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The impact of health literacy on healthcare utilization outcomes based on latent class analysis: a cross-sectional study
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Cheng SHI1, Tao MAO2, Luyao CHENG2, Zeguang YANG2, Chen QU2, Shiqi ZHEN2, Xupeng CHEN1
Chinese Journal of Public Health | 2025, 41(8) : 977 - 981
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Chinese Journal of Public Health | 2025, 41(8): 977-981
• Survey and Report •
The impact of health literacy on healthcare utilization outcomes based on latent class analysis: a cross-sectional study
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Cheng SHI1, Tao MAO2, Luyao CHENG2, Zeguang YANG2, Chen QU2, Shiqi ZHEN2, Xupeng CHEN1
Affiliations
  • 1Nanjing Municipal Center for Disease Control and Prevention, Nanjing 210003, China
  • 2Department of Health Education, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, China
Published: 2025-08-10 doi: 10.11847/zgggws1146077
Outline
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Objective

To understand the characteristics of healthcare utilization outcomes among residents, analyze the influence of health literacy on these outcomes, and provide a reference for improving them.

Methods

From October 2022 to April 2023, a stratified, multi-stage, random, and convenient sampling method was used to select 6 153 residents aged 15–69 years in Jiangsu province for a questionnaire survey. Latent class analysis and multi-factor logistic regression were used to analyze the influencing factors of different categories of healthcare utilization outcomes.

Results

The healthcare utilization outcomes of the surveyed population could be divided into two latent classes: a better outcome group (83.1%) and a worse outcome group (16.9%). Statistically significant differences in healthcare utilization outcomes were observed across different ages, genders, marital statuses, education levels, annual incomes, chronic disease statuses, and health literacy levels (all P < 0.05). Multi-factor logistic regression analysis showed that compared with those with high health literacy, aged 15–24 years, male, and without chronic diseases, the following groups had a higher risk of being in the worse outcome group: those with low health literacy (OR = 1.306, 95%CI: 1.013–1.683); those aged 25–34 years (OR = 1.620, 95%CI: 1.034–2.538), 45–54 years (OR = 1.938, 95%CI: 1.208–3.110), 55–64 years (OR = 2.501, 95%CI: 1.551–4.033), and 65–69 years (OR = 2.926, 95%CI: 1.703–5.027); females (OR = 1.402, 95%CI: 1.201–1.636); and those with chronic diseases (OR = 3.033, 95%CI: 2.612–3.523).

Conclusions

High health literacy has a positive impact on residents′ healthcare utilization outcomes, and improving residents′ health literacy is of great significance for improving these outcomes.

health literacy  /  medical care  /  outcome  /  latent class analysis  /  influencing factors  /  Jiangsu province
石呈, 毛涛, 程璐瑶, 杨泽光, 曲晨, 甄世祺, 陈旭鹏. 基于潜在类别分析健康素养对居民就医相关结局的影响. 中国公共卫生, 2025 , 41 (8) : 977 -981 . DOI: 10.11847/zgggws1146077
Cheng SHI, Tao MAO, Luyao CHENG, Zeguang YANG, Chen QU, Shiqi ZHEN, Xupeng CHEN. The impact of health literacy on healthcare utilization outcomes based on latent class analysis: a cross-sectional study[J]. Chinese Journal of Public Health, 2025 , 41 (8) : 977 -981 . DOI: 10.11847/zgggws1146077
Year 2025 volume 41 Issue 8
57
22
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Article Info
doi: 10.11847/zgggws1146077
  • Receive Date:2024-10-08
  • Online Date:2026-10-25
  • Published:2025-08-10
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History
  • Received:2024-10-08
  • Revised:2025-04-09
  • Accepted:2025-05-08
Affiliations
    1Nanjing Municipal Center for Disease Control and Prevention, Nanjing 210003, China
    2Department of Health Education, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, China

Corresponding:

MAO Tao, E-mail:
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表12种不同金属材料的力学参数
科
Family
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Number of
genus
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Number of
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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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