ArticleBMC public health2021
Health literacy and health outcomes in China's floating population: mediating effects of health service.
Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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Who cites it
28 citing papers in PubMed.
- Does family migration affect health-related quality of life? a cross-sectional survey of the health status of migrants in China.BMC public health · 2025Article
- The estimated incidence of uterine corpus cancers among permanent residents in mainland China using Bayesian spatial modeling.Scientific reports · 2025Article
- Article
- Life and health status of older migrants with hypertension in China: results from the 2018 China health and retirement longitudinal study.BMC public health · 2025Article
- Health quotient of puerperal women: a retrospective observational study.Frontiers in public health · 2025Observational
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- Effects of rural-to-urban migration on healthcare utilization of middle-aged and older adults: evidence from the China health and retirement longitudinal study.Frontiers in public health · 2025Article
- Factors influencing intentional non-utilization of healthcare: a study using the Andersen model.Frontiers in public health · 2025Article
- Effect of Health Literacy on Antiviral Treatment of Hepatitis B: Instrumental Variable Analysis.JMIR public health and surveillance · 2024Article
- Does competitive school climate really harm to students' anti-bullying attitude: empirical evidence from China.BMC public health · 2024Article
- Health-related word recognition and pronunciation by patients in Gauteng, South Africa in English and native languages.African journal of primary health care & family medicine · 2024Article
- The Effect of Health Literacy on Disease Management Self-Efficacy in Chronic Disease Patients: The Mediating Effects of Social Support and the Moderating Effects of Illness Perception.Patient preference and adherence · 2024Article
- The impact of basic health insurance participation characteristics on the health of mobile populations: the mediating role of health service utilization behavior.Frontiers in public health · 2024Article
- Exploring the Health Literacy Behavior Patterns of Male Patients Using an Interpretable Method.Risk management and healthcare policy · 2024Article
- Awareness of lung cancer among urban residents in Sichuan Province and its impact on their willingness to choose medical institutions for cancer screening.Frontiers in public health · 2024Article
- The effect of housing tenure on health status of migrant populations in China: are health service utilization and social integration mediating factors?Archives of public health = Archives belges de sante publique · 2023Article
- Relationships between Health Education, Health Behaviors, and Health Status among Migrants in China: A Cross-Sectional Study Based on the China Migrant Dynamic Survey.Healthcare (Basel, Switzerland) · 2023Article
- Estimation of health literacy levels in patients with cardiovascular diseases in a Gulf country.BMC health services research · 2023Article
- Factors influencing utilization of communicable disease prevention and treatment education among the floating population: a cross-sectional study in China.BMC public health · 2023Article
- Gender Differences in Migrant Workers Health in China.International journal of public health · 2023Article
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4 authors.
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Abstract
backgroundThe floating population in China consists primarily of internal immigrants and represents a typical health vulnerable group. Poor health literacy has recently become an obstacle in the accessibility and utilization of health services for the vulnerable population, leading to adverse health outcomes. This study aimed to examine whether health literacy affected health outcomes in China's floating population and whether health service utilization had a mediating effect between health literacy and health outcomes.
methodThe current study utilized a cross-sectional stratified, multistage, proportional to scale (PPS) study in Zhejiang Province, China, in November and December 2019. In total, 657 valid self-reported questionnaires were recovered and used for data collection. Questionnaires included questions regarding sociodemographic characteristics, health literacy, health outcomes, and health service utilization. Confirmatory factor analysis was used to test questionnaire validity; descriptive statistics were used to understand the demographic characteristics of the floating population; and structural equation modeling was used to determine whether health service utilization mediated health literacy and health outcomes.
resultsWe report positive correlations between health literacy, health service utilization, and health outcomes. Mediation analysis demonstrated that health service utilization had partial mediating effects between health literacy and health outcomes. In the relationship between health literacy and health outcomes, the indirect effects of health service utilization accounted for 6.6-8.7% of the total effects.
conclusionComplete health literacy, through health care literacy and health promotion literacy, affects the mobile population's initiative to use health services, which, in turn, affects health outcomes. Thus, improving the health literacy of the floating population will help to improve health outcomes. Furthermore, health service providers should enhance the diversity of health service supply to ensure that the floating population has the external resources to improve personal health literacy.
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