Abstract:Abstract OBJECTIVE In order to give full play to the function of health transmission, make health promotion in poor areas，and further improve the level of health literacy of residents in poor areas, a survey was carried out on 1 336 residents from 166 townships, 14 poor counties, 7 cities of Heilongjiang Province. METHODS The self-designed questionnaire and the multi-layer random sampling method was adopted. SPSS 24.0 statistical software was used for data processing. RESULTS The largest number of residents in poor areas of Heilongjiang regularly followed health communication, with the majority (70.5%) accessing the new health management through official websites or public accounts. It classified and compared the residents’ participation in health communication in poverty-stricken counties in terms of four aspects: attention, participation, communication, acceptance and demand. Residents in poor areas believed that health communication should first pay attention to the health problems of the elderly, then the middle-aged, infants and young children, and finally adolescents. Female were more concerned about infant and adolescent problems than male. Different age groups paid attention to different types, contents and modes of health communication. Education level and place of residence had differences in the content of the survey. DISCUSSION It considered organizing interactive health education lectures in poor areas. Age was the main influencing factor of health communication concern，and the efficiency and acceptance of health communication would be greatly improved when young people become information-sharing people. Key words poor areas; health transmission; current situation and countermeasure