Abstract：With the introduction and implementation of relevant policies such as the outline of "Healthy China 2030" plan and Healthy China Action (2019-2030), the health service function of traditional Chinese medicine (TCM) has been valued and developed. TCM health literacy has become one of the important ways to promote the health of the whole population. TCM health preservation literacy refers to the ability of individuals to obtain TCM health preservation concepts, knowledge and technical services, and to make correct health care decisions to promote their own health by using knowledge and information as well as medical and technical services. According to survey data from the National Administration of Traditional Chinese Medicine, the compliance rate of TCM health literacy among Chinese citizens has increased from 8.55% in 2014 to 24.62% in 2023, and is still on the rise. However, there are differences in the level of TCM health literacy among different regions, genders, and occupational groups. This article retrieves relevant literature published on CNKI and Wanfang Data from the establishment of the databases until December 2024. The content is sorted out using thematic analysis, and a review is conducted on the concept, evaluation tools, current status, and influencing factors of TCM health literacy. This article provides a reference for enhancing public health awareness and improving the level of TCM health literacy.
杨雨欣, 邵银燕, 李艳娟. 中医养生保健素养及影响因素研究进展[J]. 预防医学, 2025, 37(6): 577-582.
YANG Yuxin, SHAO Yinyan, LI Yanjuan. Research progress on the prevalence and influencing factors of traditional Chinese medicine health literacy. Preventive Medicine, 2025, 37(6): 577-582.
[1] 中华人民共和国中央人民政府.中共中央国务院印发《“健康中国2030”规划纲要》[EB/OL].[2025-04-01].http://www.gov.cn/zhengce/2016-10/25/content_5124174.htm. [2] 国家中医药管理局.《中国公民中医养生保健素养》和《健康教育中医药基本内容》新闻发布会文字实录[EB/OL].[2025-04-01].http://www.natcm.gov.cn/bangongshi/gongzuodongtai/2018-03-25/5247.html. [3] 谭巍,郭颖,殷晓月,等.2014年中国公民中医养生保健素养调查分析[J].中国健康教育,2018,34(9):848-851. TAN W,GUO Y,YIN X Y,et al.Quality evaluation on the questionnaire of healthcare literacy with TCM on Chinese residents in 2014[J].Chin J Health Educ,2018,34(9):848-851.(in Chinese) [4] 国家中医药管理局.我国公民健康文化素养水平持续提高[EB/OL].[2025-04-01].https://mp.weixin.qq.com/s/c_FxiEKayWf6bM3e_B49Pw.html. [5] 贾二萍,熊巨洋,黎相麟,等.基于混合Logit模型的武汉市社区慢性病患者医疗服务利用偏好研究[J].医学与社会,2019,32(8):58-60,79. JIA E P,XIONG J Y,LI X L,et al.Study on medical service utilization preferences of patients with chronic diseases in communities of Wuhan City from the perspective of mixed Logit model[J].Med Soc,2019,32(8):58-60,79.(in Chinese) [6] 凌建军,龙飞,齐瑛,等.湖南省居民中医药健康文化素养水平现状及影响因素研究[J].中医药导报,2023,29(6):219-224. LING J J,LONG F,QI Y,et al.Study on the status and influencing factors of the traditional Chinese medicine(TCM)health culture knowledge among among residents in Hunan Province[J].Guiding J TCM Pharm,2023,29(6):219-224.(in Chinese) [7] 孟晴,肖雪,姚新.中医养生保健在慢性病防治中的应用[J].吉林医学,2017,38(6):1139-1141. MENG Q,XIAO X,YAO X.The application of TCM health care in the prevention and treatment of chronic diseases[J].Jilin Med J,2017,38(6):1139-1141.(in Chinese) [8] 李磊,于铭,于瑶.论公众中医药素养的内涵[J].长春中医药大学学报,2007,23(6):6-7. LI L,YU M,YU Y.Talk about connotation of public's attainment of TCM[J].J Changchun Univ TCM,2007,23(6):6-7.(in Chinese) [9] NUTBEAM D,LLOYD J E.Understanding and responding to health literacy as a social determinant of health[J].Annu Rev Public Health,2021,42:159-173. [10] 张雪艳. 江西省居民中医药健康素养与生命质量相关性研究[D].南昌:江西中医药大学,2020. ZHANG X Y.Study on the correlation between TCM health literacy and HRQoL of residents in Jiangxi Province[D].Nanchang:Jiangxi University of Traditional Chinese Medicine,2020.(in Chinese) [11] 谭巍,郭颖,殷晓月,等.《2014年中国公民中医养生保健素养调查问卷》质量评价分析[J].