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学科主题: 公共卫生
题名:
Determinants of health literacy and health behavior regarding infectious respiratory diseases: a pathway model
作者: 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
发表日期: 2013-03-22
DOI: 10.1186/1471-2458-13-261
卷: 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
所属项目编号: 5U2GGHH000018-02
项目资助者: China-US Collaborative Program on Emerging and Re-emerging Infectious Diseases ; CDC China Office ; RTI international
WOS记录号: WOS:000317769300001
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/65104
Appears in Collections:北京大学公共卫生学院_期刊论文

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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

Recommended Citation:
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.
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