ArticleFrontiers in public health2026
Health literacy and health behaviors among college students in underdeveloped regions of China: a cross-sectional study in Yunnan Province.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: College students are at a critical stage in the formation and development of their health concepts, lifestyles, and behaviors. Cultivating sound Health Literacy (HL) will have a profound impact on their future health. This study aims to examine the relationship between HL and health behaviors among college students in underdeveloped regions of China, and to propose recommendations and strategies for enhancing HL. Methods: Based on the National HL Monitoring Survey Questionnaire, a cross-sectional survey was conducted using a self-administered questionnaire in Yunnan. A total of 2,795 participants were included. Exploring strategies to enhance HL through descriptive analysis, multifactor analysis, and mediation effect analysis. Results: The HL attainment rate among college students in Yunnan Province is 32.92% (95% CI: 31.18-34.66%). Among the three dimensions of HL, Basic Health Skills literacy had the lowest proficiency rate at 23.97%. Among the six categories of health issues, Basic Medical Care literacy, Prevention and Control of Infectious Diseases literacy, and Health Information literacy demonstrated relatively low proficiency rates, at 32.84, 31.20, and 43.15%, respectively. Smoking, habitually stay up late, and breakfast frequency are significantly associated with HL ( Conclusion: HL is significantly associated with health behaviors. By focusing on health skills and health information, strengthening macro-level policy guidance, and establishing a collaborative network involving individuals, families, schools, and society, the HL of college students in underdeveloped regions can be effectively enhanced.
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