Journal of Shandong University (Health Sciences) ›› 2019, Vol. 57 ›› Issue (12): 97-102.doi: 10.6040/j.issn.1671-7554.0.2019.474

Previous Articles    

Correlation between health literacy,maternal mortality and infant mortality in Shanghai residents from 2008 to 2017

XIA Yu1,2, CHEN Ren3, CHEN Fei4, LI Boyang5, PAN Xinfeng6, GAO Xiang7,8, LI Chengyue7,8, XU Lingzhong1,2,8   

  1. 1. Department of Social Medicine and Maternal &
    Child Health, School of Public Health, Shandong University, Jinan 250012, Shandong, China;
    2. Center for Health Economics Experiment and Public Policy Research, Shandong University, Jinan 250012, Shandong, China;
    〓山〓东〓大〓学〓学〓报〓(医〓学〓版)57卷12期〓-夏宇, 等.2008~2017上海市居民健康素养时序变化与孕产妇及婴幼儿死亡率的相关性〓\=-3. Department of Health Management, School of Health Services Management, Anhui Medical University, Hefei 230032, Anhui, China;
    4. Department of Public Utilities Management, School of Public Health and Management, Chongqing Medical University, Chongqing 400016, China;
    5. Department of Health Management, School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, Hubei, China;
    6. Shanghai Center for Health Promotion, Shanghai 200040, China;
    7. Research Institute of Health Development Strategies, Fudan University, Shanghai 200032, China;
    8. Collaborative Innovation Center of Social Risks Governance in Health, Shanghai 200032, China
  • Published:2022-09-27

PDF (PC)

40

Abstract: Objective To explore the relationship between health literacy(HL), maternal mortality rate(MMR)and infant mortality rate(IMR)among Shanghai residents. Methods The HL, MMR and IMR data from Shanghai Municipal Bureau of Statistics and other literatures were used for descriptive statistical analyses to show the changing trends. Correlation and regression results between HL, MMR and IMR were obtained from Spearman rank correlation and generalized linear model analyses. Results The HL level had increased continuously from 6.97% to 25.36% between 2008 and 2017, while MMR and IMR declined. Spearman rank correlation analyses showed that there was a significant negative correlation between HL, healthy lifestyle and behavior(HLB), level of scientific health concept literacy(LSHCL), level of safety and first aid literacy(LSFAL)and MMR(the correlation coefficients were -0.817, -0.683, -0.783, -0.717, P<0.05), and IMR(the correlation coefficients were -0.833, -0.717, -0.883, -0.800, -0.683, P<0.05). Regression results indicated that HL, HLB, LSHCL and LSFAL had affected MMR and IMR(P<0.05), and LBML could affect IMR(P<0.05). Conclusion There is a significant negative correlation between HL, MMR and IMR. HL has an important impact on maternal and infant health. We suggest that government policies, community health promotion programs and HL monitoring programs should pay due attention to HL.

Key words: Health literacy, Maternal mortality rate, Infant mortality rate, Correlation

CLC Number: 

