ArticleEnvironmental health and preventive medicine2021
The effect of health literacy on health status among residents in Qingdao, China: a path analysis.
Article in Environmental health and preventive medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- Health literacy, health status and health behavior among students and trainees in nursing: a longitudinal cohort study.Frontiers in medicine · 2026Article
- The impact of demographic characteristics on health literacy in the population: a mixed model analysis based on panel survey data from China.BMC public health · 2025Article
- Electronic Health Literacy, Psychological Distress, and Quality of Life in Urological Cancer Patients: A Longitudinal Study During Transition from Inpatient to Outpatient Care.Current oncology (Toronto, Ont.) · 2025Observational
- Pathways linking health literacy to diabetes risk scores in a non-diabetic population in Ismailia, Egypt: a cross sectional study design.BMC public health · 2025Article
- Association between frailty status and health literacy in the elderly.African health sciences · 2025Article
- Patterns and associated factors of health literacy among residents aged 15-69 in Zhejiang, China: a latent profile analysis.Frontiers in public health · 2025Article
- Identification and analysis of influencing factors of multidimensional health poverty in rural areas of Northwest China.Scientific reports · 2024Article
- Exploring the barriers to the development of organizational health literacy in health institutions to meet the needs of older patients from multiple perspectives: a mixed-methods study.BMC geriatrics · 2024Article
- Knowledge of and attitude towards depression among urban and rural residents in Beijing: a cross-sectional study.BMJ open · 2024Article
- General, Vaccination, Navigational and Digital Health Literacy of Students Enrolled in Different Medical and Health Educational Programs.Healthcare (Basel, Switzerland) · 2024Article
- Why is there a gap in self-rated health among people with hypertension in Zambia? A decomposition of determinants and rural‒urban differences.BMC public health · 2024Article
- The mediating effect of traditional Chinese medicine (TCM) health literacy between TCM culture promotion and residents' health status.Frontiers in public health · 2024Article
- The mediating role of self-efficacy in the relationship between health literacy, health status and psychological well-being among German trainees and students in nursing.Frontiers in public health · 2024Article
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- Current status and influencing factors of health literacy among older adults in combined medical and nursing care institutions: a cross-sectional study.Frontiers in public health · 2023Article
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- Changes in the health literacy of residents aged 15-69 years in central China: A three-round cross-sectional study.Frontiers in public health · 2023Article
- Neighborhood health effects on the physical health of the elderly: Evidence from the CHRLS 2018.SSM - population health · 2022Article
- Development of a short-form Chinese health literacy scale for low salt consumption (CHLSalt-22) and its validation among hypertensive patients.BMC nutrition · 2022Article
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8 authors.
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Abstract
backgroundHealth literacy is a public health goal which can be used as an independent factor of health outcomes. This study aimed to assess the association between health literacy and health status, as well as the two mediating factors of behavior and self-efficacy among residents aged 15-69 years in Qingdao.
methodsA cross-sectional survey was implemented among residents aged 15-69 years (N = 3793) in Qingdao, China. A combination of stratified cluster random and proportional probability sampling methods was used to select subjects for this study. Data were collected using "The Chinese Citizen Health Literacy Questionnaire (2019)". We proposed a hypothetical model for the relationship between sociodemographic characteristics, health literacy, self-efficacy, health behavior, and health status, and used path analysis to validate the hypothesis.
resultsThe path analysis showed that higher education (β = 0.293) and income (β = 0.135) are positively and directly associated with greater health literacy, which was positively associated with health status (β = 0.057). Health literacy is a direct influencing factor of health behavior (β = 0.070) and self-efficacy (β = 0.099). Health behavior (β = 0.041) and self-efficacy (β = 0.173) exerted a positive direct effect on health status. The model explained 14.1% of variance for health literacy, 3.8% for self-efficacy, 5.7% for health behavior, and 15.0% for health status.
conclusionsHealth literacy was identified to be a critical factor in health status. The results emphasized that the dissemination of health knowledge, development of healthy behavior, and cultivation of self-efficacy should be jointly promoted to reinforce the level of health status among residents in future work.
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