ArticleSocial science & medicine (1982)2023
Political views, health literacy, and COVID-19 beliefs and behaviors: A moderated mediation model.
Article in Social science & medicine (1982), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Why does health literacy matter, and for whom? Explaining the differentiating impact of health literacy on vaccine attitudes.Frontiers in psychology · 2025Article
- Health literacy and COVID-19 pandemic impacts among adults in rural northern Arizona.Rural and remote health · 2024Article
- Culture and political regimes: How have they influenced the effectiveness of COVID-19 response policy?Heliyon · 2024Article
- Behavioral and social drivers of COVID-19 vaccination initiation in the US: a longitudinal study March─ October 2021.Journal of behavioral medicine · 2024Article
- How Does Psychological Distance Influence Public Risky Behavior During Public Health Emergencies.Risk management and healthcare policy · 2024Article
- Promoting RAPID Vaccine Science Education at the Onset of the COVID-19 Pandemic.Journal of microbiology & biology education · 2023Article
- Barriers to COVID-19 vaccine uptake: classification and the role of Health Literacy and Media Literacy.Frontiers in public health · 2023Article
- Association between cultural capital and health literacy during the COVID-19 pandemic among community residents in China: the mediating effect of social capital.Frontiers in public health · 2023Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
rationaleMitigating the spread of COVID-19 requires that people understand the need for and engage in protective behaviors. Given the complexity and rapid progression of media information about the pandemic, health literacy could be essential to acquiring the accurate beliefs, concern for societal risks, and appreciation of restrictive policies needed to motivate these behaviors. Yet with the increasingly politicized nature of COVID-related issues in the United States, health literacy could be an asset for those with more liberal views but less so for those with more conservative views.
objectiveThis study tested a hypothesized model proposing that political views moderate the associations of health literacy with COVID-19 protective behaviors as well as the mediational roles of accurate and inaccurate COVID-19 beliefs, concern for society, and governmental control attitudes.
methodsWe surveyed residents in three diverse regions of California in June 2020 (N = 669) and February 2021 (N = 611). Participants completed measures of health literacy, political views, and COVID-19 beliefs and behaviors.
resultsModerated mediational analyses largely supported the proposed model with both samples. Health literacy was associated with more accurate COVID-19 beliefs, less inaccurate COVID-19 beliefs, greater concern for societal risks, more positive attitudes regarding restrictive government control, more protective behavior, less risky behavior, and stronger vaccine intentions; beliefs, concern for society, and governmental control attitudes mediated the health literacy-behavior relationships. As predicted, however, these associations of health literacy with adaptive beliefs, attitudes, and behaviors varied according to political views. The direct and mediated relationships were held for participants with more liberal views and, to a lesser extent, for those with moderate views, but they were weaker or absent for participants with more conservative views.
conclusionsThese findings contribute new evidence of processes linking health literacy with adaptive beliefs, attitudes, and behaviors and how social and political contexts can shape those processes.
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