Health literacy level and its influencing factors among residents in Kunming city

Objective To examine health literacy status and its influencing factors among residents in Kunming city,and to provide scientific basis for improving residents' health literacy.Methods Multistage stratified random sampling method was used to select 2 999 residents aged 15-69 years from 5 counties(districts).Results Among the residents,the ratio of the residents with overall health literacy,basic knowledge and concept,healthy lifestyle behaviors,and health skills were 7.22%,21.67%,6.56%,and 15.26%,with the standardized raio of 7.34%，21.94%,6.65%,and 15.34%,respectively.Logistic regression analyses showed that the residents living in urban area,with the education of junior high school or higher,with familial annual income of ≥5 000 RMB yuan had a higher health literacy than the residents living in rural area,having the education of below junior high school,and with familial annual income <5 000 yuan.The residents having the education of junior high school or higher，at the age of 25 to 44 years and with the familial annual income of ≥10 000 yuan had higher basic knowledge and concept than the residents having the education under junior high school,at age of 15 to 24 or 45 years and with familial annual income of <10 000 yuan.The urban residents,the residents having the education of junior high school or higher,married,and with familial annual income of ≥5 000 yuan had more healthy lifestyle behaviors than rural residents,the residents having the education of under junior high school,single,divorced or widowed,and with familial annual income <5 000 yuan.The urban residents,the residents having the education of high school or higher,and with familial annual income of ≥10 000 yuan had higher health skills than the rural residents,the residents with the education of under high school,and with familial annual income <10 000 yuan.Conclusion The health literacy among the residents in Kunming city is at a low level.The main influencing factors of health literacy are living area,education degree,and familial annual income among the residents.