Nam Hye Jin, Yoon Ju Young
College of Nursing, Seoul National University, Seoul, 03080, South Korea.
Research Institute of Nursing Science, Seoul National University, Seoul, 03080, South Korea.
Qual Life Res. 2025 May;34(5):1333-1344. doi: 10.1007/s11136-025-03904-3. Epub 2025 Jan 28.
Health literacy is a key aspect of healthy living and is widely recognized as a crucial determinant of health outcomes and disparities. Health literacy enables individuals to make informed decisions by accessing, understanding, and utilizing health-related information effectively. Access to and use of health information are essential for optimal health outcomes. This study explores whether different health information sources, such as active, interpersonal, and passive sources, moderate the relationship between health literacy and health-related quality of life (HRQoL).
This study analyzed data from the 2021 Korea Health Panel (Version 2.1) including 4164 eligible samples. Health literacy was assessed using the Korean version of the European Health Literacy Survey Questionnaire. Complex sample analysis was used to compute descriptive statistics of the study variables. To determine the moderating effects of health information sources, this study used Hayes's PROCESS macro (Model 1).
Among the weighted sample of 16,351,227 participants, 76.1% used active sources to obtain health information, whereas 13.5% and 10.5%, respectively, used interpersonal and passive sources. Regression analysis showed that the moderating effects of health information sources were positively significant. The associations between health literacy and HRQoL were stronger in the interpersonal source group compared to the active or passive source groups.
This study highlights the moderating role of interpersonal health information sources in enhancing the relationship between health literacy and health-related quality of life. Interventions targeting interpersonal communication channels may be effective in improving health outcomes, particularly among populations with limited health literacy.
健康素养是健康生活的关键方面,被广泛认为是健康结果和差异的关键决定因素。健康素养使个人能够通过有效获取、理解和利用与健康相关的信息做出明智的决策。获取和使用健康信息对于实现最佳健康结果至关重要。本研究探讨不同的健康信息来源,如主动、人际和被动来源,是否会调节健康素养与健康相关生活质量(HRQoL)之间的关系。
本研究分析了2021年韩国健康面板(2.1版)的数据,包括4164个符合条件的样本。使用欧洲健康素养调查问卷的韩语版本评估健康素养。采用复杂样本分析来计算研究变量的描述性统计数据。为了确定健康信息来源的调节作用,本研究使用了海斯的PROCESS宏(模型1)。
在16351227名参与者的加权样本中,76.1%的人使用主动来源获取健康信息,而分别有13.5%和10.5%的人使用人际和被动来源。回归分析表明,健康信息来源的调节作用具有显著的正向影响。与主动或被动来源组相比,人际来源组中健康素养与HRQoL之间的关联更强。
本研究强调了人际健康信息来源在增强健康素养与健康相关生活质量之间关系方面的调节作用。针对人际沟通渠道的干预措施可能对改善健康结果有效,特别是在健康素养有限的人群中。