Abstract:Objective To investigate the status of osteoporosis (OP) health literacy in hospitalized elderly patients and analyze the influencing factors. Methods A questionnaire survey on OP health literacy and influencing factors was conducted among 379 elderly patients hospitalized in the internal medicine ward of a Class A tertiary hospital in Beijing from October 2021 to December 2021. Results The age of 379 hospitalized elderly patients was (69.14±7.31) years old in this study, and their OP health literacy score was 93.38±16.19. The results showed that among the patients with different demographic data, the health literacy scores of males, middle-aged and elderly, high education level, high family per capita monthly income and in-service patients were significantly higher (P<0.01). Multiple linear regression analysis showed that age, education level, occupation, self-efficacy and were the influencing factors of osteoporosis health literacy in hospitalized elderly patients. The results of intermediary analysis showed that patients’ self-efficacy played a partial intermediary effect in the influence of bone mineral density and osteoporosis health literacy. The intermediary effect value was 0.050, accounting for 29.45% of the total effect. Conclusion OP health literacy of elderly inpatients is at a medium to low level. Age, education level, occupation and self-efficacy are important influencing factors. Medical staff should formulate targeted nursing intervention measures. While paying attention to the bone mineral density of patients, they should also improve the level of patients’ self-efficacy, in order to improve the osteoporosis health literacy level of patients, so as to more effectively prevent and control osteoporosis in elderly patients.