Objective: The purpose of this study was to examine the association between health literacy (HL) and the incidence of injuries in middle school students in China. Methods: From November 2013 to February 2014, middle school students in Liaoning, Henan, and Guangdong provinces, Chongqing municipality, Xinjiang Uygur Autonomous Region were selected by using cluster sampling method. A total of 27 044 questionnaires were issued and 25 378 questionnaires were valid. According to the Chinese Adolescent Interactive Health Literacy Questionnaire (CAIHLQ), scores were conducted a tripartite group. Multiple logistic regression analyses were conducted to examine the association between HL and injuries. Results: The scores of CAIHLQ were 103.55±23.91 among 25 378 students. The detection rate of self-injuries and unintentional injuries was 27.5% (n=6 971) and 47.8% (n=12 119). Compared with the students with high HL, the OR (95%CI) values of self-injuries among students with low and middle HL were 2.56 (2.35-2.79) and 1.96 (1.81-2.12). Compared with the students with high HL, the OR (95%CI) values of unintentional injuries among students with low and middle HL were 1.63 (1.53-1.73) and 1.47 (1.37-1.58). Conclusion: The risk of self-injuries and unintentional injuries of middle school students is related to HL.
目的： 了解中国中学生健康素养与伤害发生之间的关联。 方法： 于2013年11月至2014年2月，在辽宁、河南、广东省，重庆市，新疆维吾尔自治区，采用整群抽样方法调查中学生健康素养和伤害发生情况。共发放问卷27 044份，收回有效问卷为25 378份。根据中国青少年互动性健康素养问卷评分进行三分位分组，将研究对象分为健康素养低、中和高3组，采用多因素logistic回归模型分析健康素养与伤害发生之间的关联。 结果： 25 378名调查对象健康素养总分为（103.55±23.91）分；自我伤害和意外伤害的发生率分别为27.5%（6 971例）和47.8%（12 119例）。与健康素养水平高的中学生相比，健康素养水平低、中的中学生发生自我伤害的OR（95%CI）值分别为2.56 (2.35~2.79)、1.96 (1.81~2.12)；发生意外伤害的OR（95%CI）值分别为1.63 (1.53~1.73)、1.47 (1.37~1.58)。 结论： 中学生自我伤害和意外伤害的发生风险与健康素养有关。.
Keywords: Cross-sectional studies; Health literacy; Self-injurious behavior.