ArticleScientific reports2025
The chain mediating effect of self-efficacy and health literacy between proactive personality and health-promoting behaviors among Chinese college students.
Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Health literacy and health behaviors among college students in underdeveloped regions of China: a cross-sectional study in Yunnan Province.Frontiers in public health · 2026Article
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6 authors.
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Abstract
Health-promoting behaviors are essential for college students as they develop lifelong health habits. To investigate how to cultivate health-promoting behaviors among college students, this study aimed to investigate the influence of proactive personality on health-promoting behaviors and to explore the mediating roles of self-efficacy and health literacy through a cross-sectional study. A total of 664 college students from six colleges in Xinxiang, China, were conveniently sampled to complete questionnaires, including the Proactive Personality Scale, General Self-Efficacy Scale, 12-item Short-Form Health Literacy Scale, and Short-Form Health Promotion Scale. Path analysis indicated that proactive personality was directly associated with health-promoting behaviors (effect value: 0.146). The mediating roles of self-efficacy (effect value: 0.165) and health literacy (effect value: 0.080) were significant. A chain mediating effect of self-efficacy and health literacy was also observed (effect value: 0.028). The positive effect of proactive personality (β = 0.146, P < 0.001), self-efficacy (β = 0.421, P < 0.001) and health literacy (β = 0.234, P < 0.001) on health-promoting behaviors was significant. These findings suggest that self-efficacy and health literacy play a chain mediating role between proactive personality and health-promoting behavior. Future interventions should target proactive personality, self-efficacy, and health literacy to enhance health-promoting behaviors in college students.
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