四川省居民中医药健康文化素养水平 对健康公平性调节效应分析.

Objective To investigate the moderating effect of the level of traditional Chinese medicine (TCM) health culture literacy in Sichuan Province on the relationship between socioeconomic status and health equity, and to provide new methods for addressing health inequities because of socioeconomic disparities. Methods From June to October 2022, a multi-stage stratified probability proportionate to size sampling (PPS) method was used to conduct a survey using the a National Traditional Chinese Medicine Health Culture Literacy Survey Questionnairen among residents aged 15 to 69 in 14 counties and districts in Sichuan Province. The questionnaire included demographic information, self-rated health status, income, and TCM health culture literacy. The concentration index method in Stata 18 software was used to analyze the fairness of health resource allocation in China. SPSS 22.0 software was used to analyze the general demographic data of the survey subjects and differences in health status among different groups. Regression analysis was conducted using PROCESS v4.2 to determine whether TCM health culture literacy had a moderating effect based on the interaction coefficient, with a significance level set at ot =0.05. Results In 2022, the concentration indices for medical and health institutions, health technical personnel, and medical bed allocation in Sichuan Province were 0.05043, 0.28240, and 0.19895, respectively. Income level was found to be a positive influencing factor of health status. The interaction between income level and TCM health culture literacy had a moderating effect on self-rated health status, with the interaction coefficient of -0.049 (P<0.05). The simple slope test showed that for individuals with low literacy, income level significantly moderated health status (Effect=0.044t) s尸0.013, P=0.001); for those with moderate literacy, income level significantly moderated health status (Effect =0.025, s-O.009, P=0.008); and for those with high literacy, income level did not significantly moderate health status (Effect=0.006, s尸0.012, P=0,645). Conclusion Health inequality in Sichuan Province remains prominent, but TCM health culture literacy can attenuate the influence of socioeconomic status on health status, narrowing the health gap among different population groups. Therefore, it is necessary to formulate policies to improve TCM health culture literacy. [ABSTRACT FROM AUTHOR]