中国健康教育,2018,34(11):984-987,1019. TAN W,GUO Y,YIN X Y,et al.Quality evaluation on the Questionnaire of Healthcare Literacy with TCM on Chinese Residents in 2014[J].Chin J Health Educ,2018,34(11):984-987,1019.(in Chinese) [12] 郭颖. 中国公民中医药健康文化素养现况及影响因素研究[D].北京:北京中医药大学,2018. GUO Y.Study on the status and influencing factors of Chinese citizens' traditional Chinese medicine health literacy[D].Beijing:Beijing Chinese Medical University,2018.(in Chinese) [13] 郭颖,梁田田,黄梅银,等.中医药健康文化素养问卷质量评价[J].中国社会医学杂志,2019,36(3):302-306. GUO Y,LIANG T T,HUANG M Y,et al.Quality evaluation of Traditional Chinese Medicine Health Literacy Questionnaire[J].Chin J Social Med,2019,36(3):302-306.(in Chinese) [14] 周萍. 济南高校离退休老年人中医养生保健素养与健康状况调查研究[D].济南:山东中医药大学,2018. ZHOU P.The prevalence survey of traditional Chinese medical regimen literacy and health status in retired elders from Jinan universities[D].Jinan:Shandong University of Traditional Chinese Medicine,2018.(in Chinese) [15] 魏澹宁,汤军,沈淑华,等.公民中医养生保健素养调查问卷的信度和效度分析[J].预防医学,2016,28(9):960-963. WEI T N,TANG J,SHEN S H,et al.Analysis on the reliability and validity of the traditional Chinese medicine health care literacy questionnaire in citizens[J].China Prev Med J,2016,28(9):960-963.(in Chinese) [16] 张睿,费超晴,夏浩志.中医养生健康信息素养量表编制及其信效度检验[J].中国全科医学,2019,22(12):1461-1467. ZHANG R,FEI C Q,XIA H Z.Development and psychometric evaluation of Health Information Literacy Scale in Traditional Chinese Medicine[J].Chin Gen Pract,2019,22(12):1461-1467.(in Chinese) [17] 孟晴. 长春市社区老年三种常见慢性病人群对中医养生保健的认知调查[D].长春:长春中医药大学,2018. MENG Q.The Cognition of TCM health preservation among three common chronic patients in community old age in Changchun City[D].Changchun:Changchun University of Chinese Medicine,2018.(in Chinese) [18] 姚胜男. 产褥期妇女中医药健康素养量表的研制及应用[D].南宁:广西中医药大学,2023. YAO S N.Development and application of Traditional Chinese Medicine Health Literacy Scale for puerperal woman[D].Nanning:Guangxi University of Chinese Medicine,2023.(in Chinese) [19] 李雅琪,李明今,黄后玲,等.大学生中医养生保健素养现状及影响因素研究[J].延边大学医学学报,2017,40(1):49-51. LI Y Q,LI M J,HUANG H L,et al.Research on the status and influencing factors of health care literacy of traditional Chinese medicine in college students[J].J Medical Sci Yanbian Univ,2017,40(1):49-51.(in Chinese) [20] 郭丹丹. 高校教师中医养生保健素养现状及其对中医服务利用的影响研究[D].武汉:华中科技大学,2017. GUO D D.Analysis on status of traditional Chinese medicine health care literacy and its impact on the use of TCM health services among university teachers[D].Wuhan:Huazhong University of Science and Technology,2017.(in Chinese) [21] 荆伟龙,王朝君.国人中医养生保健素养偏低[J].中国卫生,2016(5):97-98. JING W L,WANG Z J.Traditional Chinese medicine health culture literacy level is low[J].Chin Health,2016(5):97-98.(in Chinese) [22] 吕冰慧,余金明,闫芮,等.2014年上海市中医养生保健素养现状及影响因素分析[J].中国健康教育,2020,36(5):413-417. LYU B H,YU J M,YAN R,et al.Status and its influencing factors on TCM healthcare literacy in Shanghai,2014[J].Chin J Health Educ,2020,36(5):413-417.(in Chinese) [23] 叶少英,林彩红,胡杨,等.2018年广东省居民中医药健康文化素养现况分析[J].中国健康教育,2022,38(11):1047-1051. YE S Y,LIN C H,HU Y,et al.Analysis on the current situation of traditional Chinese medicine health culture literacy level in Guangdong Province in 2018[J].Chin J Health Educ,2022,38(11):1047-1051.(in Chinese) [24] 张显娟,翟瑞峰,张兹钰,等.内蒙古地区居民中医养生保健素养调查分析[J].内蒙古中医药,2018,37(4):100-102. ZHANG X J,ZHAI R F,ZHANG Z Y,et al.Study on traditional Chinese medicine literacy of residents in the Inner Mongolia Autonomous Region[J].Inner Mongolia J TCM,2018,37(4):100-102.(in Chinese) [25] 季舒铭,陆一鸣,康国荣,等.2017年甘肃省15~69岁居民中医药健康文化素养水平及影响因素研究[J].中国健康教育,2019,35(2):119-123. JI S M,LU Y M,KANG G R,et al.Study on health literacy level on traditional Chinese medicine and its influencing factors among residents aged 15-69 years in Gansu Province in 2017[J].Chin J Health Educ,2019,35(2):119-123.