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Study on change trends in the health literacy level of Chinese residents from 2016 to 2024
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Yiying WANG, Ben CAO, Haolin WANG, Yuan ZHOU, Jiangang CHEN, Xiaolong LI, Jing ZHANG
Chinese Nursing Research | 2026, 40(9) : 1431 - 1438
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Chinese Nursing Research | 2026, 40(9): 1431-1438
• Original Articles •
Study on change trends in the health literacy level of Chinese residents from 2016 to 2024
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Yiying WANG, Ben CAO, Haolin WANG, Yuan ZHOU, Jiangang CHEN, Xiaolong LI, Jing ZHANG
Affiliations
  • 1School of Physical Education, Shaanxi Normal University, Shaanxi 710119 China
Published: 2026-05-10 doi: 10.12102/j.issn.1009-6493.2026.09.002
Outline
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Objective

To examine the change trends in health literacy levels among Chinese residents from 2016 to 2024, providing evidence for the formulation of health policies and health education interventions.

Methods

Utilizing health literacy monitoring data of Chinese residents from 2016 to 2024,this study employed the Mantel-Haenszel chi-square test for trend and linear trend regression models.It analyzed the changing characteristics of health literacy across urban and rural areas,the eastern,central,and western regions,as well as three aspects(basic knowledge and concepts,healthy lifestyles and behaviors,and basic skills) and six categories of health literacy issues (safety and first aid,scientific health concepts,health information,chronic disease prevention and control,basic medical care,and infectious disease prevention and control).

Results

From 2016 to 2024, the health literacy levels of Chinese residents were 11.58%,14.18%,17.06%,19.17%,23.15%,25.40%,27.78%,29.70%,and 31.87%,respectively.The cumulative increase over the nine years was 20.29%,with an average annual growth rate of 13.65%.A rising trend in national health literacy levels was observed from 2019 to 2020.Disparities existed among different regions,with the eastern region having the highest level and the western region the lowest.Notably,the rate of improvement in health literacy among residents in the central region after 2019 was faster than in other regions.The residents in rural areas experienced rapid and substantial growth in health literacy,with the urban-rural gap gradually narrowing from 2022 onwards.A "know-do" gap was identified among the three aspects of health literacy.All six categories of health literacy issues showed upward trends,with significant increases in basic medical care and infectious disease prevention and control literacy between 2019 and 2020.Chronic disease prevention literacy and health information literacy grew at a relatively faster pace.

Conclusions

The health literacy level of Chinese residents demonstrated a sustained and steady upward trend from 2016 to 2024.Future health promotion efforts should adhere to region-specific and tiered implementation principles,with targeted enhancements in key dimensions such as basic skills,basic medical care,and infectious disease prevention and control.While maintaining the current growth rate,greater emphasis should be placed on the qualitative improvement of health literacy.

chronic disease  /  infectious disease  /  health literacy  /  knowledge-attitude-practice(KAP)  /  change trend
王艺颖, 曹犇, 王浩霖, 周园, 陈建刚, 李小龙, 张婧. 2016—2024年中国居民健康素养水平变化趋势研究. 护理研究, 2026 , 40 (9) : 1431 -1438 . DOI: 10.12102/j.issn.1009-6493.2026.09.002
Yiying WANG, Ben CAO, Haolin WANG, Yuan ZHOU, Jiangang CHEN, Xiaolong LI, Jing ZHANG. Study on change trends in the health literacy level of Chinese residents from 2016 to 2024[J]. Chinese Nursing Research, 2026 , 40 (9) : 1431 -1438 . DOI: 10.12102/j.issn.1009-6493.2026.09.002
Year 2026 volume 40 Issue 9
40
15
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doi: 10.12102/j.issn.1009-6493.2026.09.002
  • Receive Date:2025-06-29
  • Online Date:2026-10-28
  • Published:2026-05-10
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History
  • Received:2025-06-29
  • Revised:2026-03-23
Affiliations
    1School of Physical Education, Shaanxi Normal University, Shaanxi 710119 China
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)
属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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