  • R193
[1] McCormack L, Haun J, Sorensen K, et al. Recommendations for advancing health literacy measurement[J]. J Health Commun, 2013, 18(Suppl1): 9-14. doi: 10.1080/10810730.2013.829892.
[2] Batterham RW, Hawkins M, Collins PA. et al. Health literacy: applying current concepts to improve health services and reduce health inequalities[J].Public Health, 2016, 132: 3-12. doi: 10.1016/j.puhe.2016.01.001.
[3] World Health Organization. Shanghai declaration on promoting health in the 2030 Agenda for Sustainable Development[J]. Health PromotInt, 2017, 32(1): 7-8.
[4] U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion. National Action Plan to Improve Health Literacy[EB/OL]. [2019-04-26].https://health.gov/communication/initiatives/health-literacy-action-plan.asp.
[5] 胡亚飞,潘新锋,陈润洁,等. 2008-2017年上海市居民健康行为变化趋势分析[J].健康教育与健康促进, 2018,13(1): 23-26,44. HU Yafei, PAN Xinfeng, CHEN Runjie, et al. Analysis on the trend of healthy behavior of shanghai residents from 2008 to 2017[J]. Health Education and Health Promotion, 2018, 13(1): 23-26+44.
[6] 潘新锋,丁园,胡亚飞,等. 2008~2015年上海市15~69岁居民健康素养变化趋势及相关因素研究[J].上海预防医学, 2016,28(10): 697-701. PAN Xinfeng, DING Yuan, HU Yafei, et al. Research on health literacy evolution and correlative factors among residents of 15-69 years old in Shanghai during 2008-2015[J]. Shanghai Journal of Preventive Medicine, 2016, 28(10): 697-701.
[7] Dewalt DA, Hink A. Health literacy and child health outcomes: a systematic review of the literature[J]. Pediatrics, 2009, 124(Suppl 3): 265-274.
[8] Sørensen K, Van den Broucke S, Fullam J, et al. Health literacy and public health: a systematic review and integration of definitions and models[J]. BMC Public Health, 2012, 12(1): 1-13.
[9] Kutner Mark, Greenburg Elizabeth, Jin Ying, et al. The health literacy of americas adults: results from the 2003 national assessment of adult literacy[EB/OL].[2019-06-07]. https://nces.ed.gov/pubsearch/pubsinfo.asp?pubid=2006483
[10] Williams MV, Baker DW, Parker RM, et al. Relationship of functional health literacy to patients knowledge of their chronic disease. A study of patients with hypertension and diabetes[J]. Arch Intern Med, 1998, 158(2): 166-172.
[11] 戴婵媛,严谨.母婴健康素养研究进展[J]. 中国妇幼保健, 2015, 30(12): 1964-1965.
[12] 孙国涛,李靖,邱凤霞.国内健康素养研究现状、热点与前沿可视化分析——基于CNKI核心期刊论文[J].现代预防医学, 2018,45(6): 1063-1067. SUN Guotao, LI Jing, QIU Fengxia. Visualizational analysis on research status, hotspots and frontier in domestic health literacy:based on the paper of CNKI core journals[J]. Modern Preventive Medicine, 2018, 45(6): 1063-1067.
[13] 冯爱华. 孕产妇母婴健康素养现况调查及其妊娠结局相关研究[D]. 济南:山东大学, 2013.
[14] 孙浩林,傅华. 健康素养研究进展[J]. 健康教育与健康促进, 2010, 5(3): 225-229. SUN Haolin, FU Hua. Progress of Health Literacy Research[J]. Health Education and Health Promotion, 2010, 5(3): 225-229.
[15] 王文静. 长春市某医院孕产妇母婴健康素养现状及影响因素分析[D]. 长春:吉林大学, 2016.
[16] 王萍. 国内外健康素养研究进展[J]. 中国健康教育, 2010, 26(4): 298-302. WANG Ping. Research progress of health literacy in China and abroad[J]. Chinese Journal of Health Education, 2010, 26(4): 298-302.
[17] 国家卫生和计划生育委员会.我国居民健康素养水平稳步提升[EB/OL]. [2019-04-26]. http://www.gov.cn/govweb/gzdt/2013-11/11/content_2525343.htm.
[18] 国家卫生健康委员会. 国家卫生健康委员会2018年9月25日例行新闻发布会散发材料之一:2017年中国居民健康素养监测结果发布[EB/OL]. [2019-04-26]. http://www.nhc.gov.cn/wjw/zccl/201809/e72299ab37974d809b7e16b793763ded.shtml.
[19] 涂忆桥,李俊林,黄远霞,等.武汉市居民健康素养综合评价及影响因素分析[J].中国公共卫生, 2013, 29(7): 996-998. TU Yiqiao, LI Junlin, HUANG Qiuxia, et al. Comprehensive assessment of health literacy and its influencing factors in residents of Wuhan city[J]. Chinese Journal of Public Health, 2013, 29(7): 996-998.
[20] 石建辉,刘秀荣,黄丽巧. 2012年北京市居民健康素养水平现状分析[J].中国健康教育, 2015, 31(2): 147-150. SHI Jianhui, LIU Xiurong, HUANG Liqiao. Analysis of status of health literacy level among permanent residents in Beijing,2012[J]. Chinese Journal of Health Education, 2015, 31(2):147-150.
[21] Gazmararian JA, Baker DW, Williams MV, et al. Health literacy among medicare enrollees in a managed care organization[J]. JAMA, 1999, 281(6): 545-551.
[22] Sanders LM, Thompson VT, Wilkinson JD. Caregiver health literacy and the use of child health services[J]. Pediatrics, 2007, 119(1): e86-e92.
[23] Pamuk E, Makuc D, Heck K, et al. Socioeconomic Status and Health Chartbook. Health, United States,1998[M]. Hyattsville, Maryland: National Center for Health Statistics, 1998: 80-87.
[24] 曾庆奇,田宇,田丁,等.健康素养对妇女儿童基本公共卫生服务利用的影响研究[J]. 现代预防医学, 2015, 42(15): 2730-2733, 2740. ZENG Qingqi, TIAN Yu, TIAN Ding, et al. Effect of health literacy on utilization of essential public health services among women and children[J]. Modern Preventive Medicine, 2015, 42(15): 2730-2733, 2740.
