Evidence map›Paper›PMID 33539611›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2021

How different health literacy dimensions influences health and well-being among men and women: The mediating role of health behaviours.

Fan Zhang, Peggy P L Or, Joanne W Y Chung

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Article in Health expectations : an international journal of public participation in health care and health policy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  14. Factors associated with home blood pressure monitoring practices among patients with hypertension in Putrajaya, Malaysia: A cross-sectional study.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Fan ZhangDepartment of Health and Physical Education, The Education University of Hong Kong, Hong Kong, Hong Kong.
Peggy P L OrDepartment of Health and Physical Education, The Education University of Hong Kong, Hong Kong, Hong Kong.ORCID 0000-0001-5947-820X
Joanne W Y ChungSchool of Nursing and Health Studies, The Open University of Hong Kong, Hong Kong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealth literacy, the ability to access, understand, evaluate and apply health information, was found to contribute to positive health outcomes, possibly via promoting healthy behaviours. However, the specific pathways linking different health literacy skills to health and well-being have remained unclear.

methodsA cross-sectional survey with structural questionnaires was administered among 2236 adults in Hong Kong (mean age = 46.10 ± 19.05). Health literacy was measured by HLS-Asian-47. Participants' physical conditions and subjective well-being were predicted by health literacy and health behaviours with structural modelling path analysis.

resultsHealth literacy in finding and understanding information showed a direct effect on enhancing physical health, while applying information capacity had an indirect positive effect via promoting health behaviours, which was moderated by sex. Only among women, this indirect effect predicting fewer physical symptoms and better well-being was significant.

conclusionsDifferent health literacy dimensions showed distinct direct and indirect pathways in influencing health for men and women. Based on the findings, skill trainings should be developed to enhance both gender's abilities of finding and understanding health information, while the ability of applying health information should also be improved for modifying lifestyle and promoting health, particularly for women. PATIENT OR PUBLIC CONTRIBUTION: Two thousand and two hundred thirty-six adults from different districts of Hong Kong participated in the study, and responded to questions on health literacy, behaviours and health status.

Indexed as

Health LiteracyAdultAgedCross-Sectional StudiesFemaleHealth BehaviorHumansLife StyleMaleMiddle AgedSurveys and Questionnaireshealth behaviourhealth literacy dimensionsolder adultsphysical conditionwell-being

Identifiers

PMID33539611
PMCPMC8077109

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.