Impact of health literacy and knowledge on mental health and attitude towards help-seeking among undergraduates

The moderating effect of gender and age

Bibliographic Data

ID21600968
AuthorsMensah Prince Osiesi (0000-0002-7660-6127, Nelson Mandela University Postgraduate Studies Department, Faculty of Education), Olutoyin O Fajobi (0000-0002-2669-5096, Federal University Oye Ekiti), Collins Gboyega Aribamikan (0000-0003-0487-9537, Bamidele Olumilua University of Education, Science and Technology, Ikere-Ekiti Department of Human Kinetics and Health Education), Adebolu F Adekoya (0000-0002-3702-7026, Federal University Oye Ekiti), Sunday Nnamdi Okocha (0000-0001-7817-0833, University of Ibadan Institute of Education), Atinuke Titilope Babalola (0009-0006-9994-4328, Federal University Oye-Ekiti Department of Guidance and Counseling), Abidemi Olufemi Arogundade (0000-0002-5549-1412, Federal University Oye-Ekiti Department of Guidance and Counseling), Sylvan Blignaut (0000-0002-5514-0604, Nelson Mandela University Postgraduate Studies Department, Faculty of Education), Walters Doh Nubia (0000-0002-7475-4337, Nelson Mandela University Postgraduate Studies Department, Faculty of Education)
Year2025
Volume125
Issue4
Pages375-408
Publication date2025-06-23
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueHealth Education (JOURNAL)
Journal identifiersISSN: 0965-4283 • E-ISSN: 1758-714X
PublisherEmerald (PUBLISHER)
DOI10.1108/he-11-2023-0114
OpenAlexW4409773441
LanguageEN
Citations received2
References cited81

Purpose This study investigates the impact of health literacy and knowledge on undergraduates’ mental health and attitude towards help-seeking in public universities in Ekiti State, Nigeria; with gender and age serving as moderating factors. Design/methodology/approach The study adopted the correlational research design. The population of the study comprised undergraduates in public universities in Ekiti State, Nigeria. In all, 601 undergraduates (with respect to their gender) constituted the study’s sample. The instruments used for this study’s data collection were the Health Literacy Questionnaire (r = 0.87), Health Knowledge Questionnaire (r = 0.94), Mental Health Questionnaire (r = 0.91) and Attitude towards Help-Seeking Questionnaire (r = 0.84). Data were analysed at a 5% significance level, using the Hayes macro process in SPSS version 26.0. Findings Findings indicate a direct, positive and significant relationship exists among undergraduates’ health literacy, health knowledge, mental health and attitude towards help-seeking. Health literacy significantly impacts undergraduates’ mental health and attitude towards help-seeking. Gender (in favour of males) has a significant moderating effect on the relationship between health literacy, mental health, and attitude toward help-seeking among undergraduates. Originality/value Undergraduates’ health literacy significantly impacts their mental health and attitude towards help-seeking, with gender having a significant moderating effect. Concerted efforts of governments and health and education stakeholders should be concentrated on creating and promoting health literacy and knowledge as well as mental health and positive help-seeking attitudes among undergraduates with special attention to gender parity, irrespective of age. Future research could focus on this study’s concerns for younger learners, especially early childhood as well as the effect of undergraduates’ socioeconomic and family status, such as poverty and disabilities, on mental health and attitudes towards help-seeking

Health care · Health education · Health literacy · Help-seeking · Knowledge level · Literacy · Mathematics education · Medical education · Mental health · Mental health literacy · Mental illness · Pedagogy · Psychiatry · Public health · Applied Psychology · Clinical Psychology · Health Literacy and Information Accessibility · Medicine · Mobile Health and mHealth Applications · Nursing · Ophthalmology and Visual Health Research · Psychology · Social Psychology

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