How to make more people adopt healthy behaviors? Assessing health literacy, health promoting lifestyle and their association of community residents in Shenzhen, China

IntroductionHealth literacy (HL) has been concerned a key factor for determining the use of health information and promoting health. The study aimed to explore the relationship between different health literacy types and health promoting lifestyle (HPL) in different health literacy population.Method...

Full description

Bibliographic Details
Main Authors: Lei Zhang, Jia Liao, Xueyan Pan, Dongmei Liang, Jinmei Zeng, Mingwei Sun, Xiaowen Luo, Xingyu Ma, Mingjuan Yin, Jingdong Ni
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-08-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2022.900883/full
_version_ 1811215791697166336
author Lei Zhang
Jia Liao
Xueyan Pan
Dongmei Liang
Jinmei Zeng
Mingwei Sun
Xiaowen Luo
Xingyu Ma
Mingjuan Yin
Jingdong Ni
author_facet Lei Zhang
Jia Liao
Xueyan Pan
Dongmei Liang
Jinmei Zeng
Mingwei Sun
Xiaowen Luo
Xingyu Ma
Mingjuan Yin
Jingdong Ni
author_sort Lei Zhang
collection DOAJ
description IntroductionHealth literacy (HL) has been concerned a key factor for determining the use of health information and promoting health. The study aimed to explore the relationship between different health literacy types and health promoting lifestyle (HPL) in different health literacy population.MethodsThe survey analyzed a sample of 16,921 community residents in Shenzhen. The Chinese Citizen Health Literacy Questionnaire and health-promoting lifestyle profile II (HPLP- II) were used to assess health literacy and health promoting lifestyle.ResultsParticipants were divided into different populations based on the correlation between HL and HPL. The low-HL and medium-HL populations were judged to lack health literacy, and demographic characteristics were significantly different between different HPL levels in low-HL and medium-HL populations. There were 6 types of HL, and health information literacy (β = 0.08, P < 0.001) and chronic disease literacy (β = 0.08, P < 0.001) positively predicted HPL in the low-HL population. In the medium-HL population, the results of reward and punishment analysis showed that health information was a basic factor, chronic disease was performance factor, medical care was a motivating factor for HPL; there were 6 dimensions of HPL, and health responsibility (HR), stress management (SM) and physical activity (PA) were not significantly different in medium-HL population. The results of regression analysis showed that HR and PA had a great impact on HPL (HR: β = 0.193, PA: β =0.179, β for other dimensions was 0.186, 0.176, 0.171, 0.164), but the HR and PA standardized scores were lowest in the HPL dimensions (HR: 69.42, PA: 68.5, lower than other dimensions), so it may be HR and PA that cause HPL unchanged between groups in the medium-HL population.ConclusionsDifferent HL levels have different relationships with HPL, and different HL types have different effects on HPL. Shenzhen community residents need to improve their HL, and they have great potentials for further progress to improve the population health. Public health policy makers need to consider formulating different policies for people with different HL levels.
first_indexed 2024-04-12T06:29:37Z
format Article
id doaj.art-af1dea011e304331951ba90e8fafbdd1
institution Directory Open Access Journal
issn 2296-2565
language English
last_indexed 2024-04-12T06:29:37Z
publishDate 2022-08-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Public Health
spelling doaj.art-af1dea011e304331951ba90e8fafbdd12022-12-22T03:44:04ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-08-011010.3389/fpubh.2022.900883900883How to make more people adopt healthy behaviors? Assessing health literacy, health promoting lifestyle and their association of community residents in Shenzhen, ChinaLei ZhangJia LiaoXueyan PanDongmei LiangJinmei ZengMingwei SunXiaowen LuoXingyu MaMingjuan YinJingdong NiIntroductionHealth literacy (HL) has been concerned a key factor for determining the use of health information and promoting health. The study aimed to explore the relationship between different health literacy types and health promoting lifestyle (HPL) in different health literacy population.MethodsThe survey analyzed a sample of 16,921 community residents in Shenzhen. The Chinese Citizen Health Literacy Questionnaire and health-promoting lifestyle profile II (HPLP- II) were used to assess health literacy and health promoting lifestyle.ResultsParticipants were divided into different populations based on the correlation between HL and HPL. The low-HL and medium-HL populations were judged to lack health literacy, and demographic characteristics were significantly different