Health literacy and associated factors in China: findings from the Wa ethnic group
The health literacy of ethnic groups in remote areas of China is far from satisfactory. However, the health literacy of ethnic groups in China remains unclear. This study aimed to explore the health literacy of the "advancing directly" ethnic group and its influencing factors. A cross-sect...
Saved in:
Published in | Frontiers in public health Vol. 12; p. 1407593 |
---|---|
Main Authors | , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Switzerland
Frontiers Media S.A
24.06.2024
|
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | The health literacy of ethnic groups in remote areas of China is far from satisfactory. However, the health literacy of ethnic groups in China remains unclear. This study aimed to explore the health literacy of the "advancing directly" ethnic group and its influencing factors.
A cross-sectional study was conducted using a staged sampling method among the Wa ethnic group, who have rapidly transitioned directly from the traditional lifestyle of slash-and-burn cultivation to modern societies. We used the Health Literacy Questionnaire (HLQ) to assess health literacy. We defined low health literacy as less than 60% of the total score and adequate health literacy as more than 80% of the total score.
A total of 668 individuals met the inclusion criteria and the mean age was 42.19 (SD 10.56) years. The mean HLQ total score was 29.9 (SD 10.56). The prevalence of adequate health literacy was 0.89%. There were significant differences between the low and the non-low health literacy groups in terms of gender, age, education, marital status, occupation, residing place, current smoking status, and waist circumference (all
< 0.05). Multiple linear regression analysis showed that women (
= 9·418,
< 0.001), older age (
= -0.0091,
= -2.644,
= 0.008), low educational level (
= 0.766,
= 6.018,
< 0.001), current smoking (
= -2.66,
= -3.038,
= 0.008), and residence far from township (
= -5.761,
= -4.1,
< 0.001) were associated with low HLQ total score.
Our findings suggest that the health literacy of the Wa ethnic group is far from favorable. It indicates the need for increased efforts in improving the health literacy of "advancing directly" ethnic groups. |
---|---|
AbstractList | Background The health literacy of ethnic groups in remote areas of China is far from satisfactory. However, the health literacy of ethnic groups in China remains unclear. This study aimed to explore the health literacy of the “advancing directly” ethnic group and its influencing factors. Methods A cross-sectional study was conducted using a staged sampling method among the Wa ethnic group, who have rapidly transitioned directly from the traditional lifestyle of slash-and-burn cultivation to modern societies. We used the Health Literacy Questionnaire (HLQ) to assess health literacy. We defined low health literacy as less than 60% of the total score and adequate health literacy as more than 80% of the total score. Results A total of 668 individuals met the inclusion criteria and the mean age was 42.19 (SD 10.56) years. The mean HLQ total score was 29.9 (SD 10.56). The prevalence of adequate health literacy was 0.89%. There were significant differences between the low and the non-low health literacy groups in terms of gender, age, education, marital status, occupation, residing place, current smoking status, and waist circumference (all p < 0.05). Multiple linear regression analysis showed that women ( t = 9·418, p < 0.001), older age ( B = −0.0091, t = −2.644, p = 0.008), low educational level ( B = 0.766, t = 6.018, p < 0.001), current smoking ( B = −2.66, t = −3.038, p = 0.008), and residence far from township ( B = −5.761, t = −4.1, p < 0.001) were associated with low HLQ total score. Conclusion Our findings suggest that the health literacy of the Wa ethnic group is far from favorable. It indicates the need for increased efforts in improving the health literacy of “advancing directly” ethnic groups. The health literacy of ethnic groups in remote areas of China is far from satisfactory. However, the health literacy of ethnic groups in China remains unclear. This study aimed to explore the health literacy of the "advancing directly" ethnic group and its influencing factors. A cross-sectional study was conducted using a staged sampling method among the Wa ethnic group, who have rapidly transitioned directly from the traditional lifestyle of slash-and-burn cultivation to modern societies. We used the Health Literacy Questionnaire (HLQ) to assess health literacy. We defined low health literacy as less than 60% of the total score and adequate health literacy as more than 80% of the total score. A total of 668 individuals met the inclusion criteria and the mean age was 42.19 (SD 10.56) years. The mean HLQ total score was 29.9 (SD 10.56). The prevalence of adequate health literacy was 0.89%. There were significant differences between the low and the non-low health literacy groups in terms of gender, age, education, marital