduate degree and above were, in order, 11.93% (11,169 people), 23.36% (21,876 people), 34.82% (32,607 people), 17.72% (16,591 people) and 12.17% (11,401 people).
(C) Monitoring indicators and evaluation methods
1. Health literacy level
Health literacy level refers to the proportion of people with basic health literacy in the total population.
The criteria for determining basic health literacy: a score of 80% or more on the questionnaire, i.e., a score of ?80 on the questionnaire, is judged to have basic health literacy.
2. Three health literacy levels
According to the "Chinese Citizens' Health Literacy? Based on the "Basic Knowledge and Skills for Chinese Citizens (for Trial Implementation)", combined with the theory of health education, health literacy is divided into three aspects, namely, basic health knowledge and concepts, healthy lifestyles and behaviors, and basic skills.
The level of health literacy in a particular aspect refers to the proportion of people with a particular aspect of health literacy in the total population. The criterion for determining the level of health literacy in a certain area: the sum of the scores of all the questions examining a certain area of health literacy is the total score, and those who have scored 80% or more of the total score are judged to have the health literacy in that area.
3. Literacy level of six types of health issues
Based on the "Health Literacy for Chinese Citizens? Basic Knowledge and Skills (Trial)", combined with the main public **** health problems, health literacy is divided into six categories of health issues literacy, namely, scientific health concepts, infectious disease prevention and treatment literacy, chronic disease prevention and treatment literacy, safety and first aid literacy, basic medical literacy and health information literacy.
The level of literacy in a particular category of health problems refers to the proportion of people with literacy in a particular category of health problems in the total population.
Criteria for determining the level of literacy in a certain category of health problems: the sum of the scores of all the questions examining the literacy in a certain category of health problems is the total score, and those whose actual score reaches 80% or more of the total score are recognized as having the literacy in a certain category of health problems.
The health literacy levels and related results presented in the results section of this report are weighted data, not sample data, and the base weights, non-response weights, and post-hoc stratified adjustment weights of the sample data were weighted and adjusted according to the data from the Sixth National Population Census in 2010 and the base data collected during the monitoring process.
III. Main results
(I) Health literacy level of Chinese residents
In 2013, the health literacy level of Chinese residents was 9.48%.
Urban and rural areas: the health literacy level of urban residents was 13.80%, and that of rural residents was 6.92%, with urban residents higher than rural residents (Table 1 and Figure 1).
Resident health literacy questionnaire report 3
A few days ago, the Ministry of Health to the world and the nation announced the first Chinese residents of the health literacy survey report, is now published in the following summary, in order to cause the national attention to their own health. At the same time announced as the main content of the health literacy survey of citizens health literacy 66.
Health literacy refers to an individual's ability to obtain, understand, and process basic health information and services, and to use them to make sound judgments and decisions to maintain and promote health.
I. Background
Health literacy is an important part of health quality, which refers to an individual's ability to obtain and understand basic health information and services, and to use them to make correct judgments to maintain and promote his or her health. Improving the health literacy of our citizens is an important task in implementing the scientific outlook on development, building a moderately prosperous society and constructing a harmonious socialist society.
In 2007, the Ministry of Health organized more than a hundred experts in the field of medicine and health, to discuss and define the basic content of health literacy of our citizens. 2008 January, the Ministry of Health Notice No. 3 issued the "Chinese Citizen Health Literacy? Basic Knowledge and Skills (for Trial Implementation)" (hereinafter referred to as the "Announcement"). The Proclamation is the first government document in the world to comprehensively define the content of basic health literacy for citizens.
In order to understand the health literacy level of Chinese residents, based on the research results and experiences of health literacy studies at home and abroad, the Ministry of Health organized experts to determine the survey indicators based on the content of the Proclamation using the Delphi method, and compiled a questionnaire on the health literacy of Chinese residents, which was combined with the central-subsidized local projects to carry out a nationwide survey in 2008.
Second, the survey methodology and content
The survey adopted a multi-stage stratified random sampling method, covering 31 provinces (autonomous regions and municipalities directly under the central government) and the Xinjiang Production and Construction Corps. Six survey points were identified in each province, three each for urban and rural points. Among them, in addition to selecting the provincial capital city, another two randomly selected prefectural-level cities, each city randomly selected 1 urban area; rural survey points for each province randomly selected 3 counties; the country *** counted 192 survey points. Recovered questionnaires 79,542, valid questionnaires 79,438, questionnaire validity rate of 99.87%. The survey was conducted in 31 provinces (autonomous regions and municipalities directly under the central government) and Xinjiang Production and Construction Corps of the resident population aged 15 to 69.
