ArticleFrontiers in public health2026
Health literacy and recurrence risk perception among stroke patients: insights from a cognitive resource perspective.
Article 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
Objective: To examine the association between health literacy and recurrence risk perception among stroke patients and to explore the relationships of social support and coping styles with recurrence risk perception. Methods: A cross-sectional study was conducted among 200 young and middle-aged stroke patients recruited from three tertiary hospitals in Chengdu, China, between December 2025 and April 2026. Data were collected using the Health Literacy Scale for Stroke Patients (HLSSP), Stroke Recurrence Risk Perception Scale, Social Support Rating Scale (SSRS), and Medical Coping Modes Questionnaire (MCMQ). Pearson correlation, multiple linear regression, and mediation analysis using the PROCESS macro (Model 4) were performed. Results: Health literacy was positively correlated with recurrence risk perception (r = 0.397, Conclusion: Health literacy and social support are key determinants of recurrence risk perception among stroke patients. The findings are consistent with a cognitive resource perspective and suggest that health literacy and social support may be associated with recurrence risk perception among stroke patients. Further longitudinal studies are needed to clarify the underlying mechanisms. Coping styles did not mediate this relationship. These results highlight the importance of integrating health literacy and social support interventions into community-based stroke management to promote appropriate risk perception and secondary prevention.
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