status, occupation, residing place, current smoking status, and waist circumference (all < 0.05). Multiple linear regression analysis showed that women ( = 9·418, < 0.001), older age ( = -0.0091, = -2.644, = 0.008), low educational level ( = 0.766, = 6.018, < 0.001), current smoking ( = -2.66, = -3.038, = 0.008), and residence far from township ( = -5.761, = -4.1, < 0.001) were associated with low HLQ total score. Our findings suggest that the health literacy of the Wa ethnic group is far from favorable. It indicates the need for increased efforts in improving the health literacy of "advancing directly" ethnic groups. The health literacy of ethnic groups in remote areas of China is far from satisfactory. However, the health literacy of ethnic groups in China remains unclear. This study aimed to explore the health literacy of the "advancing directly" ethnic group and its influencing factors.BackgroundThe health literacy of ethnic groups in remote areas of China is far from satisfactory. However, the health literacy of ethnic groups in China remains unclear. This study aimed to explore the health literacy of the "advancing directly" ethnic group and its influencing factors.A cross-sectional study was conducted using a staged sampling method among the Wa ethnic group, who have rapidly transitioned directly from the traditional lifestyle of slash-and-burn cultivation to modern societies. We used the Health Literacy Questionnaire (HLQ) to assess health literacy. We defined low health literacy as less than 60% of the total score and adequate health literacy as more than 80% of the total score.MethodsA cross-sectional study was conducted using a staged sampling method among the Wa ethnic group, who have rapidly transitioned directly from the traditional lifestyle of slash-and-burn cultivation to modern societies. We used the Health Literacy Questionnaire (HLQ) to assess health literacy. We defined low health literacy as less than 60% of the total score and adequate health literacy as more than 80% of the total score.A total of 668 individuals met the inclusion criteria and the mean age was 42.19 (SD 10.56) years. The mean HLQ total score was 29.9 (SD 10.56). The prevalence of adequate health literacy was 0.89%. There were significant differences between the low and the non-low health literacy groups in terms of gender, age, education, marital status, occupation, residing place, current smoking status, and waist circumference (all p < 0.05). Multiple linear regression analysis showed that women (t = 9·418, p < 0.001), older age (B = -0.0091, t = -2.644, p = 0.008), low educational level (B = 0.766, t = 6.018, p < 0.001), current smoking (B = -2.66, t = -3.038, p = 0.008), and residence far from township (B = -5.761, t = -4.1, p < 0.001) were associated with low HLQ total score.ResultsA total of 668 individuals met the inclusion criteria and the mean age was 42.19 (SD 10.56) years. The mean HLQ total score was 29.9 (SD 10.56). The prevalence of adequate health literacy was 0.89%. There were significant differences between the low and the non-low health literacy groups in terms of gender, age, education, marital status, occupation, residing place, current smoking status, and waist circumference (all p < 0.05). Multiple linear regression analysis showed that women (t = 9·418, p < 0.001), older age (B = -0.0091, t = -2.644, p = 0.008), low educational level (B = 0.766, t = 6.018, p < 0.001), current smoking (B = -2.66, t = -3.038, p = 0.008), and residence far from township (B = -5.761, t = -4.1, p < 0.001) were associated with low HLQ total score.Our findings suggest that the health literacy of the Wa ethnic group is far from favorable. It indicates the need for increased efforts in improving the health literacy of "advancing directly" ethnic groups.ConclusionOur findings suggest that the health literacy of the Wa ethnic group is far from favorable. It indicates the need for increased efforts in improving the health literacy of "advancing directly" ethnic groups. BackgroundThe health literacy of ethnic groups in remote areas of China is far from satisfactory. However, the health literacy of ethnic groups in China remains unclear. This study aimed to explore the health literacy of the “advancing directly” ethnic group and its influencing factors.MethodsA cross-sectional study was conducted using a staged sampling method among the Wa ethnic group, who have rapidly transitioned directly from the traditional lifestyle of slash-and-burn cultivation to modern societies. We used the Health Literacy Questionnaire (HLQ) to assess health literacy. We defined low health literacy as less than 60% of the total score and adequate health literacy as more than 80% of the total score.ResultsA total of 668 individuals met the inclusion criteria and the mean age was 42.19 (SD 10.56) years. The mean HLQ total score was 29.9 (SD 10.56). The prevalence of adequate health literacy was 0.89%. There were significant differences between the low and the non-low health literacy groups in terms of gender, age, education, marital status, occupation, residing place, current smoking status, and waist circumference (all p < 0.05). Multiple linear regression analysis showed that women (t = 9·418, p < 0.001), older age (B = −0.0091, t = −2.644, p = 0.008), low educational level (B = 0.766, t = 6.018, p < 0.001), current smoking (B = −2.66, t = −3.038, p = 0.008), and residence far from township (B = −5.761, t = −4.1, p < 0.001) were associated with low HLQ total score.ConclusionOur findings suggest that the health literacy of the Wa ethnic group is far from favorable. It indicates the need for increased efforts in improving the health literacy of “advancing directly” ethnic groups. |
