Abstract: Objective To investigate the status of chronic disease health literacy among rural residents in Shiyan City,analyze the related influencing factors,so as to provide reference for the formulation of intervention measures. Methods From September 2021 to January 2022,a stratified multi-stage random sampling method was used to randomly select 309 patients with chronic diseases in Shiyan City. The questionnaire investigation was carried out by the survey scale of health literacy of patients with chronic diseases. The descriptive,single factor and multiple linear regression methods were used to analyze the health literacy level and influencing factors of residents with chronic diseases. Results The score of chronic disease health literacy of 309 rural residents in Shiyan City was （84.30±18.82）points. Among the four dimensions of chronic disease health literacy,the scoring rate of communication and interaction ability was the highest（71.38%）,and the scoring rate of economic support willingness was the lowest（65.30%）. The education level and per capita annual income of households were the influencing factors of chronic disease health literacy of residents（P<0.05）. Conclusion The chronic disease health literacy level of rural residents in Shiyan City is low,so low-income and low-educated residents with chronic disease should be considered as the priority intervention group to improve the chronic disease health literacy level of rural residents.

Key words: Health literacy, Chronic diseases, Influencing factors