Abstract
Objective
Health literacy has become an increasingly concerning public health issue. However, the health literacy of the high-risk stroke population has never been analyzed. Therefore, the purpose of this study was to investigate the health literacy and influencing factors of the high-risk stroke population.
Methods
A total of 588 subjects in the high-risk stroke population aged 45–69 years in Jilin province were surveyed with the “Chinese citizen health literacy survey” from May 2017 to October 2018. Descriptive analysis, Chi-square test, and binary logistic regression analysis were used to analyze the data.
Results
A total of 2000 questionnaires were distributed, and the effective recovery rate reached 95%. There were 588 subjects meeting the high-risk conditions of stroke. The health literacy level of the high-risk stroke population was 18.03%, which indicated that the overall level was low. Binary logistic regression analysis showed that a monthly household income equal to or higher than 5000 yuan (odds ratio [OR] = 3.48; 95% confidence interval[CI] =1.51–7.99), married status (OR = 4.74; 95% CI =1.00–22.47), and good family function (OR = 15.39; 95% CI =1.46–162.15) were correlated with a good health literacy status.
Conclusion
The level of health literacy in the high-risk stroke population was low in Jilin province. The household income, marital status, and family function were influencing factors of health literacy.
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References
Dadipoor S, Ramezankhani A, Aghamolaei T et al (2018) Evaluation of health literacy in the Iranian population. Health Scope 7(3):e62212
Eichler K, Wieser S, Brügger U (2009) The costs of limited health literacy: a systematic review. Int J Public Health 54(5):313–324
Elwell-Sutton TM, Jiang CQ, Zhang WS et al (2012) Inequality and inequity in access to health care and treatment for chronic conditions in China: the Guangzhou biobank cohort study. Health Policy Plan 28(5):467–479
Feigin VL, Lawes CM, Bennett DA et al (2009) Worldwide stroke incidence and early case fatality reported in 56 population-based studies: a systematic review. Lancet Neurol 8(4):355–369
Feigin VL, Krishnamurthi RV, Parmar P et al (2015) Update on the global burden of ischemic and hemorrhagic stroke in 1990-2013: the GBD 2013 study. Neuroepidemiology 45(3):161–176
Feigin VL, Roth GA, Naghavi M et al (2016) Global burden of stroke and risk factors in 188 countries, during 1990–2013: a systematic analysis for the global burden of disease study 2013. Lancet Neurol 15(9):913–924
Health Education Center in China (2017) Health literacy monitoring report of Chinese residents in 2017. Available from: http://www.nihe.org.cn/
Ishikawa H, Kiuchi T (2019) Association of health literacy levels between family members. Front Public Health 7:169
Johnson CO, Nguyen M, Roth GA et al (2019) Global, regional, and national burden of stroke, 1990–2016: a systematic analysis for the global burden of disease study 2016. Lancet Neurol 18(5):439–458
Katz A (2017) Health literacy: what do you know? Oncol Nurs Forum 44(5):521–522
Krishnamurthi RV, Feigin VL, Forouzanfar MH et al (2013) Global and regional burden of first-ever ischaemic and haemorrhagic stroke during 1990–2010: findings from the global burden of disease study 2010. Lancet Glob Health 1(5):e259–ee81
Lee SY, Hwang H, Hawkins R, Pingree S (2008) Interplay of negative emotion and health self-efficacy on the use of health information and its outcomes. Commun Res 35(3):358–381
Li Z, Sun Z (2010) Research on the status of health literacy among residents in Hunan Province and its influencing factors. PhD thesis. Central South University, China
Li Q, Wu H, Yue W et al (2017) Prevalence of stroke and vascular risk factors in China: a Nationwide Community-based study. Sci Rep 7(1):6402
Liu L, Wang D, Wong KS, Wang Y (2011) Stroke and stroke care in China: huge burden, significant workload, and a national priority. Stroke 42(12):3651–3654
Lyu QH, Xu SY, Wu QQ et al (2014) Study the current state about chronic disease information acquisition and new media utilization of residents in Zhejiang Province. Chin J Health Educ 30(11):976–979 (in Chinese)
Miller DP, Brownlee CD, McCoy TP et al (2007) The effect of health literacy on knowledge and receipt of colorectal cancer screening: a survey study. BMC Fam Pract 8(1):16
Ozdemir H, Alper Z, Uncu Y, Bilgel N (2010) Health literacy among adults: a study from Turkey. Health Educ Res 25(3):464–477
Sacco RL, Kasner SE, Broderick JP et al (2013) An updated definition of stroke for the 21st century: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 44(7):2064–2089
Samuelsson M, Rådestad I, Segesten K (2001) A waste of life: fathers’ experience of losing a child before birth. Birth 28(2):124–130
Tang C, Wu X, Chen X et al (2019) Examining income-related inequality in health literacy and health-information seeking among urban population in China. BMC Public Health 19(1):221
Wang X, Guo H, Wang L et al (2015) Investigation of residents’ health literacy status and its risk factors in Jiangsu Province of China. Asia Pac J Public Health 27(2):NP2764–NPNP72
Wang J, Wen X, Li W et al (2017a) Risk factors for stroke in the Chinese population: a systematic review and meta-analysis. J Stroke Cerebrovasc Dis 26(3):509–517
Wang W, Jiang B, Sun H et al (2017b) Prevalence, incidence, and mortality of stroke in China: results from a Nationwide population-based survey of 480 687 adults. Circulation 135(8):759–771
Zhou Z, Su Y, Gao J et al (2013) Assessing equity of healthcare utilization in rural China: results from nationally representative surveys from 1993 to 2008. Int J Equity Health 12(1):34
Zhou M, Wang H, Zeng X et al (2019) Mortality, morbidity, and risk factors in China and its provinces, 1990–2017: a systematic analysis for the global burden of disease study 2017. Lancet 394(10204):1145–1158
Funding
This study was supported by Foundation of Doctoral research in BeiHua University (201804) and the Science and Technology Department of Jilin Province (20200403114SF) and Department of Education Project in Jilin Province (JJKH20200081KJ).
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This study was approved by the Ethics Committee of Beihua University.
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Zhao, C., Zhao, M. & Li, C. The health literacy status and influencing factors of the high-risk stroke population in Jilin Province. J Public Health (Berl.) 30, 855–860 (2022). https://doi.org/10.1007/s10389-020-01353-5
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DOI: https://doi.org/10.1007/s10389-020-01353-5