Influencing factors of health literacy of the elderly in China：A meta analysis

Abstract

Abstract: Objective To explore the influencing factors of health literacy in Chinese elderly people,provide a basis for the future research on the health literacy of the elderly. Methods The PubMed,Web of Science,the Cochrane Library,Embase,CNKI,WanFang Data,CBM and VIP databases were searched by the computer from the inception to January 2022,in order to collect studies on the influencing factors of health literacy of the elderly in China. Two researchers independently screened the literature,extracted data,and evaluated the quality of the included literatur.RevMan 5.3 software was used for meta-analysis. Results A total of 20 studies were included,involving a sample size of 59 826 cases and 12 influencing factors. The results showed that the influencing factors and OR（95%CI） values of health literacy in Chinese elderly people were as follows：high educational level [1.89（1.66-2.16）],high family income[1.50（1.14-1.98）],working as manual workers[0.29（0.19-0.42）],living in rural areas[0.71（0.50-0.99）] and central or western regions[0.68（0.46-0.99）]. Conclusion Working as manual workers and living in rural areas and central or western regions are the risk factors of health literacy of Chinese elderly,and higher education level and family income are the protective factors.

Key words: Elderly people, Health literacy, Influencing factors, Meta analysis

CLC Number:

R181.3

LI Pei-pei, ZHANG Chun-mei, NIU Han-fei-fei, YU Qing, LI Xue-chun, BAN Xiao-hui. Influencing factors of health literacy of the elderly in China：A meta analysis. [J]OCCUPATION AND HEALTH, 2023, 39(6): 837-841.

