Recursive Path Model for Health Literacy
The Effect of Social Support and Geographical Residence
Bibliographic Data
| ID | 22080752 |
|---|---|
| Authors | Éva Bíró (0000-0002-0131-8147, University of Debrecen, corresponding author), Ferenc Vincze (0000-0003-3595-7737, University of Debrecen), Gabriella Mátyás (0009-0001-7684-036X, University of Debrecen), Karolina Kósa (0000-0001-7867-2403, University of Debrecen) |
| Year | 2021 |
| Volume | 9 |
| Pages | 724995-724995 |
| Publication date | 2021-09-28 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2296-2565 • E-ISSN: 2296-2565 |
| Publisher | Frontiers Media SA (PUBLISHER • CH) |
| DOI | 10.3389/fpubh.2021.724995 |
| PMID | 34650950 |
| OpenAlex | W3203140792 |
| Language | EN |
| Citations received | 5 |
| References cited | 29 |
Background: The public health relevance of health literacy is highlighted by the fact that its higher levels can improve health outcomes and reduce health inequities. In order to design effective interventions for improving health literacy, the relationship between health literacy and other factors such as sociodemographic variables, subjective health and social support must be understood. Objective: Our aim was to test a socioecological model of the determinants of health literacy with a special focus on the effect of residence. Our study investigated geographical differences regarding the levels of health literacy and its determinants as this was not investigated before in European nationwide surveys. Methods: Data was collected by a polling company in a sample ( n = 1,200) of the Hungarian adult population nationally representative by age, gender, and permanent residence in 2019 January. The questionnaire included items on sociodemographic data, subjective well-being, social support, and two health literacy scales. A recursive path model was used to outline the mediating effect of social support between sociodemographic variables and health literacy where both direct and indirect effects of the explanatory variables and multiple relationships among the variables were analyzed simultaneously. Multiple-group analysis was applied to the three pre-set categories of permanent residence (capital city, urban and rural). Results: There was no statistically significant difference by residence regarding levels of health literacy. Social support and educational attainment were the most important determinants of health literacy after adjusting for the effect of other sociodemographic variables. However, the magnitude of effect of social support and educational attainment is different between types of settlements, the strongest being in rural areas. Conclusion: Social support seems to mediate the effect of socioeconomic position on health literacy which could be taken into account when designing interventions to improve health literacy, especially in rural areas. Further studies would be needed especially in rural communities to see whether improvement of social support could be utilized in projects to increase the level of health literacy
Computer network · Economic growth · Geography · Health care · Health literacy · Literacy · Residence · Sociology · Computer Science · Demography · Diverse Approaches in Healthcare and Education Studies · Health Literacy and Information Accessibility · Medicine · Mobile Health and mHealth Applications · Psychology
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| Unique citing works | 5 |
|---|---|
| Citations per year | 1,25 |
| Citation span | 2022 - 2026 (5) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 5 |