Association of health literacy with smoking behavior among Chinese men

Datos Bibliográficos

ID22945134
AutoresLanlan Wang (0000-0001-6730-5237, Department of Surveillance and Evaluation, Chinese Center for Health Education , Beijing , China), L M Wang (0000-0002-8518-6603, Department of Surveillance and Evaluation, Chinese Center for Health Education , Beijing , China), Yinghua Li (0000-0003-3925-8239, Department of Surveillance and Evaluation, Chinese Center for Health Education , Beijing , China, autor de correspondencia), Li Li (0000-0001-9700-9682, Department of Surveillance and Evaluation, Chinese Center for Health Education , Beijing , China), Gang Zhang (0000-0002-0608-7042, Department of Surveillance and Evaluation, Chinese Center for Health Education , Beijing , China)
Año2023
Volumen38
Número5
Fecha de publicación2023-10-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaHealth Promotion International (JOURNAL)
Identificadores de la revistaISSN: 0957-4824 • E-ISSN: 1460-2245
EditorialOxford University Press (OUP) (PUBLISHER)
DOI10.1093/heapro/daad113
PMID37748868
OpenAlexW4387008195
IdiomaEN
Citas recibidas2
Referencias citadas22

Health literacy may constitute a modifiable determinant of smoking behavior and intention to quit. Little is known about the extent to which health literacy affects smoking or quitting smoking. We assessed the nationally representative cross-sectional datasets from the China Health Literacy Surveillance (CHLS) initiated in 2018. Using polytomous logistic regression models, the study investigated the association of health literacy with smoking behavior and the intention to quit smoking among men aged 15–69 in China. After confounding factors were controlled, compared with having below basic health literacy, having adequate health literacy appeared to be an independent protective factor from current smoking [current smoking vs never smoking: adjusted odds ratio [OR], 0.88; 95% confidence interval (CI), 0.81–0.96; p = 0.003; current smoking vs former smoking: adjusted OR, 0.77; 95% CI, 0.64–0.92; p = 0.003], while having intermediate health literacy was associated with current smoking vs never smoking (adjusted OR, 1.09; 95% CI, 1.02–1.17; p = 0.011) or former smoking vs never smoking (adjusted OR, 1.22; 95% CI, 1.06–1.40; p = 0.005). And having adequate health literacy was associated with intending to quit among current smokers (adjusted OR, 1.25; 95% CI, 1.10–1.42; p < 0.001). Findings provide evidence that health literacy may serve as a critical and independent protective factor for reducing poor smoking behavior or enhancing cessation intention among men. Efforts should focus on developing and evaluating intervention to control tobacco use among men with low health literacy level.

Confidence interval · Confounding · Environmental health · Health care · Health literacy · Literacy · Logistic regression · Odds ratio · Protective factor · Smoking cessation · Behavioral Health and Interventions · Demography · Health Literacy and Information Accessibility · Internal Medicine · Medicine · Psychology · Smoking Behavior and Cessation