ArticleJournal of behavioral medicine2014
Social support mediates the association of health literacy and depression among racially/ethnically diverse smokers with low socioeconomic status.
Article in Journal of behavioral medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
26 citing papers in PubMed.
- Health Literacy and Tobacco Use: A Cross-Sectional Study of Associations Among Predominantly Low-Income Adults Motivated to Quit Smoking.Healthcare (Basel, Switzerland) · 2026Article
- Mental health literacy and its relationship with suicidal tendencies mediated by social support in students: a school-based study.BMC psychology · 2025Article
- Do Health Literate Older People Have Fewer Depressive Symptoms? Evidence from the Urban Areas of Western China.Healthcare (Basel, Switzerland) · 2024Article
- Examining Health Literacy in Taiwanese Smoking Cessation Populations: A Multidimensional Evaluation of Sociodemographic Factors and Domain-Specific Competencies.Healthcare (Basel, Switzerland) · 2023Article
- Social Support Mediates the Relationship Between Coping Styles and the Mental Health of Medical Students.Psychology research and behavior management · 2023Article
- Letting people flourish: defining and suggesting skills for maintaining and improving positive health.Frontiers in public health · 2023Article
- Health literacy and cardiovascular disease prevention: a systematic scoping review protocol.BMJ open · 2022Article
- Correction: Loer et al. Subjective Generic Health Literacy and Its Associated Factors among Adolescents: Results of a Population-Based Online Survey in Germany.International journal of environmental research and public health · 2022Article
- Mediating Effect of Sleep Disorder Between Low Mental Health Literacy and Depressive Symptoms Among Medical Students: The Roles of Gender and Grade.Frontiers in psychiatry · 2022Article
- Effectiveness of a health literacy intervention based on transformative learning and incorporating positive psychology on health behavior and well-being of Thai families with NCDs risk.Journal of public health research · 2021Article
- Social Support, Health Literacy and Depressive Symptoms among Medical Students: An Analysis of Mediating Effects.International journal of environmental research and public health · 2021Article
- The Influence of Health Literacy and Social Support on Loneliness Among Patients With Severe Mental Illness in Rural Southwest China.Frontiers in psychology · 2021Article
- Subjective Generic Health Literacy and Its Associated Factors among Adolescents: Results of a Population-Based Online Survey in Germany.International journal of environmental research and public health · 2020Article
- Moderating Role of Health Literacy on the Association between Alexithymia and Depressive Symptoms in Middle School Students.International journal of environmental research and public health · 2020Article
- The Relationship Between Health Literacy, Social Support, Depression, and Frailty Among Community-Dwelling Older Patients With Hypertension and Diabetes in China.Frontiers in public health · 2020Article
- Physical Comorbidity and Health Literacy Mediate the Relationship Between Social Support and Depression Among Patients With Hypertension.Frontiers in public health · 2020Article
- The association between health literacy and psychosomatic symptoms of adolescents in China: a cross-sectional study.BMC public health · 2019Article
- The Relationship among Functional Health Literacy, Self-Rated Health, and Social Support among Younger and Older Adults in Ghana.International journal of environmental research and public health · 2019Article
- Article
- Association of health literacy and sleep problems with mental health of Chinese students in combined junior and senior high school.PloS one · 2019Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
Nearly half of U.S. adults have health literacy (HL) difficulties, and lack the ability to effectively obtain, process, and understand health information. Poor HL is associated with depression, yet mechanisms of this relation are unclear. This study examined whether social support mediated the relation between HL and depressive symptoms in 200 low-socioeconomic status (SES), racially/ethnically diverse smokers enrolled in cessation treatment. Mediation analyses were conducted using bootstrapping and controlling for SES and nicotine dependence. In simple mediation models, social support [Interpersonal Support Evaluation List (ISEL) total, subscales (Appraisal, Belonging, Tangible)] mediated the effect of HL on depression, such that lower HL was associated with lower perceived support, which predicted higher depressive symptoms (ps < .05). A multiple mediation model, with ISEL subscales entered simultaneously as mediators, was significant (p < .05) but only the Belonging subscale demonstrating independent significance (p < .05). Thus, social support may be a critical factor underlying the HL-depression relationship in low-SES, racially/ethnically diverse smokers.
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