ArticleFrontiers in psychology2021
The Influence of Health Literacy and Social Support on Loneliness Among Patients With Severe Mental Illness in Rural Southwest China.
Article in Frontiers in psychology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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10 citing papers in PubMed, 12 citations in OpenAlex.
- Protective and risk factors for caregiver mental health: a mediation analysis in a rural Chinese cohort of mothers and grandmothers caring for young children.BMC psychology · 2026Article
- Relationships between oral health-related self-efficacy, oral health literacy, social support, and illness perception among patients with periodontitis: a moderated mediation model.Acta odontologica Scandinavica · 2026Article
- Evaluating Mental Health Literacy Level and its Determinants among Myanmar Migrant Workers in Urban Malaysia.Journal of immigrant and minority health · 2026Article
- Nursing diagnosis "Inadequate health literacy" in older adults: content validity.Revista brasileira de enfermagem · 2026Article
- Loneliness, Social Isolation, and Digital Health Literacy Among Older Women Living Alone in South Korea During the COVID-19 Pandemic.Psychiatry investigation · 2025Article
- Path Analysis of Health Literacy, Social Support, and Self-Efficacy on Decisional Conflict in Patients with Stable Schizophrenia.Neuropsychiatric disease and treatment · 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
- A Longitudinal Study of Loneliness Before the End of the COVID-19 Pandemic: Trajectories, Predictors, and Impact on Chinese Adolescent Mental Health.Psychology research and behavior management · 2024Article
- Letting people flourish: defining and suggesting skills for maintaining and improving positive health.Frontiers in public health · 2023Article
- The Determinants of Mental Health Literacy among Young Adolescents in Malaysia.International journal of environmental research and public health · 2022Article
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Loneliness is an important risk factor for poor health outcomes among adults, especially among those with severe mental illnesses (SMIs). Existing research has shown that adults with SMIs often lack health literacy, which contributes to more restricted social networks and low levels of social support. The objective of this cross-sectional study was to examine the influence of health literacy and social support on the loneliness of patients with SMI in rural Southwest China. We recruited 300 patients with SMI in rural Southwest China between December, 2017 to May, 2018 via a multi-stage stratified random sampling approach. We used structural equation modeling (SEM) test the hypothesized relationships among the variables of the 270 patients who completed the survey. Results of the SEM showed that health literacy was both directly and indirectly associated with loneliness, with social support playing a mediating role. These findings suggest psychoeducation for SMI patients, and their informal caregivers, may offer beneficial effects toward reducing loneliness in this vulnerable population. Further, social support is another potential target for intervention development for improving patient outcomes.
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