关键词: 健康素养, 影响因素, 健康技能, 中介效应

Abstract: Objective To learn the health literacy and its influence factors in Xinhui District, Jiangmen City, and to explore the mediating effect of health skills between knowledge and behavior, and to provide theoretical support for the improvement of health literacy. Methods A questionnaire survey on health literacy was carried out by using probability proportionate to size sampling of Xinhui District from 2017 to 2021. Chi-square test and Logistic regression were used for univariate and multivariate analysis, and Pearson correlation was employed to explore the relationship among knowledge, skills and behavior. Besides, the Bootstrap test was used to analyze the mediating effect. Results A total of 3 083 residents in Xinhui District were surveyed. The level of health literacy was 26.47%. Multivariate Logistic regression showed that the residents with education of college/bachelor degree or above （OR=2.089） and high school/vocational high school/technical secondary school （OR=1.721） were exhibited a significantly higher health literacy than primary school or below, and the medical staff （OR=5.373）, teachers （OR=4.421）, and workers （OR=1.319） were higher than farmer. There was a significant positive correlation among three aspects of health literacy （P<0.01）, and health skills played a part mediating role between basic knowledge and health behaviors, the mediating effect accounted for 27.94%. Conclusions The health literacy level is increasing year by year in Xinhui District, Jiangmen City. But the residents with low education and farmers still needed to be paid attention, and health literacy can be promoted by improving health skills.

Key words: Health literacy, Influence factor, Health skills, Mediating effect