Study On Traditional Chinese Medicine Health Culture Literacy Level And Its Influencing Factors Among Medical College Students

Objective:Through the investigation to understand the level of health cultural literacy of traditional Chinese medicine(HCL-TCM)and the needs of traditional Chinese medicine(TCM)health culture knowledge of students in a medical college,and analyze the influencing factors,so as to provide a reference basis for the targeted improvement of the level of HCL-TCM among medical students.Methods:Using stratified cluster sampling method,first stratified according to specialty,and then randomly selected two classes from each grade of four-year pharmacy,nursing major,and five-year clinical medicine,preventive medicine major.2600 students were selected for questionnaire survey.The contents of the questionnaire include three parts: basic information,HCL-TCM and the needs of TCM health culture knowledge.Among them,HCL-TCM includes five dimensions,which are basic concepts of TCM,public appropriate methods of TCM,healthy lifestyle of TCM,cultural common sense of TCM and information understanding ability of TCM.After the questionnaires were collected,the valid questionnaires were coded uniformly.Epidata3.1 was used to establish the database,and SPSS20.0 statistical software was used for descriptive analysis,chi-square test and Logistic regression analysis.Results:(1)The level of HCL-TCM of the surveyed medical students was 19.74%,and the level of five-dimensional HCL-TCM were: 57.52% of basic concepts of TCM,4.00% of public appropriate methods of TCM,23.73% of healthy lifestyle of TCM,79.40% of cultural common sense of TCM,and 78.95% of information understanding ability of TCM.(2)Logistic regression analysis showed that the main factors affecting the level of HCL-TCM of the surveyed medical students were birthplace,grade,major,the mother's education level,immediate family members suffered from chronic diseases or not,and had classes or not.Among them,the main factors affecting the level of basic concepts of TCM were gender,grade,major,the only child or not,had classes or not,and whether they believe that learning TCM health culture knowledge was helpful to improve their health status;The main factors affecting the level of public appropriate methods of TCM were the mother's education level,their health status,and had classes or not;The main factors affecting the level of healthy lifestyle of TCM were gender,birthplace,grade,major,immediate family members suffered from chronic diseases or not,had classes or not,and whether they believe that it was necessary to learn TCM healthy culture knowledge;The main factors affecting the level of cultural common sense of TCM were the only child or not,and immediate family members suffered from chronic diseases or not;The main factors affecting the level of information understanding ability of TCM were gender,grade,major,immediate family members suffered from chronic diseases or not,and had classes or not.(3)53.03% of the students said that they had not learned TCM knowledge through courses or lectures,77.09% of the students thought that learning TCM health culture knowledge was helpful to improve their health status,and 78.45% of the students thought that it was necessary to learn TCM healthy culture knowledge.The main ways for the surveyed medical students to acquire TCM healthy culture knowledge are the Internet,handheld terminals(such as mobile phones,palmtop computers,etc.)and television,accounting for 69.47%,69.22%,and 59.74%,respectively;The TCM healthy culture knowledge that the surveyed medical students want to acquire are,in order,the daily regimen(93.61%),the treatment and prevention of common diseases(78.33%),the common methods of TCM(37.29%),and the treatment and prevention of incurable diseases(32.39%);The surveyed medical students most hope to acquire TCM health culture knowledge through electives courses(62.59%),special lectures(55.25%),and thematic activities(43.88%).Conclusion:(1)The level of HCL-TCM of the surveyed medical students is higher than that of Chinese citizens in 2017,but the level of public appropriate methods of TCM and healthy lifestyle of TCM need to be improved.(2)The level of HCL-TCM of the surveyed medical students is affected by many factors.The level of HCL-TCM of medical students is higher in cities,seniors,clinical majors,high levels of mother education,immediate family members suffered from chronic diseases,and had classes.(3)The medical schools do not pay much attention to the education of TCM knowledge.The mass media is the main channel for the surveyed medical students to obtain TCM health culture knowledge.The surveyed medical students are more inclined to learn TCM health culture knowledge that is closely related to real life.