Author | Zhang, Guangjie Wang, Yanqing Zhang, Xiangyang Liu, Jiazhou Liu, Kunjie Li, Chaoxiao Mu, Di Zhang, Shuting Yang, Wanqiu Yao, Yu Liu, Yi Leng, Dan Pu, Yongjie Li, Mufei Yang, Borui |
AuthorAffiliation | 5 CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences , Beijing , China 3 Yunnan Provincial Center for Population and Health Publicity and Education , Kunming , China 1 School of Ethnology and Sociology, Yunnan University , Kunming , China 2 School of Medicine, Yunnan University , Kunming , China 4 School of Vocational and Continuing Education, Yunnan University , Kunming , China 6 Department of Psychology, University of Chinese Academy of Sciences , Beijing , China |
AuthorAffiliation_xml | – name: 5 CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences , Beijing , China – name: 6 Department of Psychology, University of Chinese Academy of Sciences , Beijing , China – name: 2 School of Medicine, Yunnan University , Kunming , China – name: 3 Yunnan Provincial Center for Population and Health Publicity and Education , Kunming , China – name: 4 School of Vocational and Continuing Education, Yunnan University , Kunming , China – name: 1 School of Ethnology and Sociology, Yunnan University , Kunming , China |
Author_xml | – sequence: 1 givenname: Wanqiu surname: Yang fullname: Yang, Wanqiu organization: School of Medicine, Yunnan University, Kunming, China – sequence: 2 givenname: Yi surname: Liu fullname: Liu, Yi organization: Yunnan Provincial Center for Population and Health Publicity and Education, Kunming, China – sequence: 3 givenname: Guangjie surname: Zhang fullname: Zhang, Guangjie organization: School of Vocational and Continuing Education, Yunnan University, Kunming, China – sequence: 4 givenname: Yu surname: Yao fullname: Yao, Yu organization: School of Ethnology and Sociology, Yunnan University, Kunming, China – sequence: 5 givenname: Yanqing surname: Wang fullname: Wang, Yanqing organization: School of Ethnology and Sociology, Yunnan University, Kunming, China – sequence: 6 givenname: Dan surname: Leng fullname: Leng, Dan organization: School of Ethnology and Sociology, Yunnan University, Kunming, China – sequence: 7 givenname: Chaoxiao surname: Li fullname: Li, Chaoxiao organization: School of Ethnology and Sociology, Yunnan University, Kunming, China – sequence: 8 givenname: Kunjie surname: Liu fullname: Liu, Kunjie organization: School of Ethnology and Sociology, Yunnan University, Kunming, China – sequence: 9 givenname: Jiazhou surname: Liu fullname: Liu, Jiazhou organization: School of Ethnology and Sociology, Yunnan University, Kunming, China – sequence: 10 givenname: Yongjie surname: Pu fullname: Pu, Yongjie organization: School of Ethnology and Sociology, Yunnan University, Kunming, China – sequence: 11 givenname: Mufei surname: Li fullname: Li, Mufei organization: School of Ethnology and Sociology, Yunnan University, Kunming, China – sequence: 12 givenname: Borui surname: Yang fullname: Yang, Borui organization: School of Ethnology and Sociology, Yunnan University, Kunming, China – sequence: 13 givenname: Shuting surname: Zhang fullname: Zhang, Shuting organization: School of Ethnology and Sociology, Yunnan University, Kunming, China – sequence: 14 givenname: Di surname: Mu fullname: Mu, Di organization: School of Ethnology and Sociology, Yunnan University, Kunming, China – sequence: 15 givenname: Xiangyang surname: Zhang fullname: Zhang, Xiangyang organization: Department of Psychology, University of Chinese Academy of Sciences, Beijing, China |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/38979042$$D View this record in MEDLINE/PubMed |
BookMark | eNpVkU1vEzEQhi1UREvpH-CAfOSS4M_1LheEIqCVKiEhEEdrYo-zrjZ2sB2k_ns2Tajaky3PzPOO_LwmZyknJOQtZ0sp--FD2O3X41IwoZZcMaMH-YJcCDF0C6E7ffbkfk6uar1jjHEmFRP8FTmfAWZgSlyQH9cIUxvpFBsWcPcUkqdQa3YRGnoawLVcKo2JrsaY4CMNMfmYNpWGkre0jUh_A8U2pujopuT97g15GWCqeHU6L8mvr19-rq4Xt9-_3aw-3y6c1KwttGMG0Ye-52s1x8zbdaBRS6N6JUD1XvBeIHMOFO8gSK3NMAzeGy51r428JDdHrs9wZ3clbqHc2wzRPjzksrFQWnQTWrEOB4SfM7kyGqHzIDF02qFDCXxmfTqy5l_doneYWoHpGfR5JcXRbvJfy7kQPVcHwvsToeQ_e6zNbmN1OE2QMO-rlcwYboZe6rlVHFtdybUWDI85nNmDXPsg1x7k2pPceejd0w0fR_6rlP8A5nSjVA |
