Abstract:Abstract: OBJECTIVE To investigate the current health literacy levels among college students in Xi'an and provide targeted recommendations for further enhancing their health literacy.METHODS In July 2024,a stratified random sampling method was employed to conduct a questionnaire survey among 374 full-time undergraduate students aged 18-24 at a university in Xi'an.The survey results were analyzed.The questionnaire comprised thre sections:basic information,health literacy assessment,and health status.RESULTS The overall health literacy attainment rate among 374undergraduate students was 65.78%.Comparisons across gender,place of origin,age, and major showed no statistically significant differences in health literacy attainment rates(P>0.05).The attainment rates for basic health knowledge and concepts,healthy lifestyle and behaviors,and basic skills were 78.88%,91.44%,and 20.32%,respectively. Female students demonstrated higher proficiency in basic health knowledge and concepts than males,while medical students exhibited a distinct advantage in basic skill.Among the six major health literacy categories,scientific health perspectives and infectious disease prevention literacy ranked highest with 93.32%proficiency,followed by safety and first aid(86.36%),health information(79.95%), chronic disease prevention(41.71%),primary medical treatment(32.35%).CONCLUSION Undergraduates at a university in Xi'an demonstrate relatively high health literacy levels.Building upon existing health education and promotion initiatives,targeted measures should be jointly implemented by society,universities,families,and individuals to enhance undergraduates'basic skills,chronic disease prevention awareness,and fundamental medical literacy.