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How to improve the COVID-19 health education strategy in impoverished regions:a pilot study

作     者:Huimin Wang Rujun Liao Xin Chen Jie Yu Tianyu Zhu Qiang Liao Tao Zhang 

作者机构:Department of Epidemiology and Health StatisticsWest China School of Public Health and West China Fourth HospitalSichuan UniversityChengduSichuanChina 不详 Liangshan Prefecture Center for Disease Control and PreventionXichangSichuanChina 

出 版 物:《Infectious Diseases of Poverty》 (贫困所致传染病(英文))

年 卷 期:2022年第11卷第2期

页      面:90-91页

核心收录:

学科分类:1002[医学-临床医学] 100201[医学-内科学(含:心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

基  金:Chongqing Science and Technology Program Health Commission of Sichuan Province Liangshan Prefecture Center for Disease Control and Prevention, (H210322) Sichuan Province Science and Technology Support Program, (2020YFS0015, 2020YFS0091, 2021YFS0001-LH, 2022YFS0229) National Natural Science Foundation of China, NSFC, (81602935) Sichuan University, SCU, (2021zc02) Chongqing Basic Science and Advanced Technology Research Program, (cstc2020jscx-cylhX0003) West China Hospital, Sichuan University, WCH, WCSM/WCH, (2018hhf-26) Chengdu Science and Technology Program, (2021-YF05-01585-SN) Health Commission of Sichuan Province, (20PJ092) 

主  题:COVID-19 Health education strategy Impoverished region Health literacy Structural equation model Mediating efect Moderating efect 

摘      要:Background:It is of great challenge to raise the public coronavirus disease 2019(COVID-19)related health literacy(CRHL)in impoverished regions due to the limits of poor infrastructure,large proportion of vulnerable groups,***,those limits cannot be solved in the short ***,this study chose Liangshan Yi Autonomous Prefecture,one of the poorest areas in China,as a pilot,to reveal the quantitative relationships among diferent dimensions under the COVID-19 health education framework,clarify the key points for health promotion,and provide specifc suggestions for COVID-19 health education strategy in impoverished ***:A cross-sectional questionnaire survey was conducted in fve regions of Liangshan Yi Autonomous Prefecture in *** were 2,100 individuals sampled by multi-stage *** survey mainly measured the four dimensions:CRHL,COVID-19 related tense psychological reactions(CRTPR),COVID-19 related information report acquisition(CRIRA),and general health literacy(GHL).The multivariate logistic regression was used to explore the infuence of demographic characteristics on each ***,to quantify the relationships among different dimensions,this study employed the structural equation model(SEM),and analyzed the mediating efects of CRHL and CRIRA as well as the moderating efects of regional characteristic ***:The CRHL played an important role in promoting COVID-19 health education,reaching 52.5%in Liangshan Yi Autonomous *** GHL(β=0.336)and age(β=0.136)had statistically positive impacts on *** CRHL afected CRTPR negatively(β=−0.198)and CRIRA positively(β=0.052).The CRHL played signifcant mediating roles among the four dimensions(P0.05).Efectiveness of government prevention and control as well as the ethnicity moderated not only the relationships between CRHL and other dimensions,but also the mediating efect of CRHL(P0.05).People with lower income and education levels had lower GHL(β=0.286,1

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