Cites_doi | 10.1136/jech.2006.053967 10.1001/jama.281.6.545 10.5665/sleep.3500 10.1186/s12889-015-2056-z 10.1007/s11606-012-2241-z 10.2196/jmir.5964 10.1093/bmb/ldw057 10.1093/eurpub/ckv043 10.16168/j.cnki.issn.1002-9982.2014.02.020 10.3928/24748307-20180926-01 10.1038/s41574-019-0310-7 10.2105/AJPH.92.9.1478 10.1002/cncr.31733 10.5694/j.1326-5377.2010.tb03597.x 10.1016/j.pec.2006.10.007 10.1186/1471-2458-11-586 10.1111/j.1748-0361.2006.00022.x 10.1111/j.1525-1497.2004.40153.x 10.1016/j.pec.2015.02.013 10.1097/00005650-200205000-00005 10.1002/cncr.22091 10.3390/ijerph17113848 10.1016/S0749-3797(02)00657-8 10.1111/j.1525-1497.2005.40245.x 10.1016/S1474-4422(15)00200-8 10.1007/s11606-023-08082-x 10.1016/j.pec.2009.02.019 10.1002/2327-6924.12452 10.1186/1471-2296-13-49 10.1111/jrh.12335 10.1186/s12889-020-09520-9 10.5993/AJHB.31.s1.4 10.1016/j.lanwpc.2021.100322 10.1038/ajh.2011.252 10.1123/jpah.6.6.790 10.1186/1471-2458-13-658 10.3390/ijerph14060628 10.3389/fpubh.2021.603325 10.1016/S0361-090X(02)00037-5 10.22605/RRH1798 10.1186/s12913-019-4094-1 10.2105/AJPH.92.8.1278 10.1111/hex.12440 10.1016/S0140-6736(03)15268-3 10.1136/bmjopen-2014-006104 |
ContentType | Journal Article |
Copyright | Copyright © 2024 Yang, Liu, Zhang, Yao, Wang, Leng, Li, Liu, Liu, Pu, Li, Yang, Zhang, Mu and Zhang. Copyright © 2024 Yang, Liu, Zhang, Yao, Wang, Leng, Li, Liu, Liu, Pu, Li, Yang, Zhang, Mu and Zhang. 2024 Yang, Liu, Zhang, Yao, Wang, Leng, Li, Liu, Liu, Pu, Li, Yang, Zhang, Mu and Zhang |
Copyright_xml | – notice: Copyright © 2024 Yang, Liu, Zhang, Yao, Wang, Leng, Li, Liu, Liu, Pu, Li, Yang, Zhang, Mu and Zhang. – notice: Copyright © 2024 Yang, Liu, Zhang, Yao, Wang, Leng, Li, Liu, Liu, Pu, Li, Yang, Zhang, Mu and Zhang. 2024 Yang, Liu, Zhang, Yao, Wang, Leng, Li, Liu, Liu, Pu, Li, Yang, Zhang, Mu and Zhang |
DBID | CGR CUY CVF ECM EIF NPM AAYXX CITATION 7X8 5PM DOA |
DOI | 10.3389/fpubh.2024.1407593 |
DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed CrossRef MEDLINE - Academic PubMed Central (Full Participant titles) DOAJ Directory of Open Access Journals |
DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) CrossRef MEDLINE - Academic |
DatabaseTitleList | CrossRef MEDLINE MEDLINE - Academic |
Database_xml | – sequence: 1 dbid: DOA name: DOAJ Directory of Open Access Journals url: https://www.doaj.org/ sourceTypes: Open Website – sequence: 2 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 3 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database |
DeliveryMethod | fulltext_linktorsrc |
Discipline | Public Health |
EISSN | 2296-2565 |
ExternalDocumentID | oai_doaj_org_article_2bf16afd5c01475ea6da3ef65cece3a1 10_3389_fpubh_2024_1407593 38979042 |
Genre | Journal Article |
GeographicLocations | China |
GeographicLocations_xml | – name: China |
GroupedDBID | 2XV 53G 5VS 9T4 AAFWJ ACGFO ACGFS ACXDI ADBBV ADRAZ ALMA_UNASSIGNED_HOLDINGS AOIJS BAWUL BCNDV CGR CUY CVF DIK ECM EIF EMOBN GROUPED_DOAJ GX1 HYE IAO IEA IHR IHW IOV IPNFZ KQ8 M48 M~E NPM OK1 PGMZT RIG RNS RPM AAYXX AFPKN CITATION 7X8 ITC 5PM |
ID | FETCH-LOGICAL-c350t-5c07eedf881b4fac1036a5e5374842a48d2182e0cca416af3557999dd71358573 |
IEDL.DBID | RPM |
ISSN | 2296-2565 |
IngestDate | Tue Oct 22 15:16:25 EDT 2024 Tue Sep 17 21:28:45 EDT 2024 Sun Sep 01 16:36:42 EDT 2024 Thu Sep 26 21:36:03 EDT 2024 Wed Oct 23 10:00:25 EDT 2024 |
IsDoiOpenAccess | true |
IsOpenAccess | true |
IsPeerReviewed | true |
IsScholarly | true |
Keywords | “directly advancing” ethnic groups associated factors rural community health literacy the Wa ethnic group |
Language | English |
License | Copyright © 2024 Yang, Liu, Zhang, Yao, Wang, Leng, Li, Liu, Liu, Pu, Li, Yang, Zhang, Mu and Zhang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
LinkModel | DirectLink |
MergedId | FETCHMERGED-LOGICAL-c350t-5c07eedf881b4fac1036a5e5374842a48d2182e0cca416af3557999dd71358573 |
Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Edited by: Tianfeng He, Ningbo Municipal Center for Disease Control and Prevention, China Reviewed by: Donatas Austys, Vilnius University, Lithuania Jun Liang, Zhejiang University, China |
OpenAccessLink | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11228141/ |
PMID | 38979042 |
PQID | 3077179835 |
PQPubID | 23479 |
ParticipantIDs | doaj_primary_oai_doaj_org_article_2bf16afd5c01475ea6da3ef65cece3a1 pubmedcentral_primary_oai_pubmedcentral_nih_gov_11228141 proquest_miscellaneous_3077179835 crossref_primary_10_3389_fpubh_2024_1407593 pubmed_primary_38979042 |
PublicationCentury | 2000 |
PublicationDate | 2024-06-24 |
PublicationDateYYYYMMDD | 2024-06-24 |
PublicationDate_xml | – month: 06 year: 2024 text: 2024-06-24 day: 24 |
PublicationDecade | 2020 |
PublicationPlace | Switzerland |
PublicationPlace_xml | – name: Switzerland |
PublicationTitle | Frontiers in public health |
PublicationTitleAlternate | Front Public Health |
PublicationYear | 2024 |
Publisher | Frontiers Media S.A |
Publisher_xml | – name: Frontiers Media S.A |
