ArticleInternational journal of public health2019
The relationship between health literacy and health outcomes among male young adults: exploring confounding effects using decomposition analysis.
Article in International journal of public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Definitions and measurement of health literacy in health and medicine research: a systematic review.BMJ open · 2022Pooled it
- Subjective Health Literacy and Personality in Older Adults: Conscientiousness, Neuroticism, and Openness as Key Predictors-A Cross-Sectional Study.International journal of environmental research and public health · 2025Article
- Decision-Making Ability: A Missing Link Between Health Literacy, Contextual Factors, and Health.Health literacy research and practice · 2022Article
- The role of health literacy in the association between academic performance and substance use.European journal of public health · 2022Article
- Disparities in access to mobile devices and e-health literacy among breast cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- Health literacy and health outcomes in China's floating population: mediating effects of health service.BMC public health · 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
- Are Health Literacy and Lifestyle of Undergraduates Related to the Educational Field? An Italian Survey.International journal of environmental research and public health · 2020Article
- A Comparative Study on Adolescents' Health Literacy in Europe: Findings from the HBSC Study.International journal of environmental research and public health · 2020Article
- Making a Case for "Education for Health Literacy": An International Perspective.International journal of environmental research and public health · 2020Article
- Health Literacy is Associated with Health Behaviors in Students from Vocational Education and Training Schools: A Danish Population-Based Survey.International journal of environmental research and public health · 2020Article
- Is Health Literacy of Dialyzed Patients Related to Their Adherence to Dietary and Fluid Intake Recommendations?International journal of environmental research and public health · 2019Article
- Health literacy: Contradicting 50 years of research?International journal of public health · 2019Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesPrevious studies indicate substantial correlations between low health literacy and poor health outcomes. However, empirical findings remain inconsistent and are theoretically challenging. In this study, we conceptually place health literacy within an established model of health inequality. Studying multiple pathways, we estimate the associations between health literacy and six health outcomes and decompose these associations with health literacy's covariates.
methodsCross-sectional data from the Young Adult Survey Switzerland was used for the analyses (n = 5959, age = 18-25). Logistic regression and KHB decomposition analyses were applied to estimate health literacy's coefficients and confounding percentages.
resultsEleven covariates were associated with health literacy (p < 0.001). Ten covariates reduced the naïve health literacy coefficient when included in the regression models (confounding percentages: 36.7-86.9%). In three out of six models, the confounding effects led to non-significant health literacy coefficients.
conclusionsWe found that health literacy's associations with health outcomes are confounded by socioeconomic, material, psychosocial, and health-related factors. More investigations on the causal importance of health literacy, respectively, on its potential to health promotion are required.
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