Determining the knowledge on helicobacter pylori,government programs, environmental factors, and media influence on the health behaviors among low-income residents in fujian province: a basis for program development

This study determined the level of knowledge on Helicobacter pylori (H. pylori) infection, perception of government programmes and support, media influence, environmental factors, and health among low-income residents in Fujian Prov-ince, China. The data were collected through structured ques-tionnaires ad-ministered to 516 low-income adult residents aged 18–65 years in Xiamen City, Fujian, who met the municipal low-income criteria. A stratified random sam-pling method was used to obtain samples, with a total of n=516 valid question-naires collected. Descriptive statistics, correlation analysis, mul-tiple regres-sion, and moderation analysis were used to examine the relation-ships and pre-dictive power among the variables. The findings showed that There is a signifi-cant positive correlation between H. pylori knowledge, gov-ernment programs and support, media influence, environmental factors, and health behaviors (all tests p<.001); the final model of multiple regression has good explanatory power (R²=0.618, overall F test p<.001), with environmental factors having the most significant impact on overall health behaviors (main effect t=12.66, p<.001). The conclusions remain robust after controlling for age, gender, marital status, and educational level; significant differences were also found in inter-group com-parisons based on demographic characteristics (p<.05). The study provided evi-dence-based recommendations for designing targeted public health interven-tions, government support programs, enhancing media communication strate-gies, and improving environmental health policies to reduce H. pylori infection rates and improve the overall health of low-income communities in China.