References | Scott (ref35) 2002; 40 (ref25) 2004; 363 Montalto (ref43) 2001; 97 Gazmararian (ref46) 1999; 281 Li (ref55) 2014; 37 Li (ref13) 2014; 2 McIlhenny (ref52) 2011; 11 Jiarong (ref17) 2020; 15 Berkman (ref2) 2011; 199 Ross (ref61) 2020; 16 Sudore (ref7) 2009; 75 Mei (ref30) 2020; 20 Sepassi (ref20) 2023; 38 Davis (ref6) 2004; 36 Anderson (ref39) 2003; 24 Yin (ref33) 2011; 11 Dewalt (ref5) 2004; 19 Paasche-Orlow (ref40) 2007; 31 Kelly (ref42) 2007; 66 (ref22) 1994 Taylor (ref38) 2002; 26 Taggart (ref60) 2012; 13 Wang (ref15) 2020; 17 Liu Mei (ref18) 2022; 15 Wu (ref48) 2017; 14 Sentell (ref37) 2015; 5 (ref10) 2016 Bull (ref27) 2009; 6 Baker (ref3) 2002; 92 Protheroe (ref31) 2017; 20 Sorensen (ref32) 2015; 25 Zhou (ref26) 2002; 15 Graetz (ref50) 2017; 121 (ref9) 2007 Yang Cao (ref23) 2004; 31 (ref24) 1992; 35 ref1 Al Sayah (ref4) 2013; 28 Marshall (ref34) 2015; 14 Yang (ref59) 2017; 19 (ref11) 2017 Adeseun (ref56) 2012; 25 von Wagner (ref58) 2007; 61 Chen (ref51) 2019; 35 Ping (ref12) 2010; 4 Beauchamp (ref29) 2015; 15 (ref14) 2021 Bush (ref45) 2010; 192 Hu (ref19) 2021; 17 Paasche-Orlow (ref47) 2005; 20 Gilson (ref8) 2007 Osborne (ref28) 2013; 13 Xie (ref53) 2019; 19 Suka (ref57) 2015; 98 Tu (ref41) 2006; 107 Li (ref16) 2021; 9 Al-Tayyib (ref44) 2002; 92 Blom (ref21) 2018; 2 Papadakos (ref36) 2018; 124 Chan (ref54) 2006; 22 Alberti (ref49) 2017; 29 |
References_xml | – volume: 61 start-page: 1086 year: 2007 ident: ref58 article-title: Functional health literacy and health-promoting behaviour in a national sample of British adults publication-title: J Epidemiol Community Health doi: 10.1136/jech.2006.053967 contributor: fullname: von Wagner – volume: 281 start-page: 545 year: 1999 ident: ref46 article-title: Health literacy among Medicare enrollees in a managed care organization publication-title: JAMA doi: 10.1001/jama.281.6.545 contributor: fullname: Gazmararian – volume: 37 start-page: 571 year: 2014 ident: ref55 article-title: The relationship between functional health literacy and obstructive sleep apnea and its related risk factors and comorbidities in a population cohort of men publication-title: Sleep doi: 10.5665/sleep.3500 contributor: fullname: Li – volume: 15 start-page: 678 year: 2015 ident: ref29 article-title: Distribution of health literacy strengths and weaknesses across socio-demographic groups: a cross-sectional survey using the health literacy questionnaire (HLQ) publication-title: BMC Public Health doi: 10.1186/s12889-015-2056-z contributor: fullname: Beauchamp – volume: 28 start-page: 444 year: 2013 ident: ref4 article-title: Health literacy and health outcomes in diabetes: a systematic review publication-title: J Gen Intern Med doi: 10.1007/s11606-012-2241-z contributor: fullname: Al Sayah – volume: 97 start-page: 111 year: 2001 ident: ref43 article-title: Functional health literacy in adults in a rural community health center publication-title: W V Med J contributor: fullname: Montalto – volume: 19 start-page: e15 year: 2017 ident: ref59 article-title: The associations among individual factors, eHealth literacy, and health-promoting lifestyles among college students publication-title: J Med Internet Res doi: 10.2196/jmir.5964 contributor: fullname: Yang – volume: 121 start-page: 5 year: 2017 ident: ref50 article-title: Utilization of health care services by migrants in Europe-a systematic literature review publication-title: Br Med Bull doi: 10.1093/bmb/ldw057 contributor: fullname: Graetz – volume: 199 start-page: 1 year: 2011 ident: ref2 article-title: Health literacy interventions and outcomes: an updated systematic review publication-title: Evid Rep Technol Assess contributor: fullname: Berkman – volume-title: National health literacy level rises to 25.4% by 2021 year: 2021 ident: ref14 – volume: 25 start-page: 1053 year: 2015 ident: ref32 article-title: Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU) publication-title: Eur J Pub Health doi: 10.1093/eurpub/ckv043 contributor: fullname: Sorensen – volume: 2 start-page: 176 year: 2014 ident: ref13 article-title: Contrast analysis of 2008 and 2012 Chinese health literacy survey scheme publication-title: Chin J Health Educ doi: 10.16168/j.cnki.issn.1002-9982.2014.02.020 contributor: fullname: Li – volume: 2 start-page: e192 year: 2018 ident: ref21 article-title: Ethnic differences in health literacy among young adults in Amsterdam publication-title: Health Lit Res Pract doi: 10.3928/24748307-20180926-01 contributor: fullname: Blom – volume: 16 start-page: 177 year: 2020 ident: ref61 article-title: Waist circumference as a vital sign in clinical practice: a consensus statement from the IAS and ICCR working group on visceral obesity publication-title: Nat Rev Endocrinol doi: 10.1038/s41574-019-0310-7 contributor: fullname: Ross – volume-title: Challenging inequity through health systems year: 2007 ident: ref8 contributor: fullname: Gilson – volume: 92 start-page: 1478 year: 2002 ident: ref44 article-title: Effect of low medical literacy on health survey measurements publication-title: Am J Public Health doi: 10.2105/AJPH.92.9.1478 contributor: fullname: Al-Tayyib – volume: 124 start-page: 4202 year: 2018 ident: ref36 article-title: Health literacy and cancer self-management behaviors: a scoping review publication-title: Cancer doi: 10.1002/cncr.31733 contributor: fullname: