Barely Significant

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The Center and South regions show a decreasing trend from 2017; this seems to be interrupted in the Center region where a small immediate increase can be seen 5 months after the beginning of the pandemic (5-month lagged results IRR: 1.070, 95%CI [0.545 – 2.100]), however trends during COVID-19 period do not differ from pre-COVID-19.
The health literacy level of residents showed an increasing trend with the change of income, and the health literacy level of people with more than 10000 (yuan/month) of the income was the highest, reaching more than 80%.After health education, the level of health literacy of residents with primary school education or above was higher than that before ( P <0.05).
Another limitation is that the analyses were based on available data; given that there were marginally significant results, future studies should aim to replicate these findings ensuring that the sample size provides sufficient power to detect the effect sizes reported here.