ArticleFrontiers in public health2026
Analysis of health literacy and health outcomes among farmers in border areas: an exploration based on a cross-sectional survey and structural equation modeling in South China.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Farmers in border areas face unique health challenges, and this group's health literacy and health outcomes are issues of social concern. Objective: The aim was to use the health literacy surveillance of residents in a prefecture-level city on the border of South China as the basic information to gain a comprehensive understanding of the current status of demographic characteristics, health literacy, and health outcomes of local farmers, and to explore the correlation among the three, to provide basic information and reference basis for related research and intervention. Methods: The study population was from Chongzuo City, Guangxi Zhuang Autonomous Region ( Results: The health literacy level of farmers in the border area of South China was 18.21, 48.38% self-reported their health as good, 18.87% suffered from chronic diseases, 7.62% suffered from accidental injuries in the past year, and median of out-of-pocket medical expenses in the past year = 300 RMB. the model fitted the data well. Demographic characteristics significantly affected health literacy and health outcomes ( Conclusion: Farmers in the borderlands of South China have a low level of health literacy, a moderate level of health outcomes, and relatively low out-of-pocket medical expenses. Targeted health education or health promotion efforts can improve farmers' health literacy and outcomes. Among them, middle-aged and older people, those with Separated/Divorced/Widowed marital status, low education level, and low income are the groups that need to be focused on.
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