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Objective:  Chinese college students’ level of health literacy is low, so, we explored the effect of knowledge contests on health literacy (HL) among Chinese college students.  Participants:  Students from universities in Jiangsu, China. Methods: Two repeated cross-sectional studies were used to compare the effects of the college students’ contests. Chi-square tests and variance analysis were used to compare the HL levels and scores, respectively; logistic regression was used for multivariate analysis.  Results:  The levels of HL after each contest were significantly higher than those in the baseline survey ( p  &lt; .05). There were statistically significant score differences ( p  = .023 and  p  = .001) after the contests in the two studies. Multivariable analysis of HL contest showed that school, grade, profession, completion time, and contest history were statistically significant.  Conclusions:  HL among Chinese college students was low and it is helpful to regularly hold health knowledge contests to improve these levels, especially for most non-medical students.

Influence of contest on Chinese college students’ health literacy based on repeated cross-sectional studies