(in Chinese) [26] 谭巍,靳琦,赵玉洋,等.2017年中国公民中医药健康文化素养水平及影响因素分析[J].中国中药杂志,2019,44(13):2865-2870. TAN W,JIN Q,ZHAO Y Y,et al.Analysis of Chinese citizens' traditional Chinese medicine health culture literacy level and its influence factors in 2017[J].China J Chin Mater Med,2019,44(13):2865-2870.(in Chinese) [27] 李小妹. 护理学导论[M].3版.北京:人民卫生出版社,2012. LI X M.Introduction to Nursing[M].3rd ed.Beijing:People's Medical Publishing House,2012.(in Chinese) [28] 周佳梁,赵欢,周令.大连市城乡居民中医养生保健素养调查[J].医学与社会,2017,30(2):49-51. ZHOU J L,ZHAO H,ZHOU L.Survey about traditional Chinese medicine keeping in good health literacy of urban and rural residents in Dalian City[J].Med Soc,2017,30(2):49-51.(in Chinese) [29] 殷晓月,靳琦,王慧,等.不同性别居民中医药科普情况及中医养生保健素养现状对比分析[J].中华中医药杂志,2017,32(12):5309-5313. YIN X Y,JIN Q,WANG H,et al.Comparative analysis of TCM science popularization and health care status between different gender residents[J].CJTCMP,2017,32(12):5309-5313.(in Chinese) [30] 夏元睿,许德,谢建嵘,等.2021年安徽省居民中医药健康文化知识普及情况及影响因素分析[J].中国健康教育,2024,40(2):149-152,167. XIA Y R,XU D,XIE J R,et al.Analysis on the popularization of traditional Chinese medicine health cultural knowledge and its influencing factors among residents in Anhui Province in 2021[J].Chin J Health Educ,2024,40(2):149-152,167.(in Chinese) [31] 许金星. 社区老年人中医养生保健素养与健康状况调查研究[D].延吉:延边大学,2020. XU J X.The prevalence survey Chinese medical regimen literacy and health status in community elders[D].Yanji:Yanbian University,2020.(in Chinese) [32] 魏颖,姜南,王金凤,等.2021年山东省居民中医药健康文化素养水平及影响因素分析[J].中国健康教育,2023,39(3):242-247. WEI Y,JIANG N,WANG J F,et al.Prevalence of traditional Chinese medicine health culture literacy and its influencing factors among residents in Shandong Province in 2021[J].Chin J Health Educ,2023,39(3):242-247.(in Chinese) [33] 陈怡,刘淑聪,程靖,等.杭州市大学生中医养生保健素养现状及影响因素研究[J].健康研究,2018,38(6):632-636. CHEN Y,LIU S C,CHENG J,et al.Hangzhou City undergraduates' literacy on health care by traditional Chinese medicine:status quo and influencing factors[J].Health Res,2018,38(6):632-636.(in Chinese) [34] 江萍,陈晓悦,胡亚平,等.社区脑卒中患者主要照顾者照顾能力及需求的质性研究[J].中国实用护理杂志,2017,33(15):1164-1169. JIANG P,CHEN X Y,HU Y P,et al.A qualitative research on caring ability and demands of the primary caregivers of stroke patients in community[J].Chin J Pract Nurs,2017,33(15):1164-1169.(in Chinese) [35] 张凌姗. 基于知信行理论的中医药健康教育在社区老年高血压患者中的应用[D].延吉:延边大学,2022. ZHANG L S.Effect analysis of traditional Chinese medicine health education based on information demand model in elderly hypertension patients in community[D].Yanji:Yanbian University,2022.(in Chinese) [36] 方菲. 中医特色糖尿病健康素养干预对老年2型糖尿病患者的影响[D].武汉:湖北中医药大学,2021. FANG F.The effect of TCM characteristic diabetes health literacy intervention on elderly patients with type 2 diabetes mellitus[D].Wuhan:Hubei University of Chinese Medicine,2021.(in Chinese) [37] 邹丽雪. 社区老年人中医养生保健素养及健康投入与健康行为的相关性研究[D].延吉:延边大学,2021. ZOU L X.Study on the relationship between health care literacy and health input and health behavior of elderly Chinese medicine in community[D].Yanji:Yanbian University,2021.(in Chinese) [38] 杜毅蓉,刘倩,王然禹,等.2016—2017年中国公民中医药健康文化素养比较分析[J].中国健康教育,2020,36(11):1027-1030,1034. DU Y R,LIU Q,WANG R Y,et al.Comparative analysis on TCM health culture literacy of Chinese citizens between 2016 and 2017[J].Chin J Health Educ,2020,36(11):1027-1030,1034.(in Chinese) [39] 赵玉洋,王然禹,杜毅蓉,等.基于互联网的中医药知识获取行为分析[J].中国中药杂志,2019,44(11):2416-2420. ZHAO Y Y,WANG R Y,DU Y R,et al.Analysis of knowledge acquisition behavior of traditional Chinese medicine based on internet[J].China J Chin Mater Med,2019,44(11):2416-2420.(in Chinese) [40] 蒋温馨,谭巍,葛倩,等.信息获取对我国居民中医药健康文化素养的影响分析[J].医学与社会,2022,35(10):72-78. JIANG W X,TAN W,GE Q,et al.Analysis of the influence of information acquisition on Chinese medicine health cultural literacy[J].Med Soc,2022,35(10):72-78.(in Chinese)
