Huimin Wang|Rujun Liao|Xin Chen|Jie Yu|Tianyu Zhu|Qiang Liao|Tao Zhang
How to improve the COVID-19 health education strategy in impoverished regions: a pilot study
West China Medical Center of Sichuan University|Sichuan Center for Disease Control and Prevention|West China Medical Center of Sichuan University|West China Medical Center of Sichuan University|Sichuan Center for Disease Control and Prevention|Sichuan Center for Disease Control and Prevention|West China Medical Center of Sichuan University
abstract background great challenge raise public coronavirus disease 2019 covid19 related health literacy crhl impoverished regions due limits poor infrastructure large proportion vulnerable groups etc however limits cannot solved short term therefore study chose liangshan yi autonomous prefecture one poorest areas china pilot reveal quantitative relationships among different dimensions covid19 health education framework clarify key points health promotion provide specific suggestions covid19 health education strategy impoverished regions methods crosssectional questionnaire survey conducted five regions liangshan yi autonomous prefecture 2020 2100 individuals sampled multistage method survey mainly measured four dimensions crhl covid19 related tense psychological reactions crtpr covid19 related information report acquisition crira general health literacy ghl multivariate logistic regression used explore influence demographic characteristics dimension furthermore quantify relationships among different dimensions study employed structural equation model sem analyzed mediating effects crhl crira well moderating effects regional characteristic variables results crhl played important role promoting covid19 health education reaching 525 liangshan yi autonomous prefecture ghl 0336 age 0136 statistically positive impacts crhl crhl affected crtpr negatively 0198 crira positively 0052 crhl played significant mediating roles among four dimensions p lt 005 effectiveness government prevention control well ethnicity moderated relationships crhl dimensions also mediating effect crhl p lt 005 people lower income education levels lower ghl 0286 1292 youth likely show crtpr 0080 conclusions proposing verifying theoretical framework study put forward specific suggestions improve covid19 health education strategies impoverished regions via implementation methods key groups effect evaluation also provided references future public health emergencies impoverished regions world graphical abstract