Papadakos – volume: 192 start-page: 479 year: 2010 ident: ref45 article-title: Risks associated with low functional health literacy in Australian population publication-title: Comment Aust Med J doi: 10.5694/j.1326-5377.2010.tb03597.x contributor: fullname: Bush – volume: 66 start-page: 119 year: 2007 ident: ref42 article-title: Physician overestimation of patient literacy: a potential source of health care disparities publication-title: Patient Educ Couns doi: 10.1016/j.pec.2006.10.007 contributor: fullname: Kelly – volume: 11 start-page: 586 year: 2011 ident: ref33 article-title: Prevalence of COPD and its association with socioeconomic status in China: findings from China chronic disease risk factor surveillance 2007 publication-title: BMC Public Health doi: 10.1186/1471-2458-11-586 contributor: fullname: Yin – volume: 22 start-page: 140 year: 2006 ident: ref54 article-title: Geographic access to health care for rural Medicare beneficiaries publication-title: J Rural Health doi: 10.1111/j.1748-0361.2006.00022.x contributor: fullname: Chan – year: 2016 ident: ref10 – volume: 19 start-page: 1228 year: 2004 ident: ref5 article-title: Literacy and health outcomes: a systematic review of the literature publication-title: J Gen Intern Med doi: 10.1111/j.1525-1497.2004.40153.x contributor: fullname: Dewalt – volume: 98 start-page: 660 year: 2015 ident: ref57 article-title: Relationship between health literacy, health information access, health behavior, and health status in Japanese people publication-title: Patient Educ Couns doi: 10.1016/j.pec.2015.02.013 contributor: fullname: Suka – volume: 40 start-page: 395 year: 2002 ident: ref35 article-title: Health literacy and preventive health care use among Medicare enrollees in a managed care organization publication-title: Med Care doi: 10.1097/00005650-200205000-00005 contributor: fullname: Scott – volume: 107 start-page: 959 year: 2006 ident: ref41 article-title: Promoting culturally appropriate colorectal cancer screening through a health educator: a randomized controlled trial publication-title: Cancer doi: 10.1002/cncr.22091 contributor: fullname: Tu – volume: 17 year: 2020 ident: ref15 article-title: The urban-rural disparity in the status and risk factors of health literacy: a cross-sectional survey in Central China publication-title: Int J Environ Res Public Health doi: 10.3390/ijerph17113848 contributor: fullname: Wang – volume: 24 start-page: 68 year: 2003 ident: ref39 article-title: Culturally competent healthcare systems. A systematic review publication-title: Am J Prev Med doi: 10.1016/S0749-3797(02)00657-8 contributor: fullname: Anderson – volume: 20 start-page: 175 year: 2005 ident: ref47 article-title: The prevalence of limited health literacy publication-title: J Gen Intern Med doi: 10.1111/j.1525-1497.2005.40245.x contributor: fullname: Paasche-Orlow – volume: 31 start-page: 307 year: 2004 ident: ref23 article-title: Application of Kish grid sampling in world health survey (China survey) publication-title: Fudan Univ J Med Sci contributor: fullname: Yang Cao – volume: 14 start-page: 1206 year: 2015 ident: ref34 article-title: The effects of socioeconomic status on stroke risk and outcomes publication-title: Lancet Neurol doi: 10.1016/S1474-4422(15)00200-8 contributor: fullname: Marshall – volume: 38 start-page: 2364 year: 2023 ident: ref20 article-title: Predicted health literacy disparities between immigrant and US-born racial/ethnic minorities: a Nationwide study publication-title: J Gen Intern Med doi: 10.1007/s11606-023-08082-x contributor: fullname: Sepassi – volume: 75 start-page: 398 year: 2009 ident: ref7 article-title: Unraveling the relationship between literacy, language proficiency, and patient-physician communication publication-title: Patient Educ Couns doi: 10.1016/j.pec.2009.02.019 contributor: fullname: Sudore – start-page: 2021 volume-title: Health promotion glossary of terms 2021 ident: ref1 – volume: 15 start-page: 10 year: 2020 ident: ref17 article-title: Analysis on status of health literacy among minority residents in Yunnan Province, 2019 publication-title: Health Educ Health Promot contributor: fullname: Jiarong – volume: 15 start-page: 83 year: 2002 ident: ref26 article-title: Predictive values of body mass index and waist circumference for risk factors of certain related diseases in Chinese adults--study on optimal cut-off points of body mass index and waist circumference in Chinese adults publication-title: Biomed Environ Sci contributor: fullname: Zhou – volume: 29 start-page: 242 year: 2017 ident: ref49 article-title: Health literacy in the urgent care setting: what factors impact consumer comprehension of health information? publication-title: J Am Assoc Nurse Pract doi: 10.1002/2327-6924.12452 contributor: fullname: Alberti – volume: 13 start-page: 49 year: 2012 ident: ref60 article-title: A systematic review of interventions in primary care to improve health literacy for chronic disease behavioral risk factors publication-title: BMC Fam Pract doi: 10.1186/1471-2296-13-49 contributor: