Introduction:In 2019,the Chinese State Council launched the“Healthy China Initiative(2019-2030)”,establishing explicit targets for residents’environmental and health literacy(EHL):reaching to 15%by 2022,to 25%,and ...Introduction:In 2019,the Chinese State Council launched the“Healthy China Initiative(2019-2030)”,establishing explicit targets for residents’environmental and health literacy(EHL):reaching to 15%by 2022,to 25%,and over 2030.To identify knowledge gaps and guide targeted interventions,Shanghai implemented five consecutive EHL surveys between 2020 and 2024.Methods:We employed a multi-stage random sampling design across five cross-sectional surveys.Associations with EHL levels were examined usingχ^(2) tests,one-way analysis of variance,generalized linear models,and multivariate logistic regression analyses.Results:Among 11,220 residents aged 15-69 years assessed using the Core Questionnaire for Assessing the EHL of Chinese Residents,mean EHL scores demonstrated steady improvement.Scores increased from 55.28±15.64 points in 2020 to 61.77±15.92 points(2021),62.13±17.14 points(2022),62.03±16.97 points(2023),and 63.14±18.21 points(2024)(P<0.001).The proportion achieving adequate EHL(≥70 points)increased correspondingly,with ageadjusted rates rising from 18.78%in 2020 to 30.18%(2021),33.22%(2022),33.84%(2023),and 42.88%(2024).Among the three primary dimensions,knowledge showed the greatest improvement,increasing from 7.12%to 39.93%.Participants surveyed in 2024 had 3.50-fold higher odds of achieving adequate EHL compared with those in 2020(odds ratio=3.50;95%confidence interval:3.07,4.00).Conclusions:Although educational attainment remained the primary determinant of EHL,targeted public health education campaigns significantly improved EHL among Shanghai residents between 2020 and 2024.展开更多
基金Supported by the Key Projects in the Three-Year Plan of Shanghai Municipal Public Health System(2023-2025)(No.GWV1-11.1-39)the National Disease Control and Prevention Administration Talent Project of Field Epidemiological Investigation(No.Y2023-28B)the Shanghai Municipal Health Commission Science and Youth Research Fund(No.20234Y0297).
文摘Introduction:In 2019,the Chinese State Council launched the“Healthy China Initiative(2019-2030)”,establishing explicit targets for residents’environmental and health literacy(EHL):reaching to 15%by 2022,to 25%,and over 2030.To identify knowledge gaps and guide targeted interventions,Shanghai implemented five consecutive EHL surveys between 2020 and 2024.Methods:We employed a multi-stage random sampling design across five cross-sectional surveys.Associations with EHL levels were examined usingχ^(2) tests,one-way analysis of variance,generalized linear models,and multivariate logistic regression analyses.Results:Among 11,220 residents aged 15-69 years assessed using the Core Questionnaire for Assessing the EHL of Chinese Residents,mean EHL scores demonstrated steady improvement.Scores increased from 55.28±15.64 points in 2020 to 61.77±15.92 points(2021),62.13±17.14 points(2022),62.03±16.97 points(2023),and 63.14±18.21 points(2024)(P<0.001).The proportion achieving adequate EHL(≥70 points)increased correspondingly,with ageadjusted rates rising from 18.78%in 2020 to 30.18%(2021),33.22%(2022),33.84%(2023),and 42.88%(2024).Among the three primary dimensions,knowledge showed the greatest improvement,increasing from 7.12%to 39.93%.Participants surveyed in 2024 had 3.50-fold higher odds of achieving adequate EHL compared with those in 2020(odds ratio=3.50;95%confidence interval:3.07,4.00).Conclusions:Although educational attainment remained the primary determinant of EHL,targeted public health education campaigns significantly improved EHL among Shanghai residents between 2020 and 2024.
