Methods: by stratified cluster sampling, 1500 students (1139 valid questionnaires) from five schools in two counties of a certain region were selected for anonymous investigation. SAS software was used for rank sum test, single factor analysis, Spearman correlation analysis and multiple regression analysis.<br>Results: 1. The median score of middle school students' health behavior is 24.700; the median score of health knowledge is 8.000; the median score of health skills is 2.000; the median score of health literacy is 34.017. The score of health knowledge is the lowest in the three dimensions of health literacy.<br>2. The status quo of health literacy of middle school students of different genders: the scores of female students in health behavior and health skills were higher than that of male students (P<br>
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