What is the clinical evidence from this study?

Study design: Cross-Sectional. Population: Health literacy and behaviors (n=80). Intervention: Middle-aged residents (36-55 years old) vs. Young residents (18-35 years old). Primary outcome: Physical examination rate (p=0.027).

March 25, 2026American Journal of Health Research0 citationsOpen Access

The Current Situation and Analysis of Medical Popularization Among Community Residents in Chengdu: Based on Sample Surveys of Xilin and Haian Communities

CFCHEN FangfangCommunity Health Center YXYin XiaowenCommunity Health Center DMDu MingCommunity Health Center

Key Result

The physical examination rate among middle-aged residents (78.38%) was significantly higher than that of young residents (53.57%).

Key Points

The study aims to investigate residents' health knowledge, medication safety, and physical examination behaviors in two Chengdu communities.
Retrospective study design
Survey conducted from May to June 2025
80 residents surveyed, with 40 valid questionnaires from each community
Data analyzed using SPSS 22.0
T-tests and chi-square tests for statistical comparisons
80 valid questionnaires retrieved, 80% response rate
No significant difference in health knowledge mastery between the two communities
Females showed a higher correct rate in medication safety compared to males
Physical examination rates were higher in middle-aged and elderly populations than in young individuals
Key factors affecting health literacy include age, gender, and education level.

Study Design

Type

Cross-Sectional (n=80)

Multicenter

Structured PICO

Population

80 community residents from Xilin and Haibin communities in Chengdu, China, aged 18 to over 65 (mean age 40.82 years).

Outcome

Residents' mastery of health knowledge, medication safety cognition, and physical examination behaviorpatient reported

Health literacy, medication safety cognition, and physical examination participation in Chengdu communities are closely related to age, gender, and education level, highlighting the need for targeted health education for young people and men.

Main Result

Absolute Event Rate: 78.38% vs 53.57%

p-value: p=0.027

Limitations

Lack of regionally targeted research and in-depth studies in rural and remote areas
Insufficient research on characteristic groups such as floating populations, the disabled, and empty-nest elderly
Lack of research on long-term mechanisms for improving community health literacy
Insufficient research on the internal correlation and interaction mechanism among health knowledge, medication safety cognition, and physical examination behavior

Abstract

Objective: To explore the current situation and influencing factors of residents mastery of health knowledge, medication safety, and physical examination behavior in Xilin and Haibin communities of Qinglong Street, Qingyang District, Chengdu City, and to provide empirical evidence for the precise implementation of community health management. Research method: A retrospective study design was adopted for analysis. Using a retrospective research method, the clinical data of the sampling survey on the core indicators of residents health literacy conducted by our hospital from May to June 2025 were analyzed. A total of 80 residents from Xilin Community and Haibin Community were included in the survey, and 40 valid questionnaires were recovered from each community. The data were collected using the National Resident Health Literacy Monitoring Questionnaire and analyzed using SPSS 22.0. The measurement data were expressed as (x ± s), and independent t-tests and one-way ANOVA were used for inter-group comparisons. The count data were expressed as n (%) and were compared using the chi-square test. A P value less than 0.05 indicated a statistically significant difference. Results: A total of 100 questionnaires were distributed, and 80 valid questionnaires were retrieved, with an effective response rate of 80%. Comparing the proportion of residents in Xilin Community and Haibin Community with a total correct rate of health knowledge (≥80%) showed that the P value was 0.286 ( 0.05), indicating that there was no essential difference in the distribution of residents with high health knowledge mastery levels in the two communities. There was a statistically significant difference in the correct rate of health knowledge related to medication safety between different genders. The proportion of high correct rate (≥75%) in medication safety among females (65.85%) was significantly higher than that among males (46.15%). Comparing the physical examination rates of residents in different age groups in the community showed that the P value was 0.019 ( 0.05), indicating that the physical examination rate of the middle-aged and elderly population was significantly higher than that of the young population, and there were significant differences in the distribution of physical examination behaviors among different groups. Discussion and conclusion: The research results are consistent with relevant domestic studies, confirming that age, gender, and education level are the core factors affecting residents health literacy. Females performed better in medication safety cognition, and the physical examination participation rate of middle-aged and elderly residents was higher. Young people belong to the vulnerable group in health management. In conclusion, the core health literacy indicators of residents in Qinglong Street are closely related to age, gender, and education level. Community health management should focus on residents with low education levels and weak health awareness, and carry out targeted health education for the problems of insufficient medication safety cognition among men and low physical examination participation rate among young people aged 18 to 35.

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