| In 2016,the Central Committee of the Communist Party of China and The State Council issued the Outline of the Healthy China 2030 Plan,which lays special emphasis on improving health literacy from the aspects of health awareness,health behaviors and health systems,and promoting the building of a healthy China.Women’s health in Tibet-related areas is threatened due to the high altitude area,poor living environment and poor medical personnel and equipment in Tibet-related areas.From the perspective of health information behavior,this paper studies the following questions: 1.What are the characteristics of the cognitive status of rural women in Ganzi Prefecture on gynecological diseases,the contact channels and medical treatment methods of gynecological diseases and other health information? 2.Factors affecting the information contact behavior of rural women in Ganzi Prefecture?3.Problems in the dissemination of information on gynecological diseases among women in rural areas in Ganzi Prefecture?4.Through sorting out and discussing the above problems,can we propose an optimal path to optimize the information dissemination of gynecological diseases among rural women in Ganzi Prefecture?Firstly,the author selected Jiagengba Town,Kangding City,Ganzi Tibetan Autonomous Prefecture,Sichuan Province as the research site.The rural women and their families in Jiagengba Town and other towns in Ganzi Prefecture were selected as the research objects.Carry out participatory observation and data collection of Jiagenba Town and other individual towns in Ganzi Prefecture and grasped the overall health information dissemination in Ganzi Prefecture.The study used in-depth interviews,rooting theory and other research methods to study the health information contact behavior of 33 rural women in Jiagenba Town for a year,and summarized the cognition and contact status of local rural women with gynecological diseases.The study found that cultural,structural and situational factors are the three main factors affecting the information behavior of gynecological diseases of rural women in Tibet-related areas.Among them,cultural factors,especially religious culture,directly affect the concept and attitude of rural women in Tibet-related areas towards disease,and then act on information behavior.The structural factors,especially the social system level,have a greater impact,which is mainly reflected in the dislocation of the content,time and space of the disseminators and receivers dominated by hospitals and governments,which frustrates the access of local women to health information.Situational factors are important factors affecting the information exposure behavior of rural women in Tibetan-related areas,which are mainly manifested in disease treatment under economic conditions,physical cleanliness under natural resources and medical distrust generated by past medical experience.To sum up,based on the research findings and field investigation,this paper puts forward the optimization path from three aspects,which are as follows: on the macro view,(1)improve the screening policy of gynecological diseases and create a supportive environment for sexual health;(2)Actively build healthy cities or towns,improve the proportion of gynecological health resources;(3)Combining online and offline to create a healthy space for Tibetan culture.On the middle view,(1)learn from the experience of hydatid disease prevention and control,strengthen adolescent female school education;(2)Cultivate model families for family health education through family transmission.On the micro view,(1)the transmission of information is optimized and upgraded,which conforms to the cognitive habits of the audience;(2)Pay more attention to the "important other",make the Tibetan health opinion leaders more powerful.Through this research,we hope to provide ideas for gynecological disease screening,gynecological knowledge publicity,gynecological disease control,etc.in the Tibetan area,and finally care for the health of women in Tibetan areas and promote the construction of a "healthy China". |