The survey included 3 parts: basic information, health literacy content, and investigator evaluation. The survey data were double-entry checked using image entry software, double-blind parallel analysis using SAS 9.2 statistical software, and the results of the survey were standardized according to the 2005 National 1% Population Sample Survey Data.
III. Main results
The overall level of Chinese residents with health literacy is 6.48%. In terms of the three aspects of health literacy, the proportion of people with basic knowledge and conceptual literacy, healthy lifestyle and behavior literacy, and basic skills literacy are 14.97%, 6.93%, and 20.39%, respectively. Overall health literacy and three aspects of health literacy are shown the following characteristics: (1) urban than rural; male than female; (2) the age group under 45 years old is higher than the age group of 45 years old and above; (3) the higher the level of education, the higher the proportion of health literacy, illiterate and less literate and elementary school literacy with health literacy is much lower than the national average.
According to the current major health problems in China, the current situation of health literacy related to five categories of health problems such as scientific concept of health, prevention of infectious diseases, prevention of chronic diseases, safety and first aid, and basic medical care and their influencing factors were analyzed. The proportion of Chinese residents with relevant health literacy, from high to low, is 29.97% for scientific health concept, 18.70% for safety and first aid, 15.86% for infectious disease prevention, 7.43% for basic medical care, and 4.66% for chronic disease prevention.
An analysis of the overall response to the 71 measures found that the correct response rate for six indicators was less than 20%, namely: ? Awareness of diseases spread by the four pests? (3.28%),? Correct knowledge of obesity? (7.16%), ? Correct understanding of sedative painkillers? (13.95%),? Handling of fracture injuries? (17.28%),? Recognition of drug instructions? (18.70%),? Daily alcohol consumption for adults? (18.79%).
Fourth, the conclusion and recommendations
(a) vigorously promote health education and health promotion, improve the level of health literacy
The survey results show that the overall level of health literacy in China is only 6.48%, which fully confirms that the "Opinions of the Central Committee of the State Council on Deepening the Reform of the Medical and Health Care System" and the "State Council's Medical and Health Care System Reform Immediate Key Implementation Programs (the recent key implementation program of the State Council's medical and health care system reform)". This fully confirms the correctness of the opinions on strengthening health education and health promotion in the "Opinions of the Central Government of China on Deepening the Reform of the Medical and Health System" and the "Immediate Priorities of the State Council's Medical and Health System Reform Implementation Program (2009-2011)". Raising the level of health literacy among the entire population requires the ****together efforts of the entire society. Governments at all levels should combine the work of the new medical reform, give full play to the role of health education and health promotion in improving the health literacy of the entire population, increase funding, establish and improve the work network of health education institutions, provide standardized and high-quality services, and promote the equal enjoyment of urban and rural residents of health education and health promotion and other basic public ****health services, to ensure that the level of health literacy of the entire population has been gradually improved.
(2) Efforts to explore new ideas and methods to improve the level of health literacy of the whole population
In view of the current situation of the generally low level of health literacy of our residents, it is particularly necessary to focus on the key populations and key health issues, to develop a scientific, feasible and effective dissemination strategy, and to explore new ideas and methods to improve the level of health literacy of the whole population. Making full use of mass media communication forms that are popular among the masses, such as television, radio, the Internet and cell phone text messages, health communication activities aimed at improving the health literacy of the entire population, such as health knowledge competitions for urban and rural residents, have been widely carried out. At the same time, relying on the ? National Health Promotion Action for Hundreds of Millions of Farmers and the National Health Promotion Program for Hundreds of Millions of Farmers. Healthy Community Programs The platform of the activities, schools, factories, mining enterprises, hospitals, community health service centers (stations) and township health centers (rooms) as a position, widely carried out to improve basic health knowledge and skills, and promote the formation of health behaviors for the purpose of comprehensive intervention activities.
(C) regular monitoring of health literacy, timely release of monitoring results
In the future, every three to five years in the countrywide monitoring of health literacy of urban and rural residents, at the same time, in different regions, for the local major health problems and public **** health emergencies to carry out thematic or emergency investigations, dynamic monitoring of changes in the level of health literacy of the population trends, and the timely release of monitoring results
In order to comprehensively and systematically grasp the health of our residents, we will continue to monitor the level of health literacy of the population. , comprehensively and systematically grasp the level of health literacy and health influencing factors of our residents, provide a scientific basis for the formulation of medical and health service policies, and strive to institutionalize and regularize the monitoring of the basic knowledge and skills of residents' health literacy. On this basis, we strive to incorporate the evaluation indicators of residents' health literacy into the national health development plan, as a comprehensive reflection of the development of the national health evaluation indicators, to promote better and faster development of China's health undertakings.
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