Osborn Chandra Y, Paasche-Orlow Michael K, Bailey Stacy Cooper, Wolf Michael S
Vanderbilt University Medical Center, Department of Medicine, Nashville, TN 37232-8300, USA.
Am J Health Behav. 2011 Jan-Feb;35(1):118-28. doi: 10.5993/ajhb.35.1.11.
To examine the mechanisms linking health literacy to physical activity and self-reported health.
From 2005-2007, patients (N = 330) with hypertension were recruited from safety net clinics. Pathanalytic models tested the pathways linking health literacy to physical activity and self-reported health.
There were significant paths from health literacy to knowledge (r = 0.22, P < 0.001), knowledge to self-efficacy (r = 0.13, P < 0.01), self-efficacy to physical activity (r = 0.17, P < 0.01), and physical activity to health status (r = 0.17, P < 0.01).
Health education interventions should be literacy sensitive and aim to enhance patient health knowledge and self-efficacy to promote self-care behavior and desirable health outcomes.
探讨健康素养与体育活动及自我报告健康状况之间的关联机制。
2005年至2007年，从安全网诊所招募了330名高血压患者。路径分析模型测试了健康素养与体育活动及自我报告健康状况之间的路径。
从健康素养到知识有显著路径（r = 0.22，P < 0.001），从知识到自我效能感有显著路径（r = 0.13，P < 0.01），从自我效能感至体育活动有显著路径（r = 0.17，P < 0.01），从体育活动到健康状况有显著路径（r = 0.17，P < 0.01）。
健康教育干预应注重素养，并旨在提高患者的健康知识和自我效能感，以促进自我护理行为和理想的健康结果。
