Health literacy of ethnic minority in remote China: precise intervention is needed

Hu, Huaqin; Liu, Juming; Liang, Yucheng; Xu, Yu

doi:10.1016/j.lanwpc.2021.100322

Cited by 4 publications

(6 citation statements)

References 8 publications

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“…group has a more substantial need to address the translation of knowledge to practice. These findings may provide novel ideas for future health education work: precise identification of needs followed by corresponding precise interventions ( 30 ).…”

Section: Discussionmentioning

confidence: 96%

A latent profile analysis of residents' knowledge, attitude, and practice toward common chronic diseases among ethnic minority area in China

Xu²,

Shao³

et al. 2022

Front. Public Health

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BackgroundHealth literacy plays an important role in preventing and managing chronic diseases, while low levels of health literacy among ethnic minorities are a major manifestation of health inequities. We believe that before effective health literacy intervention strategies, it is preferable to understand the features of health literacy among ethnic minorities. The present study firstly updated insights on health literacy among ethnic minorities by investigating the knowledge, attitude, and practice (KAP) profile of common chronic diseases in ethnic minority areas, and secondly discussed the KAP profiles in detail to inspire future health education interventions.MethodsA cross-sectional, health-literacy-sensitive study was conducted in China's typical ethnic minority area. Participants included 801 adult residents who lived in the ethnic minority area. The primary outcome was participant scores on the KAP questionnaire of common chronic diseases, followed by latent profile analysis to identify participants with similar KAP score patterns and determine whether membership in specific groups was associated with demographic or clinical characteristics.ResultsThe participants included 496 ethnic minorities (61.9%) and 305 Han Chinese (38.1%). Three-profile solution was determined after the latent profile analysis: incomplete transfer [I.T.] (n = 215), better practice [B.P.] (n = 301), and average [A.V.] (n = 285). IT group (26.84%) was characterized by the highest level of knowledge and attitude toward common chronic diseases and below average level for practice. Participants in B.P. group performed poorly in both knowledge and attitude toward common chronic diseases but had the highest level of practice. A.V. group reflected average knowledge, attitude, and practice toward common chronic diseases among three subgroups. Ethnic minorities were the dominant population in A.V. group (68.8%). Compared with other groups, the A.V. group contained the largest proportions of married participants (84.2%), participants with no formal education (46.7%), and high annual out-of-pocket medical expense (33.3%).ConclusionA more specific and nuanced understanding of minority health literacy can enable service providers to provide more effective health education to their recipients, thereby improving health inequities.

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Section: Discussionmentioning

confidence: 96%

A latent profile analysis of residents' knowledge, attitude, and practice toward common chronic diseases among ethnic minority area in China

Xu²,

Shao³

et al. 2022

Front. Public Health

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“…Adequate HL levels among ethnic groups range from 1.46 to 16.5% ( 17 , 18 ). Moreover, reports on HL from ethnic groups in China remain inadequate ( 19 ).…”

Section: Introductionmentioning

confidence: 99%

“…Studies in Western countries have found growing evidence of lower levels of HL among ethnic groups ( 20 , 21 ). Improving HL is beneficial for helping improve health inequalities among ethnic groups, and there are currently few studies in this area among Chinese ethnic groups ( 19 ), or in Western countries ( 20 ). In remote areas of China, the HL of ethnic groups is severely lacking ( 19 ).…”

Section: Introductionmentioning

confidence: 99%

Health literacy and associated factors in China: findings from the Wa ethnic group

Yang,

Liu,

Zhang

et al. 2024

Front. Public Health

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BackgroundThe 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.MethodsA 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.ResultsA 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.ConclusionOur 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.

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“…Adequate HL levels among ethnic minorities range from 1.46-16.5% [17,18]. Moreover, reports on HL from ethnic minorities in China remain inadequate [19].…”

Section: Introductionmentioning

confidence: 99%

“…Studies in Western countries have found growing evidence of lower levels of HL among ethnic minorities [20,21]. Improving HL is bene cial for helping improve health inequalities among ethnic minorities, and there are currently few studies in this area among Chinese ethnic minorities [19], or in Western countries [20]. In remote areas of China, the HL of ethnic minorities is very poor [19] Nine of China's 56 ethnic minorities are known as "direct fast-forward" ethnic groups, transitioning directly from primitive society to socialist society, such as the Wa, Dulong, Lisu, Jipo and so on.…”

Section: Introductionmentioning

confidence: 99%

Health literacy and associated factors in China: findings from a “direct fast-forward” ethnic minority in border regions

Yang,

Liu,

yao

et al. 2023

Preprint

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Background The health literacy of ethnic minorities in remote areas of China is far from satisfactory. However, the health literacy of some “direct fast-forward” ethnic minorities is unclear. The aim of this study was to explore the health literacy of the Wa ethnic group and its influencing factors.Methods A cross-sectional study was conducted using a stage sampling method in the Wa ethnic minority in the border region of southwest China. We used the Health Literacy Questionnaire (HLQ) to assess the level of 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.Results 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.Conclusion Our findings suggest that the health literacy of the Wa ethnic group in border areas is far from favorable. It indicates that more attention should be paid to improving the health literacy level of “direct fast-forward” ethnic minorities.

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Health literacy of ethnic minority in remote China: precise intervention is needed

Cited by 4 publications

References 8 publications

A latent profile analysis of residents' knowledge, attitude, and practice toward common chronic diseases among ethnic minority area in China

A latent profile analysis of residents' knowledge, attitude, and practice toward common chronic diseases among ethnic minority area in China

Health literacy and associated factors in China: findings from the Wa ethnic group

Health literacy and associated factors in China: findings from a “direct fast-forward” ethnic minority in border regions

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