{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T06:18:18Z","timestamp":1783491498372,"version":"3.55.0"},"reference-count":59,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T00:00:00Z","timestamp":1783468800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The HL attainment rate among college students in Yunnan Province is 32.92% (95% CI: 31.18\u201334.66%). 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 (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.05). Basic Health Skills partially mediated the relationship between Basic Health Knowledge and Concepts and Healthy Lifestyle and Behavioral Patterns (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.05), with a mediation effect of 28.45%. Health information mediates the transformation of Scientific Concept of Health into the other four issues of HL, with mediation effects accounting for 28.38, 29.67, 26.45 and 25.84%, respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1883425","type":"journal-article","created":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T05:54:41Z","timestamp":1783490081000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Health literacy and health behaviors among college students in underdeveloped regions of China: a cross-sectional study in Yunnan Province"],"prefix":"10.3389","volume":"14","author":[{"given":"Fengchen","family":"Gao","sequence":"first","affiliation":[{"name":"School of Public Health, Kunming Medical University","place":["Kunming, Yunnan, China"]},{"name":"Department of Epidemiology and Biostatistics, Kunming Medical University","place":["Kunming, Yunnan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junqiang","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Public Health, Kunming Medical University","place":["Kunming, Yunnan, China"]},{"name":"Department of Epidemiology and Biostatistics, Kunming Medical University","place":["Kunming, Yunnan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying","family":"Chen","sequence":"additional","affiliation":[{"name":"School of Public Health, Kunming Medical University","place":["Kunming, Yunnan, China"]},{"name":"Department of Epidemiology and Biostatistics, Kunming Medical University","place":["Kunming, Yunnan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuan","family":"Huang","sequence":"additional","affiliation":[{"name":"School of Public Health, Kunming Medical University","place":["Kunming, Yunnan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mengtai","family":"Wu","sequence":"additional","affiliation":[{"name":"School of Public Health, Kunming Medical University","place":["Kunming, Yunnan, China"]},{"name":"Department of Epidemiology and Biostatistics, Kunming Medical University","place":["Kunming, Yunnan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenhang","family":"Deng","sequence":"additional","affiliation":[{"name":"School of Public Health, Kunming Medical University","place":["Kunming, Yunnan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weiming","family":"Li","sequence":"additional","affiliation":[{"name":"School of Public Health, Kunming Medical University","place":["Kunming, Yunnan, China"]},{"name":"Academic Affairs Office, Kunming Medical University","place":["Kunming, Yunnan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yongci","family":"Ma","sequence":"additional","affiliation":[{"name":"Chenggong District Center for Disease Control and Prevention","place":["Kunming, Yunnan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Falei","family":"Sun","sequence":"additional","affiliation":[{"name":"School of Public Health, Kunming Medical University","place":["Kunming, Yunnan, China"]},{"name":"Department of Epidemiology and Biostatistics, Kunming Medical University","place":["Kunming, Yunnan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuanyuan","family":"Xiao","sequence":"additional","affiliation":[{"name":"School of Public Health, Kunming Medical University","place":["Kunming, Yunnan, China"]},{"name":"Department of Epidemiology and Biostatistics, Kunming Medical University","place":["Kunming, Yunnan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiaoyun","family":"Huang","sequence":"additional","affiliation":[{"name":"School of Public Health, Kunming Medical University","place":["Kunming, Yunnan, China"]},{"name":"Yunnan Provincial General Practice Training Center","place":["Kunming, Yunnan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,8]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"e2188","DOI":"10.1136\/bmj.e2188","article-title":"Health literacy","volume":"344","author":"Raynor","year":"2012","journal-title":"BMJ"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"S258","DOI":"10.1097\/PHH.0000000000001324","article-title":"Updating health literacy for healthy people 2030: defining its importance for a new decade in public health","volume":"27","author":"Santana","year":"2030","journal-title":"J Public Health Manag 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