Health literacy, screen time and associated factors among middle school students in Yinchuan

Abstract

Objective To investigate the status and influencing factors of health literacy of middle school students in Yinchuan City, to provide reference for health literacy improvement of middle school students in this region. Methods Using stratified cluster sampling method, 2 003 middle school students from three districts of Yinchuan were investigated to complete the questionnaire survey.The survey included basic characteristics, health literacy and screen time status. Results The total score of Chinese Adolescent Interactive Health Literacy Questionnaire was (101.3±17.5). The proportion of high, medium and low level of health literacy were 25.0%, 51.2% and 23.9% respectively; the proportion of long screen time exposure among middle school students was 52.5%. The health literacy level of junior middle school students, middle school students with father or mother education level of high school or above and appropriate screen time were higher than those of the corresponding group (χ 2 =49.90, 14.59, 16.53, 46.73, P<0.01). Logistic regression analysis showed that education group, grade, father’s or mother’s education level and long screen time exposure were associated with middle school students’ health literacy level ( P<0.05). Conclusion The health literacy level of middle school students in Yinchuan City needs to be further improved and targeted health education should be carried out from school, family and society. 【摘要】 目的 了解银川市中学生的健康素养状况及影响因素, 为提髙本地区中学生的健康素养水平提供参考依据。 方法 2019 年 5 月,以分层整群抽样的方法,选择银川市 3 个区的 2 003 名中学生进行问卷调査,调査内容包括基本特征、健 康素养状况和视屏状况等。 结果 银川市中学生中国青少年互动性健康素养问卷总得分为 (101.3±17.5) 分,健康素养水 平髙、中、低的比例分别为 25.0%, 51.2% 和 23.9%; 中学生视屏时间过长的比例为 52.5%; 初中生、父亲或母亲文化程度为 髙中及以上、视屏时间正常的中学生健康素养水平均髙于对应组的学生 (χ 2 值分别为 49.90, 14.59, 16.53, 46.73, P 值均<0.01)。Logistic 回归分析显示,学段、年级、父亲或母亲文化程度、视屏时间过长是中学生健康素养水平的影响因素 ( P 值 均<0.05)。 结论 银川市中学生健康素养水平有待进一步提髙,需要从学校、家庭和社会多层次开展针对性的健康教育。