The impact of health literacy on quality of life in patients with chronic diseases

Bibliographic Data

ID22079846
AuthorsJiali Zhang (0000-0001-6257-063X, North Sichuan Medical University), Yinhai Chen (North Sichuan Medical University), Yangyang Lu (0000-0002-2539-4566, North Sichuan Medical University), Yuanwei Lu, Xuan Jiang (0000-0001-7802-0165, North Sichuan Medical University), Congxuan Lin (North Sichuan Medical University), Xiong Ke (0000-0003-1647-959X, North Sichuan Medical University, corresponding author)
Year2025
Volume13
Pages1544259-1544259
Publication date2025-06-04
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2025.1544259
PMID40556917
OpenAlexW4411043155
LanguageEN
References cited60

Objective We aimed to assess quality of life in patients with chronic diseases and identify influencing factors, as well as to explore the relationship between health literacy and quality of life in this population. Methods We used health literacy and EuroQol 5-Dimensions 5-Level version survey data from chronically ill patients in the 2023 Sichuan Province Chinese Resident Psychological and Behavioral Survey Study. We analyzed factors influencing quality of life using a tobit regression model and examined the relationship between quality of life and health literacy using canonical correlation analysis. Results The health utility value for quality of life among 611 patients with chronic diseases was 0.95 (0.86–1), with an EuroQol Visual Analog Scale score of 71.04 ± 16.21. Regression analysis revealed that health literacy ( p = 0.004), sex ( p = 0.015), body mass index ( p = 0.047), occupation ( p = 0.012), marital status ( p = 0.026), debt status ( p = 0.001), comorbidity ( p < 0.001) and living alone ( p = 0.033) were significantly associated with quality of life. Canonical correlation analysis showed a correlation of 0.269 ( p < 0.001) between health literacy and quality of life, primarily related to factors such as treatment information, mental health, and vaccine type, which were correlated with pain or discomfort. Conclusion Enhancing health literacy can positively impact the life quality of patients with chronic diseases. Key elements of health literacy interventions should include evaluating treatment information, accessing resources to address mental health concerns, and determining individual vaccine needs. Health education strategies should be developed to improve both health literacy and quality of life for patients with chronic diseases

Environmental health · Health care · Health literacy · Marital status · Mental health · Population · Psychiatry · Psychological intervention · Chronic Disease Management Strategies · Health Literacy and Information Accessibility · Medicine · Mental Health Treatment and Access · Nursing · Gerontology

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