fullname: Taggart – volume: 35 start-page: 405 year: 2019 ident: ref51 article-title: Differences in rural and urban health information access and use publication-title: J Rural Health doi: 10.1111/jrh.12335 contributor: fullname: Chen – volume: 20 start-page: 1417 year: 2020 ident: ref30 article-title: Exploring health literacy in Wuhan, China: a cross-sectional analysis publication-title: BMC Public Health doi: 10.1186/s12889-020-09520-9 contributor: fullname: Mei – volume: 15 start-page: 446 year: 2022 ident: ref18 article-title: Analysis on current situation and improvement path of health literacy of Dulong nationality residents publication-title: Health Educ Health Promot contributor: fullname: Liu Mei – volume: 31 start-page: 19 year: 2007 ident: ref40 article-title: The causal pathways linking health literacy to health outcomes publication-title: Am J Health Behav doi: 10.5993/AJHB.31.s1.4 contributor: fullname: Paasche-Orlow – volume: 17 start-page: 100322 year: 2021 ident: ref19 article-title: Health literacy of ethnic minority in remote China: precise intervention is needed publication-title: Lancet Reg Health West Pac doi: 10.1016/j.lanwpc.2021.100322 contributor: fullname: Hu – volume: 25 start-page: 348 year: 2012 ident: ref56 article-title: Health literacy associated with blood pressure but not other cardiovascular disease risk factors among dialysis patients publication-title: Am J Hypertens doi: 10.1038/ajh.2011.252 contributor: fullname: Adeseun – volume: 6 start-page: 790 year: 2009 ident: ref27 article-title: Global physical activity questionnaire (GPAQ): nine country reliability and validity study publication-title: J Phys Act Health doi: 10.1123/jpah.6.6.790 contributor: fullname: Bull – volume-title: The mandate for health literacy year: 2017 ident: ref11 – volume: 4 start-page: 243 year: 2010 ident: ref12 article-title: Survey on the status of health literacy of Chinese resident publication-title: Chinese J Health Educ. contributor: fullname: Ping – volume: 13 start-page: 658 year: 2013 ident: ref28 article-title: The grounded psychometric development and initial validation of the health literacy questionnaire (HLQ) publication-title: BMC Public Health doi: 10.1186/1471-2458-13-658 contributor: fullname: Osborne – volume: 14 start-page: 628 year: 2017 ident: ref48 article-title: Prevalence and risk factors of low health literacy: a community-based study in Shanghai, China publication-title: Int J Environ Res Public Health doi: 10.3390/ijerph14060628 contributor: fullname: Wu – volume: 9 start-page: 603325 year: 2021 ident: ref16 article-title: Health literacy and regional heterogeneities in China: a population-based study publication-title: Front Public Health doi: 10.3389/fpubh.2021.603325 contributor: fullname: Li – volume: 26 start-page: 139 year: 2002 ident: ref38 article-title: Cervical cancer screening among Chinese Americans publication-title: Cancer Detect Prev doi: 10.1016/S0361-090X(02)00037-5 contributor: fullname: Taylor – volume: 35 start-page: 453 year: 1992 ident: ref24 article-title: A first course in factor analysis publication-title: Technometrics – volume-title: Together for health: a strategic approach for the EU, 2008–2013 year: 2007 ident: ref9 – volume: 36 start-page: 595 year: 2004 ident: ref6 article-title: Health literacy: implications for family medicine publication-title: Fam Med contributor: fullname: Davis – volume: 11 start-page: 1798 year: 2011 ident: ref52 article-title: Using technology to deliver healthcare education to rural patients publication-title: Rural Remote Health doi: 10.22605/RRH1798 contributor: fullname: McIlhenny – volume: 19 start-page: 300 year: 2019 ident: ref53 article-title: Factors associated with health literacy in rural areas of Central China: structural equation model publication-title: BMC Health Serv Res doi: 10.1186/s12913-019-4094-1 contributor: fullname: Xie – volume: 92 start-page: 1278 year: 2002 ident: ref3 article-title: Functional health literacy and the risk of hospital admission among Medicare managed care enrollees publication-title: Am J Public Health doi: 10.2105/AJPH.92.8.1278 contributor: fullname: Baker – volume: 20 start-page: 112 year: 2017 ident: ref31 article-title: Health literacy, associated lifestyle and demographic factors in adult population of an English city: a cross-sectional survey publication-title: Health Expect doi: 10.1111/hex.12440 contributor: fullname: Protheroe – volume: 363 start-page: 157 year: 2004 ident: ref25 article-title: Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies publication-title: Lancet doi: 10.1016/S0140-6736(03)15268-3 – volume-title: Phase of poverty alleviation (1994-2000) year: 1994 ident: ref22 – volume: 5 start-page: e006104 year: 2015 ident: ref37 article-title: Low health literacy and cancer screening among Chinese Americans in California: a cross-sectional analysis publication-title: BMJ Open doi: 10.1136/bmjopen-2014-006104 contributor: fullname: Sentell |
SSID | ssj0001034021 |
Score | 2.314285 |
