Analysis on the Current Situation and Influencing Factors of Health Literacy of Primary and Secondary School Teachers in Shanghai

G. Lei, Rongbo Luo, Zhenwei Bao, Xiaojuan Lu
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Abstract

: Objective: The outbreak of the covid-19 epidemic has increased the attention of the whole society to health. Health literacy is closely related to an individual's health status. While primary and secondary school teachers shoulder the important task of cultivating talents and educating people, it is of great significance to pay attention to their health literacy. The paper investigated the health literacy status and influencing factors of primary and secondary school teachers in Shanghai, analyzed the relationship between their health literacy levels and healthy behavior choices, grasped the needs of primary and secondary school teachers for access to health education and provided reference suggestions for improving the health literacy of primary and secondary school teachers. Methods: Using the cluster sampling method, in October 2020, 637 primary and secondary school teachers from 4 primary schools and 4 middle schools in Shanghai were selected as the study participants, and the general information questionnaires and the health literacy questionnaires were used to get information. Binary logistic regression analysis was used to explore the influencing factors of health literacy among primary and secondary school teachers. Results: The health literacy rate of primary and secondary school teachers in this group was 38.93%. The health knowledge, health skills, and health behaviors rates were 42.23%, 78.49%, and 47.10% respectively. The rate of health skills was higher than that of health knowledge and behavior. The three dimensions possession rates of health knowledge, skills, and behavior were not balanced. Five categories of health issues: scientific health concept, infectious disease prevention, chronic disease prevention, safety and first aid, and basic medical health literacy rates were 74.88%, 85.87%, 69.07%, 94.03%, and 69.07%, respectively. The top three access channels for health information were: Internet, TV broadcasting, books or newspapers and magazines. The results of binary logistic regression analysis showed that the satisfaction of health education content and form, gender, and access to health knowledge had an important impact on health literacy (all P<0.05). Conclusions: The health literacy level of primary and secondary school teachers in this group needed to be improved. It was also suggested that schools and the society should strengthen the development of health education, systematically impart health knowledge and skills to primary and secondary school teachers in multiple ways and in various forms, and at the same time, strengthen the monitoring of the health satisfaction of teachers, improve health satisfaction, improve health literacy, and promote health.
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上海市中小学教师健康素养现状及影响因素分析
目的:新冠肺炎疫情的爆发引起了全社会对健康的关注。健康素养与个人的健康状况密切相关。中小学教师肩负着培养人才、育人的重任,关注中小学教师的健康素养具有重要意义。调查上海市中小学教师健康素养现状及影响因素,分析中小学教师健康素养水平与健康行为选择的关系,把握中小学教师获得健康教育的需求,为提高中小学教师健康素养提供参考建议。方法:采用整群抽样方法,于2020年10月选取上海市4所小学和4所中学的637名中小学教师作为研究对象,采用一般信息问卷和健康素养问卷进行调查。采用二元logistic回归分析探讨中小学教师健康素养的影响因素。结果:该组中小学教师健康识字率为38.93%。健康知识、健康技能和健康行为的比例分别为42.23%、78.49%和47.10%。健康技能的比例高于健康知识和行为的比例。健康知识、技能和行为三个维度的拥有率不平衡。科学健康观、传染病预防、慢性病预防、安全与急救5类健康问题和基本医疗卫生识字率分别为74.88%、85.87%、69.07%、94.03%和69.07%。获取健康信息的前三大渠道是:互联网、电视广播、书籍或报纸杂志。二元logistic回归分析结果显示,健康教育内容和形式满意度、性别、健康知识获取对健康素养有重要影响(均P<0.05)。结论:该组中小学教师健康素养水平有待提高。建议学校和社会应加强健康教育的发展,以多种方式、多种形式系统地向中小学教师传授健康知识和技能,同时加强对教师健康满意度的监测,提高健康满意度,提高健康素养,促进健康。
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