ArticleHealthcare (Basel, Switzerland)2021
The Mediation Effect of Health Literacy on Social Support with Exchange and Depression in Community-Dwelling Middle-Aged and Older People in Taiwan.
Article in Healthcare (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 12 citations in OpenAlex.
- The impact of the pilot reform of home and community-based elderly care services on the health of the elderly.BMC public health · 2026Article
- Social media use and depression among middle-aged and older Chinese adults: mediating roles of health literacy and perceived social support.Frontiers in public health · 2026Article
- Pathways of influence on health-promoting lifestyles in older adults with coronary heart disease: a cross-sectional study.Frontiers in cardiovascular medicine · 2025Article
- Does health literacy mediate the relationship between socioeconomic status and health related outcomes in the Belgian adult population?BMC public health · 2024Article
- Relationships between stroke prevalence, health literacy, and oral health-related quality of life in middle-aged and older adults: a national survey study.BMC geriatrics · 2023Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
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Abstract
The proportion of the world's population that are over 60 years old is increasing rapidly. The physical and mental health of older people is affected by depression. Health literacy is a major determinant of health and healthcare for the aging; middle-aged and older people with high health literacy are more likely to maintain a healthy lifestyle, and control or manage their chronic diseases. Therefore, this study explored the relationship between health literacy, social support with exchange, and depression, in middle-aged and older adults in the community, using data from the 2015 Taiwan Longitudinal Study on Aging (TLSA) database. Of the 7636 participants, 1481 (19.4%) were middle-aged or older persons with depression symptoms. We found age, gender, and education level to be significantly related to health literacy status, social support with exchange, and depression. Health literacy was positively correlated with depression and social exchange in social support with exchange, whereas the emotional support component of social support with exchange was negatively correlated with depression. Regression-based process analysis was used to verify the mediation effect of health literacy. Our results indicated that when health literacy was entered into the regression model (
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