PDF(Pubmed)
Abstract：
UNASSIGNED: The health literacy of ethnic groups in remote areas of China is far from satisfactory. However, the health literacy of ethnic groups in China remains unclear. This study aimed to explore the health literacy of the \"advancing directly\" ethnic group and its influencing factors.
UNASSIGNED: A cross-sectional study was conducted using a staged sampling method among the Wa ethnic group, who have rapidly transitioned directly from the traditional lifestyle of slash-and-burn cultivation to modern societies. We used the Health Literacy Questionnaire (HLQ) to assess health literacy. We defined low health literacy as less than 60% of the total score and adequate health literacy as more than 80% of the total score.
UNASSIGNED: A total of 668 individuals met the inclusion criteria and the mean age was 42.19 (SD 10.56) years. The mean HLQ total score was 29.9 (SD 10.56). The prevalence of adequate health literacy was 0.89%. There were significant differences between the low and the non-low health literacy groups in terms of gender, age, education, marital status, occupation, residing place, current smoking status, and waist circumference (all p < 0.05). Multiple linear regression analysis showed that women (t = 9·418, p < 0.001), older age (B = -0.0091, t = -2.644, p = 0.008), low educational level (B = 0.766, t = 6.018, p < 0.001), current smoking (B = -2.66, t = -3.038, p = 0.008), and residence far from township (B = -5.761, t = -4.1, p < 0.001) were associated with low HLQ total score.
UNASSIGNED: Our findings suggest that the health literacy of the Wa ethnic group is far from favorable. It indicates the need for increased efforts in improving the health literacy of \"advancing directly\" ethnic groups.
UNASSIGNED: A cross-sectional study was conducted using a staged sampling method among the Wa ethnic group, who have rapidly transitioned directly from the traditional lifestyle of slash-and-burn cultivation to modern societies. We used the Health Literacy Questionnaire (HLQ) to assess health literacy. We defined low health literacy as less than 60% of the total score and adequate health literacy as more than 80% of the total score.
UNASSIGNED: A total of 668 individuals met the inclusion criteria and the mean age was 42.19 (SD 10.56) years. The mean HLQ total score was 29.9 (SD 10.56). The prevalence of adequate health literacy was 0.89%. There were significant differences between the low and the non-low health literacy groups in terms of gender, age, education, marital status, occupation, residing place, current smoking status, and waist circumference (all p < 0.05). Multiple linear regression analysis showed that women (t = 9·418, p < 0.001), older age (B = -0.0091, t = -2.644, p = 0.008), low educational level (B = 0.766, t = 6.018, p < 0.001), current smoking (B = -2.66, t = -3.038, p = 0.008), and residence far from township (B = -5.761, t = -4.1, p < 0.001) were associated with low HLQ total score.
UNASSIGNED: Our findings suggest that the health literacy of the Wa ethnic group is far from favorable. It indicates the need for increased efforts in improving the health literacy of \"advancing directly\" ethnic groups.
摘要：
■中国边远地区民族的健康素养远远不能令人满意。然而,中国各民族的健康素养尚不清楚。本研究旨在探讨“直进”民族的健康素养及其影响因素。
■在Wa族中使用分阶段抽样方法进行了横断面研究，他们迅速从刀耕火种的传统生活方式直接过渡到现代社会。我们使用健康素养问卷（HLQ）来评估健康素养。我们将低健康素养定义为总分的60％以下，将足够的健康素养定义为总分的80％以上。
■共有668名个体符合纳入标准，平均年龄为42.19（SD10.56）岁。平均HLQ总分为29.9(SD10.56)。适当健康素养的患病率为0.89%。低健康素养与非低健康素养人群在性别上存在显著差异,年龄,教育,婚姻状况,职业,居住的地方,目前的吸烟状况，腰围(p均<0.05)。多元线性回归分析显示,女性(t=9·418,p<0.001),年龄较大（B=-0.0091，t=-2.644，p=0.008），低教育水平(B=0.766，t=6.018，p<0.001)，当前吸烟（B=-2.66，t=-3.038，p=0.008），和远离乡镇的居住地（B=-5.761，t=-4.1，p<0.001）与HLQ总分低相关。
■我们的发现表明，the族的健康素养远非有利。这表明需要加大力度提高“直接推进”族裔群体的健康素养。
■在Wa族中使用分阶段抽样方法进行了横断面研究，他们迅速从刀耕火种的传统生活方式直接过渡到现代社会。我们使用健康素养问卷（HLQ）来评估健康素养。我们将低健康素养定义为总分的60％以下，将足够的健康素养定义为总分的80％以上。
■共有668名个体符合纳入标准，平均年龄为42.19（SD10.56）岁。平均HLQ总分为29.9(SD10.56)。适当健康素养的患病率为0.89%。低健康素养与非低健康素养人群在性别上存在显著差异,年龄,教育,婚姻状况,职业,居住的地方,目前的吸烟状况，腰围(p均<0.05)。多元线性回归分析显示,女性(t=9·418,p<0.001),年龄较大（B=-0.0091，t=-2.644，p=0.008），低教育水平(B=0.766，t=6.018，p<0.001)，当前吸烟（B=-2.66，t=-3.038，p=0.008），和远离乡镇的居住地（B=-5.761，t=-4.1，p<0.001）与HLQ总分低相关。
■我们的发现表明，the族的健康素养远非有利。这表明需要加大力度提高“直接推进”族裔群体的健康素养。
