ABSTRACT
Health self-management group adopts the mode of chronic disease self-management and offers a series of courses for community residents in order to help them carry out health self-management. For healthy people, the program aims at disease prevention by means of improving health literacy, acquiring health knowledge and skills, and developing a healthy lifestyle.While for patients, the program aims to prevent or slow the progression of diseases by means of helping them deal with their condition, achieving disease self-management. By nearly ten years of exploration and practice in Shanghai communities, with the program a working system had been established which was dominated by patriotic health campaign committee office at the levels of city and district, and technologically supported by centers for disease control and prevention with support and cooperation of the town government.The program was implemented by community health service centers and neighborhood ( village ) committee.A large-scale and whole-society promotion had been really achieved in community residents with health self-management. By the end of 2015, health self-management groups had covered all of the city's streets ( town ) and neighborhood ( village ) committee, 26 thousand groups set up and nearly 440 thousand community residents participated in group activities.
ABSTRACT
Objective To understand the current status of health literacy among Shanghai residents, and to provide information for developing health policy and health education intervention strategies. Methods During 2008-2015, residents of 15-69 years old in Shanghai were investigated, with multi-stage stratified random sampling method. Results Annual increase of health literacy among Shanghai residents of 15-69 years old was witnessed, i.e.21.94%in 2015, an increase of 14.97%com-pared with that in 2008.Among three aspects of health literacy, the level of basic health concept and knowledge, and the level of health related skills were higher than the level of health lifestyle and behaviors.Among six types of health issues, except for infectious disease prevention and health informa-tion, the health literacy level of other four health issues were improved significantly.During the past eight years, the health literacy level of all types of people improved.However, the health literacy level among residents in rural area or with low education level was lower than other groups, and was increasing with slower pace. Conclusoin The intervention of health literacy gains obvious benefits , however,intensive intervention is required for residents with lower health literacy .
ABSTRACT
Objective] To evaluate effect of health literacy intervention in occupational groups , explore suitable ways and provide suggestions for workplace health promotion . [ Methods ] In application of convenience sampling , Minhang District , Hongkou District and Qingpu District each selected 2 enterprises respectively according to their type , scale and location , setting one as intervention enterprise and the other as control .Then a six-month comprehensive intervention was conducted among intervention groups .Two hundred employees in each enterprise were randomly investigated before and after intervention to evaluate the effect . [ Results ] The overall health literacy level of participants in the intervention group rose from 16.7% to 33.4%, with improvement on the literacy levels of scientific view , infectious diseases prevention and treatment , chronic disease control and prevention and the three aspects of health literacy content ( P<0 .05 ) , while such improvement was not reflected in the control group , and health skill literacy, safety and first aid literacy declined (P <0.05). [Conclusion] Comprehensive intervention based on health needs could improve the level of health literacy of occupational groups . Intervention in future should focus on improving the literacy of chronic disease control and prevention and basic medical care in occupational population .