Health literacy and associated factors in China: findings from the Wa ethnic group.

Background: The health literacy of ethnic groups in remote areas of China is far from satisfactory. However, the health literacy of ethnic groups in China remains unclear. This study aimed to explore the health literacy of the "advancing directly" ethnic group and its influencing factors. Methods: A cross-sectional study was conducted using a staged sampling method among the Wa ethnic group, who have rapidly transitioned directly from the traditional lifestyle of slash-and-burn cultivation to modern societies. We used the Health Literacy Questionnaire (HLQ) to assess health literacy. We defined low health literacy as less than 60% of the total score and adequate health literacy as more than 80% of the total score. Results: A total of 668 individuals met the inclusion criteria and the mean age was 42.19 (SD 10.56) years. The mean HLQ total score was 29.9 (SD 10.56). The prevalence of adequate health literacy was 0.89%. There were significant differences between the low and the non-low health literacy groups in terms of gender, age, education, marital status, occupation, residing place, current smoking status, and waist circumference (all p < 0.05). Multiple linear regression analysis showed that women (t = 9·418, p < 0.001), older age (B = -0.0091, t = -2.644, p = 0.008), low educational level (B = 0.766, t = 6.018, p < 0.001), current smoking (B = -2.66, t = -3.038, p = 0.008), and residence far from township (B = -5.761, t = -4.1, p < 0.001) were associated with low HLQ total score. Conclusion: Our findings suggest that the health literacy of the Wa ethnic group is far from favorable. It indicates the need for increased efforts in improving the health literacy of "advancing directly" ethnic groups.

Ruthenium single-atom doping-driven modulation of Co3O4 spinel tetrahedral site 3d-orbital occupancy in lithium-oxygen batteries.

Metal single-atom catalysts have attracted widespread attention in the field of lithium-oxygen batteries due to their unique active sites, high catalytic selectivity, and near total atomic utilization efficiency. Isolated metal atoms not only serve as the active sites themselves, but also function as modulators, reversely regulating the surface electronic structure of the support to enhance its inherent electrocatalytic activities. Despite the potential of isolated metal atom-driven active sites, understanding the structure-activity relationship remains a challenge. In this study, we present a ruthenium single-atom doping-driven cost-effective and durable tricobalt tetroxide electrocatalyst with excellent oxygen electrode electrocatalytic activity. The lithium-oxygen battery with this catalyst as the oxygen electrode demonstrates high performance, achieving a capacity of up to 25 000 mA h g-1 and maintaining good stability over 400 cycles at a current density of 100 mA g-1. This improvement is attributed to the exquisite control of the morphology and structure of the discharge product, lithium peroxide. The aresults of physical characterization and theoretical calculations reveal that isolated ruthenium atoms bond with the tetrahedral cobalt site, resulting in spin polarization enhancement and rearrangement of d orbital energy levels in cobalt. This rearrangement reduces the dz2 orbital occupancy and promotes their transfer to the octahedral cobalt site, thereby enhancing its adsorption capacity for the oxygen-containing intermediates, and ultimately increasing the electrocatalytic activity of the oxygen evolution reaction. This work presents an innovative strategy to regulate the catalytic activity of metal oxides by introducing another metal single atom.

Engineering dual-crystal configurations in perovskite oxides boosts electrocatalysis of lithium-oxygen batteries.

Sculpting crystal configurations can vastly affect the charge and orbital states of electrocatalysts, fundamentally determining the catalytic activity of lithium-oxygen (Li-O2) batteries. However, the crucial role of crystal configurations in determining the electronic states has usually been neglected and needs to be further examined. Herein, we introduce orthorhombic and trigonal system into 0.5La0.6Sr0.4MnO3-0.5LaMn0.6Co0.4O3 (LSMCO) by selectively incorporating Sr and Co cations into the LaMnO3 framework during the sol-gel process, which is used to explore the relationship among crystal structure, electronic states and catalytic performance. Based on both experimental and theoretical calculations, the dual-crystal configurations induce strong lattice distortion, which promotes MnO6 octahedra vibration and shortened MnO bonds. Furthermore, the suppressed Jahn-Teller distortion weakens the orbital arrangement and accelerates the charge delocalization, leading to the conversion of Mn3+ to Mn4+ and optimized electronic states. Ultimately, this resulted in optimized Mn 3d and O 2p orbital hybridization and activated lattice oxygen function, leading to a significant improvement in electrocatalytic activity. The LSMCO catalyzed Li-O2 battery achieves enhanced discharge capacity of 14498.7 mAh/g and cycling stability of 258 cycles. This work highlights the significance of inner structure and presents a feasible strategy for engineering crystal configurations to boost electrocatalysis of Li-O2 batteries.