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Does health literacy promote COVID-19 awareness? Evidence from Zhejiang, China.
Chen, Chun; Xu, Tingke; Chen, Youli; Xu, Yue; Ge, Lizheng; Yao, Dingming; Zhang, Xuehai.
  • Chen C; School of Public Health and Management, Wenzhou Medical University, Wenzhou, China.
  • Xu T; School of Public Health and Management, Wenzhou Medical University, Wenzhou, China.
  • Chen Y; State Key Laboratory for Oncogenes and Related Genes, Key Laboratory of Gastroenterology and Hepatology, Division of Gastroenterology and Hepatology, Shanghai Institute of Digestive Disease, Renji Hospital, School of Medicine, Ministry of Health, Shanghai Jiao Tong University, Shanghai, China.
  • Xu Y; Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China.
  • Ge L; School of Public Health and Management, Wenzhou Medical University, Wenzhou, China.
  • Yao D; Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China.
  • Zhang X; Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China.
Front Public Health ; 10: 894050, 2022.
Article in English | MEDLINE | ID: covidwho-2022933
ABSTRACT

Background:

Health literacy (HL) is considered a crucial determinant of disease prevention and control. However, the role of HL in the Coronavirus Disease 2019 (COVID-19) pandemic has not been studied using provincial representative data among Chinese residents. This study aimed to assess the association between HL and COVID-19 awareness among Zhejiang residents based on the 2020 China Health Literacy Survey (CHLS).

Methods:

The study was conducted among 5,596 residents aged 15-69 in Zhejiang using multistage, stratified, and probability proportional to size sampling. COVID-19 awareness and HL were assessed using the "Chinese Citizen Health Literacy Questionnaire (2020)" in Zhejiang. The covariates were divided into predisposing factors, enabling factors, and need factors according to Anderson's model. Data were analyzed by the chi-square test and logistic regression.

Results:

The study showed that HL and COVID-19 awareness levels of residents were 24.84% and 8.06%, respectively, in Zhejiang in 2020. After adjusting for covariates, residents with adequate HL were more likely to have better COVID-19 awareness (odds ratio [OR] = 5.22, 95% CI = 4.13-6.59, p < 0.001). Three dimensions of HL (knowledge and attitudes, behavior and lifestyle, and health-related skills) were associated with COVID-19 awareness. Additionally, COVID-19 awareness was associated with age, occupation, family size, annual household income, and chronic conditions.

Conclusion:

COVID-19 awareness is significantly associated with HL, suggesting that promoting HL is an important component of health education, disease prevention, and health promotion in response to the COVID-19 pandemic and even possible public health emergencies in the future.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Health Literacy / COVID-19 Type of study: Etiology study / Observational study / Prognostic study / Randomized controlled trials Limits: Humans Country/Region as subject: Asia Language: English Journal: Front Public Health Year: 2022 Document Type: Article Affiliation country: Fpubh.2022.894050

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Health Literacy / COVID-19 Type of study: Etiology study / Observational study / Prognostic study / Randomized controlled trials Limits: Humans Country/Region as subject: Asia Language: English Journal: Front Public Health Year: 2022 Document Type: Article Affiliation country: Fpubh.2022.894050