[25] 李毅琳,蔡黎,李俊林,等. 武汉市居民卫生服务利用及影响因素调查研究[J]. 现代预防医学, 2011, 38(11): 2049-2051, 2054. LI Yilin, CAI Li, LI Junlin, et al. Analysis on the utilization of the health service of wuhan residents and its influencing factors[J]. Modern Preventive Medicine, 2011, 38(11): 2049-2051, 2054.
[26] 赵梓伶,蒋莉华,何琳坤,等. 国内外新生儿死亡率、婴儿死亡率与5岁以下儿童死亡率关系研究[J].中国妇幼保健, 2016, 31(13): 2585-2588.
[27] 黄润龙.1991-2014年我国婴儿死亡率变化及其影响因素[J]. 人口与社会, 2016, 32(3): 67-75. HUANG Runlong. Infant mortality Rate(1991-2014)and Its Influencing Factors[J]. Population and Society, 2016, 32(3): 67-75.
[28] World Health Organization. Maternal mortality[EB/OL].[2019-09-20]. http://www.who.int/en/news-room/fact-sheets/detail/maternal-mortality.
[29] 白薇,于冬梅,张洪洋,等. 农村儿童母亲对婴幼儿常见病的知识与行为调查[J].中国妇幼保健, 2001, 16(10): 649-650.
[1] LIU Liwen, MA Jun, LI Peizheng, ZHANG Xiufang, LIU Yiming. Caregiver burden and influencing factors of 128 patients with Parkinsons disease [J]. Journal of Shandong University (Health Sciences), 2022, 60(4): 45-49.
[2] CHENG Chuanlong, YANG Shuxia, SHE Kaili, FANG Qidi, HAN Chuang, LIU Ying, CUI Feng, LI Xiujun. Epidemiological characteristics and influencing factors of malignant tumors in Zibo, 2018 [J]. Journal of Shandong University (Health Sciences), 2022, 60(2): 102-108.
[3] FANG Qidi, YANG Shuxia, QI Chang, CHENG Chuanlong, HAN Chuang, LIU Ying,CUI Feng, LI Xiujun. Spatio-temporal distribution of stroke in Zibo City in 2019 based on township scale [J]. Journal of Shandong University (Health Sciences), 2022, 60(2): 81-88.
[4] GAO Jinmei, ZHANG Xianglian, LIU Tieju. Correlation between plasma D-dimer and metastasis in 109 cases of bladder cancer [J]. Journal of Shandong University (Health Sciences), 2021, 59(3): 98-102.
[5] ZHANG Jiahao, LIU Dongxu. Transverse characteristics of skeletal class Ⅱ malocclusion molars and basal bone in 70 cases with different vertical facial types [J]. Journal of Shandong University (Health Sciences), 2021, 59(2): 76-82.
[6] Shuwei LIU,Yunxia LOU,Yuchun TANG. The construction, asymmetry and genetic correlation of 4D digital brain atlas [J]. Journal of Shandong University (Health Sciences), 2020, 1(8): 28-33.
[7] JIA Yan, LI Chunyu, LIU Lili, SHE Kaili, LIU Tingxuan, ZHU Yuchen, QI Chang, ZHANG Dandan, WANG Xu, CHEN Enfu, LI Xiujun. Epidemic characteristics and spatial analysis of COVID-19 in Zhejiang Province [J]. Journal of Shandong University (Health Sciences), 2020, 58(10): 66-73.
[8] CHEN Hongyan, MA Yuanyuan, SUN Hukui. Correlation between SUVmax of 18F-FDG PET/CT and programmed cell death-ligand 1 expression in lung cancer patients: a Meta-analysis [J]. Journal of Shandong University (Health Sciences), 2019, 57(6): 81-86.
[9] HUA Xingxing, SUN Xiaojie, ZHAO Deli, LIU Weidong, NI Zhisong, ZOU Yuewei, MA Zhongfeng, YAO Nengliang, WANG Jialin, WANG Haipeng. Correlation analysis of treatment methods and medical expenditures of cancer patients in five counties of Shandong Province [J]. Journal of Shandong University (Health Sciences), 2018, 56(6): 69-75.
[10] LIN Pingzhen, XUE Jiaomei, YANG Bei, LI Meng, ZHOU Mailin, CAO Fenglin. Correlation between posttraumatic growth and psychological adjustment of cancer survivors based on Pearson correlation coefficient: a Meta-analysis [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(9): 110-121.
[11] WANG Hao, ZHANG Na, XUE Fuzhong, WANG Ping, KANG Dianmin, LIU Yanxun. Spatial epidemiological characteristics of HIV infections and AIDS patients in Shandong Province [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2015, 53(2): 81-86.
[12] QIU Yubei, WU Yaohui, FAN Yanni, GUO Weizhong, PENG Jiamei, REN Huiping. Correlation between dental anxiety and eysenck personality among college students [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(12): 103-106.
[13] LIU Li, SHAO Yuhan. Correlation analysis of type 2 diabetes with diabetes family history and hypertension [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(12): 64-68.
[14] WU Chuan-long1, XU Liang-yin2, HOU Xin-guo1, ZHAO Ru-xing1, CHEN Li1. Correlation between thyroid function and obesity as well as metabolic syndrome [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2013, 51(12): 88-91.
[15] ZHANG Bing-bing1, JIANG Xiang-kun2, ZHANG Shi-ying2, XUE Fu-zhong1. Application of spatial autocorrelation analysis to
explore disease‘hot spots’regions [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2012, 50(5): 129-132.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Copyright 2018 © Editorial office of Journal of Shandong University (Health Sciences)
Supported by Beijing Magtech Co.Ltd