| Objective: In order to provide the basis for building healthy Dali city and improving the health literacy level of the population in an all-round way,we conduct health literacy and healthy outcome Cross-sectional surveys among rural residents of Bai minority in Dali Bai Autonomous Prefecture.This research aims: firstly,to understand the current status of rural residents of Bai minority health literacy and healthy outcomes;secondly,to analyze influencing factors and explore the quantitative relationship between health literacy and health outcomes;thirdly,to conduct a comprehensive evaluation the health literacy level of the population,and propose corresponding improvement suggestions.Methods: The multistage stratified cluster random sampling method was used to select respondents in Dali Bai Autonomous Prefecture,and the health literacy,and healthy outcomes of permanent rural residents of Bai minority aged 15-69 were collected through Cross-sectional survey.The questionnaire used the 2019 National Residents’ Health Literacy Monitoring Questionnaire.Building database was by Epidata 3.1.Descriptive statistical analysis,chi-square test and Logistic regression analysis were used to analyze the current status and influencing factors of health literacy of rural residents of Bai minority by SPSS 23.0.Based on literature data,analysis results of influencing factors,a theoretical model of the relationship between demographic characteristics,health literacy and health outcomes was established,and the structural equation modeling was used to explore the relationship between health literacy and health outcomes,which was realized through AMOS 24.0.Results: In this study,1,200 questionnaires were distributed and returned,and the effective recovery rate was 95.4%.The specific results were as follows:1.Current status of health literacy level and chronic diseases: among the 1145 XII responds with valid information,16.2% had health literacy;the 3 dimensions of health literacy levels were as follows: 21.7% had basic knowledge and theory,25.3% had healthy lifestyle and behavior,27.9 % had fundamental skills;6 dimensions of health literacy levels were as follows: 43.8% had scientific health concept,33.5% had prevention and treatment of infectious diseases,14.1% had prevention and treatment of chronic disease,68.0% had safety and first aid,16.9% had basic medical,27.9% had health information.The prevalence of chronic diseases among rural residents of Bai minority in Dali was 17.7%,and the prevalence of hypertension was mainly 10.1%.2.Influencing factors: there were statistically significant differences(P<0.001)in the health literacy level and 3 or 6 dimensions of health literacy levels of the rural residents of Bai minority in age,education level,occupation,and annual household income.However,gender differences were only reflected in fundamental skills(P=0.028),prevention and treatment of infectious diseases(P=0.002),safety and first aid(P=0.015),and basic medical(P=0.017).The level of health literacy decreases with the increase of age,and increases with the increase of education level and annual household income.The impact of occupation on health was mainly related to education level.Doctors,students,civil servants,and public institutions had higher health literacy levels,while farmers had the lowest health literacy levels.3.Structural equation modeling: the structural equation modeling of the relationship of between demographic characteristics,health literacy and health outcomes showed that demographic characteristics had a direct effect on health literacy,and had both direct and indirect effects on health outcomes,and health literacy had a direct effect on health outcomes.Conclusion:1.The health literacy level of the residents of Bai villages in Dali Bai Autonomous Prefecture is far lower than the national level,especially in terms of basic knowledge and concepts.2.The health literacy level of Bai village residents in Dali Bai Autonomous Prefecture is affected by demographic characteristics such as gender,age,education level,etc,but the gender feature only affects part of the health literacy.The most important of which is education level.3.The prevalence of chronic diseases among Bai villages in Dali Bai Autonomous Prefecture is relatively low,and their health self-assessment is relatively good.However,the chronic disease with the largest number of patients is still hypertension,and drinking is a risk factor for chronic diseases in this population.4.The level of health literacy has a direct effect on health outcomes,and improving the level of health literacy can reduce the risk of chronic diseases. |
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