Exploring Health Literacy in Wuhan, China: A Cross-Sectional Analysis

Background: In recent years, research on health literacy has become increasingly concerned with the health care system and public health. This cross-sectional study aimed to investigate health literacy and analyse the risk factors that affect health literacy in Wuhan, China. Methods: Multistage stratified random sampling was used to select 5304 urban and rural residents aged 15 to 69 from 204 monitoring points in 15 districts of Wuhan. Using the Chinese citizen Health Literacy Questionnaire (HLQ) (2018 edition), a face-to-face survey was conducted from November to December 2018. Risk factors that may affect health literacy were assessed by Chi-square test and multiple logistic regression models. Results: The knowledge rate of health literacy was relatively low (19.3%). Of the three aspects of health literacy, the knowledge rate of health-related behaviour and lifestyle (BAL, 17.3%) was the lowest, and of the six dimensions of health literacy, the knowledge rate of chronic diseases (CD, 19.0%) was the lowest. Respondents who lived in urban areas, had higher education levels, worked as medical staff, had higher household income and did not suffer from chronic diseases were likely to have higher health literacy. Conclusions: The health literacy levels of citizens in Wuhan are insufficient and need to improve.