between different HPL levels in low-HL and medium-HL populations. There were 6 types of HL, and health information literacy (β = 0.08, P < 0.001) and chronic disease literacy (β = 0.08, P < 0.001) positively predicted HPL in the low-HL population. In the medium-HL population, the results of reward and punishment analysis showed that health information was a basic factor, chronic disease was performance factor, medical care was a motivating factor for HPL; there were 6 dimensions of HPL, and health responsibility (HR), stress management (SM) and physical activity (PA) were not significantly different in medium-HL population. The results of regression analysis showed that HR and PA had a great impact on HPL (HR: β = 0.193, PA: β =0.179, β for other dimensions was 0.186, 0.176, 0.171, 0.164), but the HR and PA standardized scores were lowest in the HPL dimensions (HR: 69.42, PA: 68.5, lower than other dimensions), so it may be HR and PA that cause HPL unchanged between groups in the medium-HL population.ConclusionsDifferent HL levels have different relationships with HPL, and different HL types have different effects on HPL. Shenzhen community residents need to improve their HL, and they have great potentials for further progress to improve the population health. Public health policy makers need to consider formulating different policies for people with different HL levels.https://www.frontiersin.org/articles/10.3389/fpubh.2022.900883/fullhealth literacyhealth-promoting lifestylereward and punishment analysisShenzhenonline survey
spellingShingle Lei Zhang
Jia Liao
Xueyan Pan
Dongmei Liang
Jinmei Zeng
Mingwei Sun
Xiaowen Luo
Xingyu Ma
Mingjuan Yin
Jingdong Ni
How to make more people adopt healthy behaviors? Assessing health literacy, health promoting lifestyle and their association of community residents in Shenzhen, China
Frontiers in Public Health
health literacy
health-promoting lifestyle
reward and punishment analysis
Shenzhen
online survey
title How to make more people adopt healthy behaviors? Assessing health literacy, health promoting lifestyle and their association of community residents in Shenzhen, China
title_full How to make more people adopt healthy behaviors? Assessing health literacy, health promoting lifestyle and their association of community residents in Shenzhen, China
title_fullStr How to make more people adopt healthy behaviors? Assessing health literacy, health promoting lifestyle and their association of community residents in Shenzhen, China
title_full_unstemmed How to make more people adopt healthy behaviors? Assessing health literacy, health promoting lifestyle and their association of community residents in Shenzhen, China
title_short How to make more people adopt healthy behaviors? Assessing health literacy, health promoting lifestyle and their association of community residents in Shenzhen, China
title_sort how to make more people adopt healthy behaviors assessing health literacy health promoting lifestyle and their association of community residents in shenzhen china
topic health literacy
health-promoting lifestyle
reward and punishment analysis
Shenzhen
online survey
url https://www.frontiersin.org/articles/10.3389/fpubh.2022.900883/full
work_keys_str_mv AT leizhang howtomakemorepeopleadopthealthybehaviorsassessinghealthliteracyhealthpromotinglifestyleandtheirassociationofcommunityresidentsinshenzhenchina
AT jialiao howtomakemorepeopleadopthealthybehaviorsassessinghealthliteracyhealthpromotinglifestyleandtheirassociationofcommunityresidentsinshenzhenchina
AT xueyanpan howtomakemorepeopleadopthealthybehaviorsassessinghealthliteracyhealthpromotinglifestyleandtheirassociationofcommunityresidentsinshenzhenchina
AT dongmeiliang howtomakemorepeopleadopthealthybehaviorsassessinghealthliteracyhealthpromotinglifestyleandtheirassociationofcommunityresidentsinshenzhenchina
AT jinmeizeng howtomakemorepeopleadopthealthybehaviorsassessinghealthliteracyhealthpromotinglifestyleandtheirassociationofcommunityresidentsinshenzhenchina
AT mingweisun howtomakemorepeopleadopthealthybehaviorsassessinghealthliteracyhealthpromotinglifestyleandtheirassociationofcommunityresidentsinshenzhenchina
AT xiaowenluo howtomakemorepeopleadopthealthybehaviorsassessinghealthliteracyhealthpromotinglifestyleandtheirassociationofcommunityresidentsinshenzhenchina
AT xingyuma howtomakemorepeopleadopthealthybehaviorsassessinghealthliteracyhealthpromotinglifestyleandtheirassociationofcommunityresidentsinshenzhenchina
AT mingjuanyin howtomakemorepeopleadopthealthybehaviorsassessinghealthliteracyhealthpromotinglifestyleandtheirassociationofcommunityresidentsinshenzhenchina
AT jingdongni howtomakemorepeopleadopthealthybehaviorsassessinghealthliteracyhealthpromotinglifestyleandtheirassociationofcommunityresidentsinshenzhenchina