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| Investigation on the current status and influencing factors of health literacy of general practitioners in the Yangtze River Delta region#br# |
| Nulanbieke Hasenbieke1 CHEN Mingmin2 LI Ming3 LIU Ying2 YE Kangli2 LI Shuai2 REN Jingjing2 |
1.Project Cooperation Office, Administrators Training Center of the National Health Commission of the PRC Party School of the National Health Commission of the PRC, Beijing 100024, China;
2.Department of General Practice, the First Affiliated Hospital, Zhejiang University School of Medicine, Zhejiang Province, Hangzhou 310003, China;
3.Trauma Medicine Center, Peking University People’s Hospital National Center for Trauma Medicine, Beijing 100044, China |
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Abstract Objective To investigate and understand the current status of the health literacy level of general practitioners in the Yangtze River Delta region, to analyze its influencing factors, and to provide a basis for accurately improving the health literacy level of general practitioners. Methods From November to December 2020, a stratified multi-stage cluster sampling method was used to select general practitioners from 520 medical institutions in the Yangtze River Delta region (Shanghai, Jiangsu, Zhejiang and Anhui) to conduct a health literacy online questionnaire survey. The questionnaire consists of two parts, namely basic information and health literacy assessment (including basic theory, basic skills, healthy lifestyle and behavior, three dimensions). The scores of various dimensions of health literacy of general practitioners with different backgrounds were compared, and the influencing factors were analyzed. Results A total of 4531 valid questionnaires were recovered in this study, with an effective recovery rate of 90.52%. The basic theoretical literacy of general practitioners was (13.01±2.01) points, the basic skill literacy was (12.01±1.46) points, and the healthy lifestyle and behavioral literacy was (22.32±2.68) points. There were highly statistically significant differences in the health literacy scores of general practitioners in different provinces, genders, ages, educational backgrounds, professional titles, and working years (P ＜ 0.01). The influencing factors of health theoretical literacy were gender (β=0.547), professional title (β=0.249), province (β=0.162) and educational background (β=0.13) in descending order; the main influencing factors of basic skills literacy were educational background (β=0.162) and working years (β=0.088); the main influencing factors of healthy lifestyle and behavior were gender (β=1.428), age (β=0.544), education (β=-0.196) and province (β=-0.156). Conclusion The health literacy of general practitioners in the Yangtze River Delta region of my country is relatively good, and they have the foundation to provide good health education for residents. However, there is still room for improvement in the dimensions of basic theoretical literacy and healthy lifestyle and behavior. Measures should be taken to improve the weak links general practitioners of health literacy.
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