Background The health literacy of Chinese people has been improved in recent years. Whether good health behaviors will come along with the improvement of health literacy should be concerned.
Objectve This study explores the relatonships of health literacy with smoking, regular drinking, and physical actvity among permanent residents in Pudong New Area of Shanghai.
Methods Permanent residents aged 15-69 years in Pudong New Area were selected by multistage sampling method to finish questionnaire from May to August in 2018. The 2018 National Health Literacy Monitoring Questionnaire prepared by the China Health Education Center was distributed to measure their health literacy. Data of smoking, drinking, physical actvity, and general demographic characteristcs were also collected. Logistc regressions were conducted to determine the associatons of having health literacy with smoking, drinking, and physical actvity. Finally, 3 200 questonnaires were completed, and 3 192 questonnaires were valid (99.7%).
Results In 2018 in Pudong New Area, 25.2% of the partcipants at 15-69 years old had health literacy. Univariate analyses suggested that the rates of having health literacy and its three dimensions were higher among partcipants without smoking than among those smoking (P < 0.05), the rates of having health literacy and the dimensions of healthy lifestyle and behavior were higher among those rarely drinking than among those frequently drinking (P=0.041, P=0.023), while the rates of having health literacy and its three dimensions were lower among those with sufcient physical actvity than among those without (P < 0.05). Afer adjustng for age, gender, educatonal atainment, family income, and marital status, having health literacy was stll independently associated with smoking (OR=0.69, P=0.006), but there were no signifcant associatons between the three dimensions and smoking (P=0.084, 0.077, and 0.225, respectvely). No signifcant associatons were found between having health literacy (and its three dimensions) and drinking or physical actvity (P=0.169, 0.808, 0.263, and 0.933; P=0.909, 0.351, 0.225, and 0.642, respectvely).
Conclusion Health literacy is independently associated with smoking in permanent residents in Pudong New Area of Shanghai, while there is no evidence on its associatons with regular drinking and physical actvity.
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