Status and influencing factors of health literacy among college students of traditional Chinese medicine: a cross-sectional study

BackgroundCollege students, as the future strength of national development, have a high level of health literacy in line with the goal of “Healthy China”, but the current research found that the health literacy level of college students is uneven and needs to be improved, and there is still a lack o...

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Main Authors: Jie Zhu, Cuixia Lin, Yanhui Yang, Rui Yao, Ran Yang, Mingqian Jiang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2025.1542764/full
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author Jie Zhu
Cuixia Lin
Yanhui Yang
Rui Yao
Ran Yang
Mingqian Jiang
author_facet Jie Zhu
Cuixia Lin
Yanhui Yang
Rui Yao
Ran Yang
Mingqian Jiang
author_sort Jie Zhu
collection DOAJ
description BackgroundCollege students, as the future strength of national development, have a high level of health literacy in line with the goal of “Healthy China”, but the current research found that the health literacy level of college students is uneven and needs to be improved, and there is still a lack of research on the health literacy of students in colleges and universities of traditional Chinese medicine (TCM). Therefore, this study aims to assess the health literacy level of students in TCM colleges and analyze its influencing factors, so as to provide a basis for implementing effective health literacy intervention measures and building healthy schools.MethodsUsing the convenient sampling method, 925 college students in a TCM university in Shandong Province were selected to conduct an online electronic questionnaire survey using “Questionnaire Star” from December 2022 to March 2023. SPSS 22.0 software was used to process and analyze the data. Descriptive statistical analysis was used to analyze the general data of the respondents, chi-square test was used to compare the count data between groups, and Logistic regression model was used to analyze the influencing factors of health literacy.ResultsThe health literacy level of TCM college students was 57.30%. Among the three aspects of health literacy, the level from high to low was: healthy lifestyle and behavior literacy (65.41%), health skill literacy (58.70%) and basic knowledge and concept literacy (53.62%). Among the six categories of health literacy, the level of scientific health literacy (79.68%) was the highest, followed by safety and first aid literacy (72.86%), health information literacy (61.62%), basic medical literacy (61.30%), chronic disease prevention literacy (60.11%) and infectious disease prevention literacy (40.86%). The results of multifactorial logistic regression analyses showed that females (AOR: 1.92; 95%CI: 1.40–2.62), college seniors (AOR: 2.02; 95%CI: 1.01–4.05), never smokers (AOR: 2.99; 95%CI: 1.57–5.72), and awareness of the concept of “health literacy” (AOR: 1.54; 95%CI: 1.11–2.13) were protective factors for health literacy, and the health literacy level of students in TCM colleges and universities was statistically significantly positively correlated with their health literacy level (p < 0.050).ConclusionCompared with most studies at home and abroad, the overall level of health literacy among students of TCM colleges is high. The healthy lifestyle and behavior literacy of students in TCM colleges is better than knowledge and skill literacy, which is manifested as the separation of knowledge and practice. Gender, grade, smoking or not, being aware of the concept of “health literacy” are the influencing factors of health literacy level of students in TCM colleges.
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spelling doaj-art-f05326eb5dd240548bdf044a3032992e2025-02-10T06:48:30ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-02-011310.3389/fpubh.2025.15427641542764Status and influencing factors of health literacy among college students of traditional Chinese medicine: a cross-sectional studyJie Zhu0Cuixia Lin1Yanhui Yang2Rui Yao3Ran Yang4Mingqian Jiang5School of Nursing, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, ChinaSchool of Health, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, ChinaSchool of Nursing, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, ChinaSchool of Nursing, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, ChinaSchool of Nursing, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, ChinaSchool of Nursing, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, ChinaBackgroundCollege students, as the future strength of national development, have a high level of health literacy in line with the goal of “Healthy China”, but the current research found that the health literacy level of college students is uneven and needs to be improved, and there is still a lack of research on the health literacy of students in colleges and universities of traditional Chinese medicine (TCM). Therefore, this study aims to assess the health literacy level of students in TCM colleges and analyze its influencing factors, so as to provide a basis for implementing effective health literacy intervention measures and building healthy schools.MethodsUsing the convenient sampling method, 925 college students in a TCM university in Shandong Province were selected to conduct an online electronic questionnaire survey using “Questionnaire Star” from December 2022 to March 2023. SPSS 22.0 software was used to process and analyze the data. Descriptive statistical analysis was used to analyze the general data of the respondents, chi-square test was used to compare the count data between groups, and Logistic regression model was used to analyze the influencing factors of health literacy.ResultsThe health literacy level of TCM college students was 57.30%. Among the three aspects of health literacy, the level from high to low was: healthy lifestyle and behavior literacy (65.41%), health skill literacy (58.70%) and basic knowledge and concept literacy (53.62%). Among the six categories of health literacy, the level of scientific health literacy (79.68%) was the highest, followed by safety and first aid literacy (72.86%), health information literacy (61.62%), basic medical literacy (61.30%), chronic disease prevention literacy (60.11%) and infectious disease prevention literacy (40.86%). The results of multifactorial logistic regression analyses showed that females (AOR: 1.92; 95%CI: 1.40–2.62), college seniors (AOR: 2.02; 95%CI: 1.01–4.05), never smokers (AOR: 2.99; 95%CI: 1.57–5.72), and awareness of the concept of “health literacy” (AOR: 1.54; 95%CI: 1.11–2.13) were protective factors for health literacy, and the health literacy level of students in TCM colleges and universities was statistically significantly positively correlated with their health literacy level (p < 0.050).ConclusionCompared with most studies at home and abroad, the overall level of health literacy among students of TCM colleges is high. The healthy lifestyle and behavior literacy of students in TCM colleges is better than knowledge and skill literacy, which is manifested as the separation of knowledge and practice. Gender, grade, smoking or not, being aware of the concept of “health literacy” are the influencing factors of health literacy level of students in TCM colleges.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1542764/fulluniversity of traditional Chinese medicinecollege studentshealth literacyinfluencing factorhealthy school
spellingShingle Jie Zhu
Cuixia Lin
Yanhui Yang
Rui Yao
Ran Yang
Mingqian Jiang
Status and influencing factors of health literacy among college students of traditional Chinese medicine: a cross-sectional study
Frontiers in Public Health
university of traditional Chinese medicine
college students
health literacy
influencing factor
healthy school
title Status and influencing factors of health literacy among college students of traditional Chinese medicine: a cross-sectional study
title_full Status and influencing factors of health literacy among college students of traditional Chinese medicine: a cross-sectional study
title_fullStr Status and influencing factors of health literacy among college students of traditional Chinese medicine: a cross-sectional study
title_full_unstemmed Status and influencing factors of health literacy among college students of traditional Chinese medicine: a cross-sectional study
title_short Status and influencing factors of health literacy among college students of traditional Chinese medicine: a cross-sectional study
title_sort status and influencing factors of health literacy among college students of traditional chinese medicine a cross sectional study
topic university of traditional Chinese medicine
college students
health literacy
influencing factor
healthy school
url https://www.frontiersin.org/articles/10.3389/fpubh.2025.1542764/full
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