References

[1] LIU C,WANG D,LIU C,et al.What is the meaning of health literacy? A systematic review and qualitative synthesis[J].Fam Med Community Health,2020,8(2):e000351.
[2] NASH R,ELMER S,THOMAS K,et al.Health lit4 kids study protocol; crossing boundaries for positive health literacy outcomes[J].BMC Public Health,2018,18(1):690.
[3] 卢艳华,黄远霞,李毅琳,等.2016年与2018年武汉市城区居民健康素养比较及影响因素研究[J].中国健康教育,2020,36(11):1039-1044.
[4] HUANG Y,QI F,WANG R,et al.The effect of health literacy on health status among residents in Qingdao,China:a path analysis[J].Environ Health Prev Med,2021,26(1):78.
[5] PALUMBO R.Examining the impacts of health literacy on healthcare costs.an evidence synthesis[J].Health Serv Manage Res,2017,30(4):197-212.
[6] BERKMAN N D,SHERIDAN S L,DONAHUE K E,et al.Low health literacy and health outcomes:an updated systematic review[J].Ann Intern Med,2011,155(2):97-107.
[7] 国家卫健委.国家卫生健康委关于印发“十四五”健康老龄化规划的通知[EB/OL].(2022-03-01)[2022-03-11].http://www.nhc.gov.cn/lljks/pqt/202203/c51403dce9f24f5882abe13962732919.shtml.
[8] 曾宪涛,刘慧,陈曦,等.Meta分析系列之四:观察性研究的质量评价工具[J].中国循证心血管医学杂志,2012,4(4):297-299.
[9] 严丽萍,魏南方,李方波.我国60~69岁老年人健康素养现状及相关因素分析[J].中华预防医学杂志,2012,46(7):663-665.
[10] 周思远.昆山市周庄镇老年人健康素养影响因素研究[D].苏州:苏州大学,2013.
[11] 钱玥,骆宏,范为群.疗休养老年人群健康素养调查[J].浙江预防医学,2015,27(5):527-528,534.
[12] 杜维婧,李英华,聂雪琼,等.我国60~69岁老年人健康素养现状及其影响因素分析[J].中国健康教育,2015,31(2):129-133.
[13] 周丽华.盐城市社区老年人健康素养现状、影响因素及干预研究[D].南京:东南大学,2015.
[14] 胡洁,郭海健,李洋,等.江苏省60~69岁老年人健康素养现状及其影响因素[J].中国公共卫生,2016,32(9):1156-1158.
[15] 常艳,沈敏学,刘四云,等.老年人健康素养现状及其相关因素分析[J].中华老年医学杂志,2016,35(1):91-96.
[16] 孟铃洁,李玉华.2017年青岛市市北区60~69岁老年人健康素养现状分析[J].中国社区医师,2018,34(32):164-166.
[17] 陈亦芳,吴龙辉,崔鑫,等.老年人群健康素养及其影响因素分析[J].预防医学,2018,30(9):964-966.
[18] 玉洁.2015年北京市西城区老年人群健康素养状况及影响因素分析[J].中国健康教育,2018,34(2):119-121+126.
[19] 谢杨,徐慧,张明敏.上海市奉贤区60~69岁居民健康素养分析[J].健康教育与健康促进,2019,14(2):133-135.
[20] 王琳.呼和浩特市老年人健康素养现状调查研究[D].呼和浩特:内蒙古师范大学,2019.
[21] 王可,赵华硕,黄水平,等.徐州市区老年人健康素养现状及影响因素分析[J].社区医学杂志,2019,17(9):498-501.
[22] 石名菲,李英华,刘莹钰,等.2012—2017年60~69岁老年人健康素养水平及其影响因素分析[J].中国健康教育,2019,35(11):963-966+988.
[23] 彭锋,刘亚欣,刘虹妍,等.重庆市贫困地区65~69岁老年人健康素养现状及影响因素分析[J].中国慢性病预防与控制,2019,27(12):912,916.
[24] 徐文丽,马维红,冉冉,等.2018年开封市城区老年人群健康素养水平[J].江苏预防医学,2019,30(5):587-588.
[25] 梅秋红,高鑫阳,冯宏伟,等.宁波市60~69岁人群健康素养调查[J].预防医学,2020,32(8):851-853.
[26] 毛可,许瑞雪,梅杨梅,等.湖南省60~75岁农村老年人临床健康素养现状及影响因素分析[J].职业与健康,2020,36(5):626-629,633.
[27] 李成波,闫涵,熊智强,等.城市社区对老年人健康素养的影响——基于中国西部地区三省市老年人抽样调查的经验数据[J].人口与发展,2021,27(2):124-135.
[28] 纪红.某辖区60岁以上老年人健康素养水平现状及影响因素分析[J].中国保健营养,2021,31(11):278.
[29] AYAZ-ALKAYA S,OZTURK F O.Health literacy levels of women and related factors in Turkey[J].J Nurs Res,2021,29(6):e180.
[30] CHIU H T,TSAI H W,KUO K N,et al.Exploring the influencing factors of health literacy among older adults:a cross-sectional survey[J].Medicina-Lithuania,2020,56(7):330.
[31] 李佳楠.农村空巢老人自我效能感与健康素养的相关性研究[D].沈阳:辽宁中医药大学,2021.
[32] SUN X,SHI Y,ZENG Q,et al.Determinants of health literacy and health behavior regarding infectious respiratory diseases:a pathway model[J].BMC Public Health,2013,22(13):261.
[33] YIGITALP G,BAYRAM DEGER V,CIFICI S.Health literacy,health perception and related factors among different ethnic groups:a cross-sectional study in southeastern Turkey[J].BMC Public Health,2021,21(1):1109.
[34] 林思彤,肖艳杰.反复入院中老年慢性病患者健康素养现状和影响因素研究[J].现代预防医学,2020,47(18):3382-3385.
[35] 钱晓波,范馨文,李若琳,等.吉林省中老年人慢性病防治素养及其影响因素[J].中国老年学杂志,2020,40(6):1331-1333.
[36] 张萧红,徐凌忠,秦文哲,等.泰安市45~69岁中老年人健康素养现状及影响因素分析[J].中国卫生事业管理,2021,38(12):950-956.
[37] 李莉,李英华,王兰兰,等.2012—2020年中国女性健康素养水平分析[J].中国健康教育,2021,37(10):889-893.
[38] 国家卫健委.国家卫健委关于印发《“十四五”卫生健康标准化工作规划》的通知[EB/OL].(2022-01-25)[2022-03-11].http://www.nhc.gov.cn/fzs/s7846/202201/0a93c6e17e804d359ba1d2579ce38032.shtml.
[39] 国务院.国务院关于印发《健康中国2030规划纲要》的通知[EB/OL].(2016-10-25)[2022-03-11].http://www.gov.cn/xinwen/2016-10/25/content_5124174.htm.
[40] LIU Y,WANG Y,LIANG F,et al.The health literacy status and influencing factors of older population in Xinjiang[J].Iran J Public Health,2015,44(7):913-919.
[41] 周丽,李春玉,金锦珍.基于选择、优化和补偿模型理论的老年慢性病患者健康素养、社会支持与成功老龄化的关系研究[J].解放军护理杂志,2020,37(5):40-44.