Observational studyFrontiers in public health2026
Health literacy correlates, barriers, and adherence in post-prostatectomy sexual rehabilitation: cross-sectional findings from China.
Observational study in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Sexual dysfunction following radical prostatectomy remains a persistent challenge affecting patient quality of life. Health literacy may influence engagement with multimodal rehabilitation strategies, yet its role in sexual health recovery practices remains poorly understood, particularly in non-Western populations. Methods: This single-center cross-sectional Knowledge-Attitudes-Practices survey was conducted at a tertiary urology center in China from March 2023 through June 2025. We enrolled 1,615 men following radical prostatectomy and collected partner-reported items where available, stratifying participants by health literacy tertiles, using the validated HLS19-Q12 instrument. Primary outcomes included knowledge scores, treatment utilization (PDE5 inhibitors, vacuum devices, injection therapy, pelvic floor training), multimodal engagement, and adherence rates. Statistical analyses employed hierarchical logistic regression, mediation analysis, and latent class modeling. Results: Among 1,615 men (low Conclusion: Health literacy is a fundamental, modifiable correlation of post-prostatectomy sexual recovery, demonstrating statistical associations consistent with knowledge to practice mediation pathways. Cross-sectional findings reveal substantial literacy-stratified disparities in treatment utilization and adherence, warranting prospective trials of routine health literacy assessment and tiered intervention strategies to reduce inequities and improve sexual health outcomes.
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