The effect of community-based health education programs on health literacy in severely impoverished counties in Southwestern China: Results from a quasi-experimental design.
The effect of community-based health education programs on health literacy in severely impoverished counties in Southwestern China: Results from a quasi-experimental design.
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DOI：
10.3389/fpubh.2022.1088934
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发表时间：
2022
影响因子：
5.2
通讯作者：
Deng, Rui
中科院分区：
文献类型：
--
作者：
Li, Benyan;Huang, Yuan;Ling, Caitlyn;Jiao, Feng;Fu, Hongyun;Deng, Rui
中国政府于2018年发布了一项全国贫困县健康教育计划，以提高农村人口的健康素养。在这项全国性的运动中，云南省实施了一项综合健康教育计划，其中包括为深度贫困县增加文化敏感教育内容。本研究探讨了健康教育项目模式对贫困地区居民健康素养结果的差异影响。采用准实验设计，包括基线（2019 年 10 月）和终点（2021 年 6 月）的调查，以收集一系列个人层面的健康信息，包括中国居民健康素养量表。干预组接受全民健康教育方案并附加云南特色方案；对照组仅接受国家计划。通过多阶段分层抽样招募受访者，包括基线时的 641 名参与者（干预地点的 261 名参与者和对照地点的 380 名参与者）和终点的 693 名参与者（干预地点的 288 名参与者和对照地点的 405 名参与者）。进行卡方和逻辑回归分析来检查项目干预和健康素养结果之间的关联。基线时总体健康素养水平较低（1.87%），两组之间无统计学差异（1.92 vs. 1.84%，P = 1.000）。两组的健康素养水平在终点时均显着提高（从 1.87% 提高到 11.11%，P < 0.001）。相对于对照组，干预组的增加幅度显着更大（17.71% vs. 6.42%，P < 0.001）。调整个人和家庭特征的混杂因素后，多元Logistic回归结果显示，同时接受国家计划和云南计划的参与者拥有足够健康素养的几率是仅接受国家计划的参与者的3.92倍（95% CI：2.10-7.33）。研究结果强调了将非语言视觉辅助工具和文化敏感的媒体工具纳入健康素养教育的重要性，以解决贫困地区人口的健康生活方式和生活环境。
A national health education program in impoverished counties to promote health literacy among rural populations was released by the Chinese government in 2018. Under this nationwide campaign, an integrated health education program was implemented in Yunnan province, which included additional culturally sensitive educational components for the severely impoverished prefectures. This study examined the differential effects of the health education program models on health literacy outcomes among residents in poverty-stricken areas. A quasi-experimental design was applied with two arms that included surveys at baseline (in October 2019) and endline (in June 2021) to collect a range of individual-level health information, including the Chinese Resident Health Literacy Scale. The intervention group received the national health education program with the additional Yunnan specific program; the control group received only the national program. Respondents were recruited via a multi-stage stratified sampling, including 641 participants at baseline (261 from the intervention sites and 380 from the control sites) and 693 participants at endline (288 from the intervention sites and 405 from the control sites). Chi-square and logistic regression analyses were performed to examine the association between program intervention and health literacy outcomes. The overall health literacy levels were low (1.87%) at baseline, and there was no statistically significant difference between two groups (1.92 vs. 1.84%, P = 1.000). A significant increase (from 1.87 to 11.11%, P < 0.001) in the health literacy level was observed at endline in both groups. The magnitude of increase was significantly greater in the intervention group relative to the control group (17.71 vs. 6.42%, P < 0.001). Adjusting for the confounding factors of individual and household characteristics, results from multivariate logistic regression revealed that the odds of having adequate health literacy among participants who received both the National Program and the Yunnan Program were 3.92 times higher than those who only received the National Program (95% CI: 2.10–7.33). The findings highlighted the importance of incorporating non-verbal visual aids and culturally-sensitive media tools in health literacy education to address healthy lifestyle and the living contexts of the populations in poverty-stricken areas.
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影响因子：
4.4
作者：
Mas, Francisco Soto;Ji, Ming;Tinajero, Josefina
通讯作者：
Tinajero, Josefina
影响因子：
4.4
作者：
Gardiner P;Mitchell S;Filippelli AC;Sadikova E;White LF;Paasche-Orlow MK;Jack BW
通讯作者：
Jack BW
影响因子：
2.7
作者：
Kokko, Sami;Kannas, Lasse;Villberg, Jari
通讯作者：
Villberg, Jari
影响因子：
5.1
作者：
Jay, Melanie;Adams, Jennifer;Kalet, Adina
通讯作者：
Kalet, Adina
DOI：
10.1186/s12966-014-0118-8
发表时间：
2014-09-14
期刊：
The international journal of behavioral nutrition and physical activity
影响因子：
--
作者：
Bloch P;Toft U;Reinbach HC;Clausen LT;Mikkelsen BE;Poulsen K;Jensen BB
通讯作者：
Jensen BB