Pathway analysis of the impact of health literacy, social support and self-efficacy on self-management behaviors in pregnant women with gestational diabetes mellitus

Bibliographic Data

ID22072094
AuthorsFangmei Tang (Sichuan University), Xiaoying Zhong (0000-0003-1848-0244, University of Electronic Science and Technology of China), Sixu Liu (Yan'an University), Xiujing Guo (0000-0001-9970-4718, Sichuan University, corresponding author), Dehua Li (0009-0002-8145-1868, Sichuan University, corresponding author)
Year2023
Volume11
Pages1188072-1188072
Publication date2023-11-10
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2023.1188072
PMID38026370
OpenAlexW4388632231
LanguageEN
Citations received5
References cited52

Objective The purpose of this study was to investigate the pathways by which health literacy (HL), social support, and self-efficacy influence self-management behaviors of pregnant women with Gestational diabetes mellitus (GDM) and the interrelationships between the variables. Methods A total of 565 pregnant women with GDM was recruited. The Demographic Characteristics Form, Health Literacy Scale, Perceived Social Support Scale, General Self-efficacy Scale and GDM Self-management Behavior Scale were used for data collection. Descriptive statistics, zero-ordered correlation analysis, and multiple linear regression analysis were performed on the variables; Structural Equation Model (SEM) were constructed for pathway analysis. Results A positive correlation was found between health literacy, social support, self-efficacy, and self-management behaviors among pregnant women with GDM after adjusting for age, education level, income level, work status, parity, and family history of diabetes ( r ranging from 0.203 to 0.533). A further multiple linear regression analysis showed that functional HL, communicative HL, critical HL, social support, and self-efficacy were all independent influences on self-management behaviors and accounted for 36.3% of the variance. Communicative HL and critical HL explained the strongest self-management behaviors (β = 0.316 and 0.255, respectively, p < 0.001). The SEM model was suitable for χ 2 /DF = 2.860, RMSEA = 0.060, IFI = 0.953, TLI = 0.943, and CFI = 0.952. The results showed direct positive effects of health literacy on self-management behaviors and self-efficacy, direct positive effects of social support on health literacy and self-efficacy. Social support and self-efficacy have had no significant direct impact on self-management behaviors, but social support may indirectly influence self-management behaviors through the health literacy mediation role. Conclusion Healthcare providers should pay attention to the positive impacts of health literacy and social support on self-management behaviors of pregnant women with GDM. Improving the health literacy level of pregnant women with GDM should be the key point of intervention in practice, and the social support system should be fully mobilized to enhance emotional support and life support to promote the improvement of self-management behaviors

Biology · Descriptive statistics · Developmental psychology · Gestation · Gestational diabetes · Health care · Health literacy · Literacy · Pregnancy · Regression analysis · Self-efficacy · Social support · Statistics · Structural equation modeling · Clinical Psychology · Gestational Diabetes Research and Management · Health Literacy and Information Accessibility · Mathematics · Medicine · Mobile Health and mHealth Applications · Psychology · Social Psychology

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