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Landscape of Health Information Literacy among University Students in Four-Tier City in China: Prevalence, Disparities, and Urgent Needs

Author(s)

Yuan Meng1, Jian Li2, Xianlin Wu3, Jinyu Mo1,*, Li Dong1,*

Affiliation(s)

1Library, Hubei University of Medicine, Shiyan, Hubei, China 2School of Basic Medical Sciences, Hubei University of Medicine, Shiyan, Hubei, China 3School of Public Health and Management, Hubei University of Medicine, Shiyan, Hubei, China *Corresponding Author

Abstract

This study combines qualitative and quantitative research methods to examine the current state of Health Information Literacy (HIL) among university students in a fourth-tier city in China. Conducted in four universities within Shiyan City, the research employed a questionnaire survey (N=294) and semi-structured interviews based on Grounded Theory (N=35). Quantitative analysis of the questionnaire data assessed students' proficiency across different HIL dimensions (HIS > HIA > HIE > HIC > HIM > HK) and identified disparities across demographic groups (gender, degree level, grade). Qualitative analysis identified key barriers, including a superficial understanding of HIL concepts, and limitations in evaluation and search skills for health information, among others. Based on these findings, the study suggests enhancing public awareness, establishing collaborative educational frameworks involving libraries and health departments, adopting innovative teaching methods, and designing stratified curricula. The findings from the HIL landscape among university students in a fourth-tier city underscore a pressing need for targeted interventions in resource-constrained urban settings, while also unveiling challenges. This research provides a practical reference and rationale for academic libraries and health institutions regarding HIL improvement initiatives and educational programs.

Keywords

Health Information Literacy; University Students; Four-Tier Cities; Questionnaire; Grounded Theory

References

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