Snippet | The health literacy of ethnic groups in remote areas of China is far from satisfactory. However, the health literacy of ethnic groups in China remains unclear.... Background The health literacy of ethnic groups in remote areas of China is far from satisfactory. However, the health literacy of ethnic groups in China... BackgroundThe health literacy of ethnic groups in remote areas of China is far from satisfactory. However, the health literacy of ethnic groups in China... |
SourceID | doaj pubmedcentral proquest crossref pubmed |
SourceType | Open Website Open Access Repository Aggregation Database Index Database |
StartPage | 1407593 |
SubjectTerms | Adult associated factors China - ethnology Cross-Sectional Studies Ethnicity - statistics & numerical data Female health literacy Health Literacy - statistics & numerical data Humans Male Middle Aged Public Health rural community Surveys and Questionnaires the Wa ethnic group “directly advancing” ethnic groups |
SummonAdditionalLinks | – databaseName: DOAJ Directory of Open Access Journals dbid: DOA link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1LS8QwEA6yJ0HEt_VFBG9Stm2SPrypuCyCHsTFvYW0Sd29ZMXtHvz3ziTdZSuCF2-lLWn4psl8k2S-IeSKYZE4cFthLsoi5MJwGHNJGbKkynMFDigxuKP79JwOR_xxLMZrpb7wTJiXB_bA9ZOyjlNVa1EBmc-EUalWzNSpqExlmPKBTyzWgim3uhIxCIxinyUDUVjRx3Qr3HxIOEwO4CcL1vFETrD_N5b587DkmvcZ7JDtljbSW9_dXbJh7B7Z8mtu1KcS7ZMXf0F9WnH1RZXVVLX4G03b2jp0aqkrm31D3Y61fZ9TzDKhwAXpm6KmmVho1eV7HJDR4OH1fhi2NRPCiomoCQGmDNxenQMd5dAsAJEqYQSqzPBE8VyjZLuJwHAccQW6kQFH1BpL9eUiY4ekZ2fWHBMaGwhmAGIIiDTERUw58cK0inShudFxQK6X-MkPL40hIaRAtKVDWyLaskU7IHcI8epNlLV2N8DYsjW2_MvYAblcGkjCMMC9DWXNbDGXMFVlqL3GRECOvMFWn4IOZQVMTgHJO6bs9KX7xE4nTmob2GiSxzw--Y_en5JNRAQPmiX8jPSaz4U5B0rTlBfu7_0G00_1RA priority: 102 providerName: Directory of Open Access Journals |
Title | Health literacy and associated factors in China: findings from the Wa ethnic group |
URI | https://www.ncbi.nlm.nih.gov/pubmed/38979042 https://www.proquest.com/docview/3077179835/abstract/ https://pubmed.ncbi.nlm.nih.gov/PMC11228141 https://doaj.org/article/2bf16afd5c01475ea6da3ef65cece3a1 |
Volume | 12 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1LS8QwEB7UkyDi2_VFBG9St82jD28qigiKiKK3kCZZXdCs6Hrw3zuTtuKKJ2-lj2Q6k2S-SeYBsCeoSByqraRUdZVI5SXOOV4ngtuyNKiAuKcT3cur_PxOXjyohynIu1iY6LRv6-FBeH45CMOn6Fv5-mL7nZ9Y__ryBDECLzOZ9adhuhDih40ed1ZSgUZR1kTIoAVW9SnUig4euMSFAXVkRdVz8EFRpZJPKKSYt_8vsPnbZ_KHEjpbgPkWPbKjhspFmPJhCeaarTfWRBQtw01zwZroYvvJTHDMtGLwjrUldtgwsFg9-5DFg-vw-M4o2IQhJGT3hvnxU8BWY9jHCtydnd6enCdt6YTECpWOE2XTArXfoERUKrFZ5ElulFeUbEZyI0tHmdt9ivJDRGYGiDoKhIrOUcW-UhViFWbCKPh1YJlHm8YLg3aRQ_NImJjDMLepq5z0LuvBfsc__dpkyNBoWRDjdWS8JsbrlvE9OCYWf79J2a3jjdHbo25lrHk9IKIc_kUmC-VN7ozwg1xZb5ES7HK3E5DG2UBHHCb40ce7xhWroBRsQvVgrRHYd1edwHtQTohygpbJJzgAY8btbsBt_P_TTZglPpCXGZdbMDN--_DbiGfG9U7cB9iJg_gL4R31KA |
link.rule.ids | 230,315,733,786,790,870,891,2115,27955,27956,53825,53827 |
linkProvider | National Library of Medicine |
linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1LbxMxEB6VcgAJ8S6Ep5G4oU12_dgHN6ioAjQVQq3am-W1nTaCOlW7OcCvZ8berZqKC9yiONm1_dk736xnvgF4K6hIHJqtrFZtk0nlJe453maC27o2aIC4pxPd2V45PZBfjtTRBpRDLkwM2rftYhx-no7D4iTGVp6d2skQJzb5NttGjsDrQhaTG3ATNyxXV7z0-G4lF-gWFSlHBn2wZkLJVnT0wCU-GtBKNlQ_BxuqJpd8zSRF5f6_0c3rUZNXzNDOPTgcBpCiT36MV107tr-vaTv--wjvw92embIPqf0BbPjwEO6k13osZSs9gu_pA0uZy_YXM8Ex00PsHevL97BFYLEy93sWD8XD8QWjRBaGdJMdGua7k4BXjSklj-Fg59P-9jTryzJkVqi8y5TNK7Ss8xoZr8TL4myXRnlFQjaSG1k7UoX3Oa4NZHtmjoymQhrqHFUDrFUltmAzLIN_Cqzw6C95YdDncuh6CRP1EUubu8ZJ74oRvBuQ0WdJfUOj10KQ6gipJkh1D-kIPhJ4l78k5ez4xfL8WPezq3k7p045HEUhK-VN6Yzw81JZb7EneMs3A_Qadxodn5jgl6sLjU_DiuTdhBrBk7QULm81LKUR1GuLZK0v6y0IfVTzHqB-9v9_fQ23pvuzXb37ee_rc7hNc0LRbFy-gM3ufOVfIm_q2ldxk_wBdUkWXQ |
linkToPdf | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Zb9QwEB5BkRAS4j6W00i8oWwSx87BGxRW5WhVISoq8WA5ttOuoN5VN_sAv54ZO6m6FU99W20u25-d-Sae-QbgdUFF4tBsJbVsm0RIJ3DN8TYpuKlrjQaIO9rR3d0rdw7E50N5OERVroawSm_a-dT_Ppn6-XGIrVyemHSME0v3d7eRI_A6F3m6tF16Fa7houXVOU89fF_JCnSN8pgng35Yk1LCFW0_cIGvB7SUDdXQwQNVkwm-YZaCev__KOfFyMlzpmh2G36OnYgRKL-m676dmr8X9B0v18s7cGtgqOxdPOcuXHH-HtyMn_dYzFq6D9_iDxYzmM0fpr1leoDaWTaU8WFzz0KF7rcsbI77oxWjhBaGtJP90Mz1xx7vGlJLHsDB7OP37Z1kKM-QmEJmfSJNVqGF7WpkvgJviyNeaukkCdoIrkVtSR3eZThHkPXpDplNhXTUWqoKWMuqeAhbfuHdY2C5Q7_JFRp9L4suWKGDTmJpMttY4Ww-gTcjOmoZVTgUei8EqwqwKoJVDbBO4D0BeHYmKWiHPxanR2oYYcXbjhplsRe5qKTTpdWF60ppnMGW4CNfjfArXHG0jaK9W6xXCt-KFcm8FXICj-J0OHvUOJ0mUG9MlI22bB5B-IOq9wj3k8tf-hKu73-Yqa-f9r48hRs0JBTUxsUz2OpP1-450qe-fRHWyT8wBBjd |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Health+literacy+and+associated+factors+in+China%3A+findings+from+the+Wa+ethnic+group&rft.jtitle=Frontiers+in+public+health&rft.au=Yang%2C+Wanqiu&rft.au=Liu%2C+Yi&rft.au=Zhang%2C+Guangjie&rft.au=Yao%2C+Yu&rft.date=2024-06-24&rft.issn=2296-2565&rft.eissn=2296-2565&rft.volume=12&rft.spage=1407593&rft_id=info:doi/10.3389%2Ffpubh.2024.1407593&rft.externalDBID=NO_FULL_TEXT |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=2296-2565&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=2296-2565&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=2296-2565&client=summon |