Association of health literacy and injury among Chinese primary and middle school students in five provinces / 中国学校卫生

ABSTRACT

Objective@#To investigate the association of health literacy and incidence of self-injury, intentional injury in primary and middle school students in China, to provide guidance for prevention on self-injury and intentional injury in adolescence.@*Methods@#From June to November in 2017, a total of 2 173 primary and middle school students were selected by stratified cluster sampling method from Zhejiang, Guangdong, Jiangxi, Sichuan and Guizhou province in China, The association between health literacy with incidence of self-injury, intentional injury was analyzed.@*Results@#The score of health literacy among 2 173 students was(13.13±2.27), with primary school students (12.79±2.55) lower than middle school students (13.49±1.88) (t=-7.29，P<0.05), the prevalence of self-injuries was 11.1%, primary school students was 11.3% which was similar with that of middle school students was 11.0% (χ2=0.06，P>0.05), the prevalence of intentional injury was 17.8%, the primary school students was 22.4% which was significantly higher than that of middle school students (13.2%) (χ2=31.31，P<0.05). Compared with the students with high health literacy, multiple Logistic regression analyses showed that, the OR(95%CI) values of self-injury, intentional injury were 2.38(1.78-3.20) and 1.45(1.11-1.88).@*Conclusion@#The risk of self-injuries and intentional injury of primary and middle school students was related to health literacy, the health education should be conducted to improve their health literacy.