Health Literacy Among University Students in Shaanxi Province of China: A Cross-Sectional Study

Background: An adequate level of health literacy will help university students to better respond to public health emergencies and reduce unintended harm caused by public health events. The objective of this study was to assess the health literacy levels of students from Universities of Shaanxi province of China, in order to provide a basis for the development of health literacy promotion plan for university students. Methods: An online cross-sectional questionnaire survey was conducted at five universities in Shaanxi Province of China on the Wen-Juan-Xing online platform. A purposive sampling method was used to 1578 students via self-administered questionnaire. Comparisons of means were made using the t-test and ANOVA, and comparisons of ratios or composition ratios were made using the chi(2) test. Results: The mean score for health literacy was (105.33 +/- 10.14) out of 135, and the mean scores for the three dimensions of health knowledge, attitudes and practices were (36.093 +/- 4.192), (34.178 +/- 4.227) and (35.059 +/- 4.515) respectively. Of the total sample, 39.2% were classified as sufficient in health literacy. Female students had higher health literacy level than male students (t=4.064, p=0.044), lower grade students scored higher than higher grade (F=3.194, p=0.013), students from urban cities scored higher than those who came from rural areas (t=16.376, p<0.001), and university students with health education experience scored higher than those without (t=24.389, p<0.001). Conclusion: University students' health literacy is closely related to their gender, grades, family location and health education experience.