Study On The Correlation Between TCM Health Literacy And HRQoL Of Residents In Jiangxi Province

Objective To understand the current status and influencing factors of TCM health literacy and health-related quality of life(HRQoL)of residents in Jiangxi Province,explore the correlation between TCM health literacy and HRQoL,and provide a scientific basis for health administrative departments to formulate relevant policies and measures,provide theoretical and practical references for related research.Methods A multi-stage stratified sampling method was used to select 1,480 residents in 15 counties of Jiangxi Province as the research object.The basic situation of individuals and families in the survey was collected through household surveys or centralized responses.Health literacy and health-related quality of life.Use percentage and frequency to describe categorical variables,x±s to describe continuous variables,analysis of variance,chi-square test,and non-parametric test for univariate analysis of variables,and use binary Logistic regression to analyze health literacy of Chinese medicine and its three dimensions,Influencing factors of five dimensions of HRQoL,Tobit regression analysis of influencing factors of health utility value,using Spearman correlation coefficient method and Tobit regression to study the correlation between TCM health literacy and HRQoL.Results 1.The overall TCM health literacy attainment rate of residents in Jiangxi Province was 7.57%.The knowledge TCM health literacy,belief TCM health literacy,and behavioral health literacy attainment rates were 14.05%,23.04%,and 17.91%,respectively.The average health utility value of residents in Jiangxi Province is 0.9140±0.137,and the average score of self-assessed health status is 85.44±20.10 points.Among the five dimensions,the self-care dimension is the best and the pain/discomfort dimension is the worst2.TCM health literacy:Women,junior college graduates and above are favorable factors for the overall TCM health literacy.The number of family members is increasing,the family atmosphere is poor,and the living environment is a disadvantage(P<0.05)Technical secondary school/high school/vocational high school,junior college and above are favorable factors for having knowledge-based TCM health literacy.The number of family members is increasing,and≥60 years of age is an unfavorable factor(P<0.05);≥60 years of age,with commercial insurance is required Favorable TCM health literacy is a favorable factor,and the deterioration of the living environment is a negative factor(P<0.05)women and participation in commercial insurance are favorable factors for behavioral health literacy,and the increase in the number of family members and the poor living environment are a negative factor.(P<0.05)3.In terms of health utility value:those with no chronic disease and high income have high health utility value,45～59 years old,≥60 years old,unemployed,poor family atmosphere,and poor living environment(P<0.05)4.The relationship between TCM health literacy and quality of life Knowledge-based TCM health literacy,faith-based TCM health literacy,and behavioral health literacy are all factors that influence the health utility value(P<0.05),and the correlation coefficients are 0.233,0.124,0.094.Conclusions 1.There is a positive correlation between HRQoL and TCM health literacy.2.The TCM health literacy in Jiangxi residents is low,and the HRQoL needs to be improved.3.There are different influencing factors on the HRQoL and TCM health literacy,and the factors affecting the overall and structural dimensions are different.4.The elderly,low-educated people,family atmosphere improvement,and living environment improvement are important aspects of TCM health literacy and quality of life improvement,and quality improvement also needs to focus on men,Large family population,agricultural population.In terms of improving the HRQoL,we also need to focus on patients with chronic diseases,low-income people,and unemployed people.5.It is recommended to speed up the promotion of TCM health literacy to improve the health literacy of Chinese medicine for the whole people increase the health management of elderly patients with chronic diseases and improve their HRQoL;advocate a harmonious family atmosphere,improve the living environment and create a healthy supportive environment.