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Status of medication literacy and its related factors among undergraduate students in Shanxi Province, China: A cross‐sectional study

四分位间距 健康素养 比例(比率) 读写能力 整群抽样 简单随机抽样 心理学 中国 情感(语言学) 医疗保健 医学教育 可靠性(半导体) 横断面研究 医学 家庭医学 环境卫生 教育学 地理 人口 内科学 考古 功率(物理) 经济 病理 物理 量子力学 地图学 经济增长 沟通
作者
Xialei Li,Tingyu Duan,Yongjie Lai,Xiujun Wang,Lijie Yang,Xiaofeng Su,Huanhuan Wang,Yihang Guo,Lirong Zhu,Muyuan Jia,Yibo Wu
出处
期刊:Journal of Clinical Pharmacy and Therapeutics [Wiley]
卷期号:47 (8): 1201-1211 被引量:5
标识
DOI:10.1111/jcpt.13655
摘要

What is known and Objective Medication safety problem has always been the focus of healthcare providers and public health community scholars. As the backbone of the future society, the mastery of college students' knowledge to use medicine will directly affect the level of medication literacy (ML) of the public in the future. The purpose of this study was to investigate the current ML of college students in Shanxi Province and to identify its related factors. Methods A cluster random sampling method was utilized to select 800 college students from 10 universities in Shanxi province as participants from 21 March to 10 April 2020. After quality control, 763 valid questionnaires were collected (effective rate 95.4%). This study applied the ML scale adapted from the 14-item health literacy scale (HLS-14) to estimate ML, which contains functional ML, communicative ML and critical ML dimensions to estimate the ML situation. Then, we used structural equation modelling (SEM) to test the hypothesized relationship among three dimensions of ML, self-evaluated health status and safety medication science popularization activities on campus. Results and Discussion The results showed that the reliability and validity of the ML scale were good. The average score of ML level of college students in Shanxi Province was 44 points, and the interquartile range was 40–48 points (full score is 65 points). The proportion of high ML level was estimated at as low as 26.7%. 73.1% participants had an average level, and only 1 participant (0.1%) had a low level of ML. Univariate analysis showed that the ML level was significantly influenced by gender, universities, field of study, academic performance and ethnic group (p < 0.05). SEM showed that functional ML (λ = 0.01) and communicative ML (λ = 0.75) had a direct positive association with critical ML. Meanwhile, the model also had a mediating effect. Functional ML had an indirect positive association with critical ML through the mediating effect of communicative ML (λ = 0.11). In addition, both self-evaluated health status and safety medication science popularization activities on campus had an indirect positive association with critical ML through the mediating effect of functional ML and communicative ML. What is new and Conclusion The study revealed that the ML of most college students in Shanxi Province was at the average level. Among them, medical college student (including pharmacy, nursing, public health, preventive medicine, basic medicine and clinical medicine students), the Han nationality students (the students of China's majority ethnic group), students of good self-evaluated health status, and students who were more exposed to safety medication science popularization activities had a relatively higher ML level. Moreover, it highlighted the importance of self-evaluated health status and safety medication science popularization activities on campus to ML.
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