Factors influencing the health literacy among undergraduates in China : a review
Journal: Region - Educational Research and Reviews DOI: 10.32629/rerr.v6i3.1832
Abstract
As the COVID-19 pandemic has led the learning needs of college students to the health field, health literacy gradually becomes a key factor in healthy behaviors and health-related decision-making. However, little is known about the influencing factors of health literacy among undergraduates. Thus, the aim of this study was to review the status quo, assessment tools, and influencing factors of health literacy in undergraduates. Methods: We conducted a comprehensive search in several databases, including PubMed, China National Knowledge Infrastructure, CNKI, Wanfang Database, VIP Database, Google Scholar, and Chinese Science and Technology Journal Database between January 2000 and January 2024.
Results: The articles included in this review were all cross-sectional studies. National Health Literacy Survey Questionnaire for Residents was the most commonly used measurement for health literacy in undergraduates. The level of health literacy in undergraduates was not high, which was associated with a variable of factors. From an individual's perspective, knowledge and health awareness were the most significant factors. Conclusion: The study has identified the influencing factors of health literacy among undergraduates, including gender, grade, domicile place, major, knowledge and health awareness, parental education level and occupation, good social network and social support.
Keywords
undergraduates; health literacy; the influencing factors
Funding
Thanks to my supervisors Dr. Suppiah and Dr. Sha for their guidance and assistance in the process of writing the paper.
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[2] Li JX, Li HP, Zhou MK. 2023. The mediating effect of health literacy on self-efficacy and self-management of 600 college students. Chinese School Physicians, 37 (5): 332-335.
[3] Wang C, Duan ZG. 2020. Exploration of health education action for college students based on the construction of healthy China. Chinese Journal of Medical Education, 40 (4): 5.
[4] Chen QY, Wang HL, Lu H, et al. 2021. The current situation of Chinese college students' health literacy and its influencing factors. Science and Technology Information, 19 (36): 159-162+184.
[5] Chen WL, Zhang CG, Wang X, et al. 2020. A cross-sectional study on the relationship between health literacy and health promoting lifestyle among residents in Xuhui District, Shanghai. Fudan University Journal of Medical Sciences, 47 (1): 101-105+127.
[6] Yuan XQ. 2019. Research on the current situation of health literacy among college students in two provinces and its relationship with health behavior and health status. (Master's Thesis) China Center for Disease Control and Prevention.
[7] Hao ZX, Tang R, Xia F. 2021. Analysis of health literacy level and influencing factors among college students in Jilin Province. University: Social Sciences, 3: 140-141.
[8] Guo Y, Jiang D, Dong J, et al. 2023. A study on the comparison and enhancement of health literacy of college students in Guangdong Province in 2020 and 2022. SHS Web of Conferences,155: 01002.
[9] Jing WZ, Huang ZY, Liu QY, et al. 2016. Analysis of knowledge and influencing factors related to health literacy among college students. School Health in China, 37 (6): 859-862.
[10] Zhang NX. 2018. Investigation and analysis of health information literacy among medical college students. China's Health Industry, 15 (6): 166-167.
[11] Xue WS, Wang XY, Xu QY. 2023. Research on health action strategies for medical students in universities under the background of healthy China . Advances in Education, 13, 2514.
[12] Zu GH. 2009. The concept and basic connotation of basic health literacy of Chinese citizens. Anhui Journal of Preventive Medicine, 15 (1): 73-75.
[13] Liu R, Xu SJ. 2023. The impact of perceived stress on electronic health literacy among college students: the mediating role of psychological resilience. Journal of Jining Medical College, 46 (3): 174-178.
[14] Wu WJ, Li HW, Zheng Q. 2017. Research progress on students' health literacy in the context of healthy China. Sports Science and Technology Literature Bulletin, 25 (12): 174-176.
[15] Jiang F, Zhang JT, Qiao JG, et al. 2021. A survey on the current situation of health literacy among college students in the new era and analysis of influencing factors: taking a comprehensive university in Henan as an example. Health Medicine Research and Practice, 18 (6): 1-7.
[16] Zhu LK, Chen R. 2018. Survey and analysis of the health literacy level of college students in a certain university in Jiangxi. 2018 Academic Seminar and Paper Presentation on "Sports Risk and Injury Prevention and Control Techniques" in Ordinary Universities, 123-124.
[17] Cai LM. 2019. Exploration of the relationship between health literacy and health status of college students. Master's Thesis, Zhejiang University, 5: 332-335.
[18] Zhang X, Li YL. 2020. Health information literacy: conceptual analysis and related research progress. Journal of Literature and Data, 2 (2): 078-088.
[19] Ren CF. 2014. The impact and countermeasures of family education on the mental health status of college students. Journal of Shenyang Normal University (Social Sciences Edition), 38 (1): 146-148.
[20] Zhang JJ, Zhong M, Chen ZX. 2023. Research on the correlation between electronic health literacy and health behavior among college students in Guangzhou. China Public Health Management, 4: 497-501.
[21] Gao WM, Pu X. 2022. Survey and analysis of health literacy among students of a medical college in Yunnan Province. Journal of Kunming Medical University/Kunming Yike Daxue Xuebao, 43 (2).
[22] Tao M, Zhu ZL, Xu R, et al. 2022. Analysis of the current situation and influencing factors of health literacy among medical college students. Journal of Bengbu Medical College, 47 (4): 533-536.
[23] Zhou WW, Luo CH, Fan CX, et al. 2014. Analysis of the current situation and influencing factors of health literacy among college students in Guangzhou. Chinese Journal of Disease Control and Prevention, 18 (7): 654-658.
[24] Xin J, Anonymous, Zong Z. 2016. Interpretation of "Chinese Citizen Health Literacy - Basic Knowledge and Skills (2015 Edition)". Middle Aged and Elderly Care, 8: 24-28.
[25] Zhou CW. 2019. A study on the long term mechanism construction of sunshine sports activities at Central South University under the background of "Healthy China". Master's thesis, Hunan University of Technology.
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