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Determinants of health literacy and health behavior regarding infectious respiratory diseases: a pathway model
Sun, Xinying1; Shi, Yuhui1; Zeng, Qingqi1; Wang, Yanling1; Du, Weijing2; Wei, Nanfang2; Xie, Ruiqian2; Chang, Chun1
关键词Health literacy Health behavior Determinants Causal pathways
刊名BMC PUBLIC HEALTH
2013-03-22
DOI10.1186/1471-2458-13-261
13
收录类别SCI ; SSCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Public, Environmental & Occupational Health
研究领域[WOS]Public, Environmental & Occupational Health
关键词[WOS]OUTCOMES
英文摘要

Background: Health literacy has been defined as the degree to which individuals have the capacity to obtain, process, and understand the basic health information and services needed to make appropriate health decisions. Currently, few studies have validated the causal pathways of determinants of health literacy through the use of statistical modeling. The purpose of the present study was to develop and validate a health literacy model at an individual level that could best explain the determinants of health literacy and the associations between health literacy and health behaviors even health status.

Methods: Skill-based health literacy test and a self-administrated questionnaire survey were conducted among 3222 Chinese adult residents. Path analysis was applied to validate the model.

Results: The model explained 38.6% of variance for health literacy, 11.7% for health behavior and 2.3% for health status: (GFI = 0.9990; RMR = 0.0521; chi(2) = 10.2151, P = 0.1159). Education has positive and direct effect on prior knowledge (beta = 0.324) and health literacy (beta = 0.346). Health literacy is also affected by prior knowledge (beta = 0.245) and age (beta = -0.361). Health literacy is a direct influencing factor of health behavior (beta = 0.101). The most important factor of health status is age (beta = 0.107). Health behavior and health status have a positive interaction effect.

Conclusion: This model explains the determinants of health literacy and the associations between health literacy and health behaviors well. It could be applied to develop intervention strategies to increase individual health literacy, and then to promote health behavior and health status.

语种英语
WOS记录号WOS:000317769300001
引用统计
被引频次:16[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/65104
专题北京大学公共卫生学院
北京大学公共卫生学院_公共卫生学院
作者单位1.Peking Univ, Sch Publ Hlth, Dept Social Med & Hlth Educ, Beijing 100191, Peoples R China
2.Chinese Ctr Hlth Educ, Dept Program Management, Beijing 100011, Peoples R China
推荐引用方式
GB/T 7714
Sun, Xinying,Shi, Yuhui,Zeng, Qingqi,et al. Determinants of health literacy and health behavior regarding infectious respiratory diseases: a pathway model[J]. BMC PUBLIC HEALTH,2013,13.
APA Sun, Xinying.,Shi, Yuhui.,Zeng, Qingqi.,Wang, Yanling.,Du, Weijing.,...&Chang, Chun.(2013).Determinants of health literacy and health behavior regarding infectious respiratory diseases: a pathway model.BMC PUBLIC HEALTH,13.
MLA Sun, Xinying,et al."Determinants of health literacy and health behavior regarding infectious respiratory diseases: a pathway model".BMC PUBLIC HEALTH 13(2013).
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