Objective to examine the health literacy and its impact factors among urban residents with a high-risk of chronic diseases in Shenyang city, Liaoning province, and to provide a reference for interventions on chronic disease.
Methods Stratified random cluster sampling was used to recruited 5 635 residents aged 15 – 69 years and at high risk of chronic diseases in five urban districts of Shenyang city for a questionnaire survey conducted in May 2014.
Results Of the participants, 24.97% reported an adequate health literacy; the ratios of the participants reporting sufficient healthy concept, healthy lifestyle and behaviors, and sufficient health skills were 31.45%, 20.89%, and 27.89%, respectively. The results of multivariate linear regression showed that the participants with higher education, a higher average annual household income, and having more family members were more likely to have a higher level of health literacy; while those at older age were more likely to have a lower level of health literacy.
Conclusion The overall level of health literacy is relatively good and mainly influenced by age, education, average annual household income, and the number of family members among urban people at high-risk of chronic disease in Shenyang city.