ArticleBMC public health2025
Impact of functional, communicative, critical and distributed health literacy on self-management behaviors in chronic disease patients across socioeconomic groups.
Article in BMC public health, 2025. 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.
- Association between generalized anxiety disorder and health-related quality of life.Annals of general psychiatry · 2026Article
- Knowledge, Attitudes and Perceived Preparedness Regarding Cardiopulmonary Resuscitation and Automated External Defibrillator Use Among Health-Related University Students: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2026Article
- Information overload, cognitive fusion, and health literacy among individuals with type 2 diabetes: a moderated network analysis.Scientific reports · 2026Article
- Latent classes of self-management behaviors and a network model of influencing factors in community-dwelling older patients with chronic diseases: a healthy aging perspective.Frontiers in public health · 2026Article
- Foot self-care practices among adults with diabetes in the West Bank, Palestine: A cross-sectional study.PLOS global public health · 2026Article
- The latent profile of health literacy among older adults patients with chronic disease comorbidity and its association with self-management behaviors.Frontiers in public health · 2026Article
- The knowledge level and influencing factors of sarcopenia among Chinese community-dwelling older adults.PloS one · 2025Article
- Developing a digital health competency assessment framework for public health services: a Delphi-AHP approach.Frontiers in public health · 2025Article
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4 authors.
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Abstract
backgroundEffective self-management behaviors offer a promising pathway to address the health challenges faced by patients with chronic diseases. As a key factor influencing self-management behaviors, multidimensional health literacy has yet to be systematically studied in relation to its impact on patients with chronic diseases across different socioeconomic statuses.
objectiveTo systematically investigate the influence of functional, communicative, critical, and distributed health literacy on self-management behaviors among patients with chronic diseases from different socioeconomic statuses.
methodsA modified multidimensional health literacy and self-management behavior questionnaire was used to assess the health literacy and self-management behaviors of patients with chronic diseases. A total of 590 valid samples were obtained, and participants were divided into high and low socioeconomic status groups based on their socioeconomic background. Correlation analysis and multiple linear regression were conducted to explore the influence of various dimensions of health literacy on self-management behaviors across different socioeconomic statuses.
resultsAfter controlling for confounding variables, the communicative (β = 0.262, P < 0.01) and distributed (β = 0.343, P < 0.01) health literacy dimensions showed a significant positive impact on self-management behaviors in the low socioeconomic status group. In the high socioeconomic status group, critical (β = 0.253, P < 0.05) and distributed (β = 0.267, P < 0.01) health literacy demonstrated a significant positive effect on self-management behaviors. No significant impact was observed for functional health literacy in either group.
conclusionsThe study comprehensively reveals the distinct effects of different dimensions of health literacy on self-management behaviors among patients with chronic diseases from varying socioeconomic statuses. These findings provide a theoretical basis for developing strategies aimed at improving self-management behaviors through health literacy enhancement, particularly tailored to patients from different socioeconomic backgrounds.
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