| Objective:This research explores the mechanism of the health cultural literacy of Chinese medicine to promote health equity,and improves the structure of the residents’ health level and promotes health equity by improving the health and cultural literacy of residents in Chinese medicine.Investigate the regulating effect of TCM health cultural literacy on health equity,to a certain extent,explore new practical roads to promote health equity,and reduce the difference in the level of public TCM health cultural literacy and reduce the impact of different socio-economic status Health inequality issues,so as to give play to the role of traditional Chinese medicine in improving public health,and to explore a path of health and equity that suits China’s national conditions.Methods:This study uses the data from the 2019 Chinese Citizens’ Chinese Medicine Health Cultural Literacy Survey.The questionnaire used is the "Chinese Citizens’ Chinese Medicine Health Cultural Literacy Questionnaire".The questionnaire contains the overall level of Chinese medicine health cultural literacy and five types of Chinese medicine health cultural knowledge and knowledge.The measures of literacy are the basic concepts of Chinese medicine,the healthy lifestyle of Chinese medicine,the common sense of Chinese medicine culture,the appropriate methods of Chinese medicine for the public,and the ability to understand Chinese medicine information.The survey adopted a stratified multi-stage random sampling method.Each survey area(county)sampled 3 streets(townships),each street(township)sampled 2 neighborhood committees(villages),and each neighborhood committee(village)sampled 1 area(Approximately 750 households),55 households in each area,and 1 permanent resident aged 15-69 from each household as the survey object,until 40 surveys are completed in each area.It is estimated that 240 people will be surveyed in each survey area(county),and 80,640 people are planned to be surveyed nationwide.The statistical analysis method used SPSS 22.0 and stata14 for data processing and statistical analysis,and the two-sided P<=0.05 considered the difference to be statistically significant.Use frequency and composition ratio to describe the general demographic data of the survey subjects;use the concentration index method to analyze the fairness of my country’s health resource allocation;use chi-square and logistic regression to analyze my country’s unused populations,including urban and rural areas,regions,gender,age,educational level,The difference in health status of factors such as income level and occupation can determine whether there are health inequalities caused by socio-economic status in our country.Use PROCESS 3.3 to perform regression analysis,judge whether it has a moderating effect according to the interaction coefficient,and draw a moderating effect diagram with the standardized regression coefficient to express the trend of the relationship between the independent variable and the dependent variable with the change of the moderating variable.Results:(1)In 2019,the national TCM health culture popularization work and the survey of Chinese citizens TCM health culture literacy survey actually surveyed 83373 permanent residents nationwide,80,640 plans,103.39%plan completion rate,79440 valid questionnaires,and an effective rate of 95.28%.(2)The concentration indexes of medical and health institutions,health technicians,and medical beds in 31 provinces and cities are-0.0602,0.0718 and-0.0092 respectively,which are close to 0,that is,close to the state of fairness.The degree of fairness of the three is expressed as:Beds>Medical and health institutions>Sanitation technicians.Among them,the concentration index of the allocation of medical and health institutions and medical beds is negative,which is pro-poor;the concentration index of health and technical personnel is positive,which is the performance of pro-rich people.(3)Taking self-rated health status as the dependent variable(0=No;1=Yes),using urban and rural areas,region,gender,age,education level,income level,and occupation as independent variables to conduct multi-factor Logistic regression analysis.Multi-factor results showed that urban,rural and regional are not the influencing factors of self-evaluated health status.Gender,age,education level,income level,and occupation are independent influencing factors of self-evaluated health status.Among them,age,education level,and income level have more significant effects on self-rated health status.(4)Both the overall literacy and five-dimensional literacy of Chinese medicine health culture have a moderating effect on socioeconomic status and health status,which can weaken the influence of socioeconomic status on health status.The interaction coefficient of the overall literacy of Chinese medicine health culture is-0.0602(P<0.0001).The five dimensions of literacy are as follows.The literacy level of the basic concept of Chinese medicine is the moderator variable to test the moderating effect,and the interaction coefficient is-0.0268;the public appropriate method literacy level of Chinese medicine is the moderator variable to test the moderating effect,and the interaction coefficient is-0.0281;Chinese medicine health Lifestyle literacy level is the moderating variable to test the moderating effect,the interaction coefficient is-0.0267;the traditional Chinese medicine cultural knowledge literacy level is the moderating variable to test the moderating effect,the interaction coefficient is-0.0611;the Chinese medicine information comprehension literacy level is the moderating variable to test the adjustment Effect,the interaction coefficient is-0.0312.Conclusions:(1)In this study,taking the self-rated health status as the dependent variable,a multi-factor Logistic regression analysis was performed,and it was concluded that gender,age,education level,income level,and occupation were independent influencing factors of self-rated health status.There are obvious differences in the health self-assessment status of different groups of people,and the problem of health inequality caused by socioeconomic status still exists.(2)Studies have shown that there are differences in the self-rated health status of different groups of people in my country,that is,health inequality still exists objectively in my country.Gender,age,education level,income level and occupation are the influencing factors of self-evaluated health status.Analyzing the reasons,people with low socioeconomic status have fewer opportunities to access health knowledge,obtain health resources,and form healthy living habits,while people with high socioeconomic status have greater opportunities to access health knowledge,obtain health resources,and form healthy living habits.(3)Both the overall literacy and five-dimensional literacy of Chinese medicine health culture can weaken the influence of socioeconomic status on health status.(4)In the five-dimensional literacy of Chinese medicine health culture,the interaction coefficient of the level of Chinese medicine cultural common sense literacy is-0.0611,compared with the moderating effects of other dimensions,the common sense literacy of traditional Chinese medicine has the most significant moderating effect on socio-economic status and health status. |
