功能、沟通、批判性和分布式健康素养对不同社会经济群体慢性病患者自我管理行为的影响。
Impact of functional, communicative, critical and distributed health literacy on self-management behaviors in chronic disease patients across socioeconomic groups.
作者信息
Chen Shichen, Bai Qin, Zhu Jinghui, Liu Guilin
机构信息
School of Medical Humanities and Management, Wenzhou Medical University, Wenzhou, Zhejiang, China.
出版信息
BMC Public Health. 2025 May 14;25(1):1776. doi: 10.1186/s12889-025-23003-9.
BACKGROUND
Effective 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.
OBJECTIVE
To 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.
METHODS
A 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.
RESULTS
After 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.
CONCLUSIONS
The 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.
背景
有效的自我管理行为为应对慢性病患者所面临的健康挑战提供了一条有前景的途径。作为影响自我管理行为的关键因素，多维健康素养在不同社会经济地位的慢性病患者中，其对自我管理行为的影响尚未得到系统研究。
目的
系统调查功能、沟通、批判性和分布式健康素养对不同社会经济地位的慢性病患者自我管理行为的影响。
方法
采用改良的多维健康素养和自我管理行为问卷来评估慢性病患者的健康素养和自我管理行为。共获得590个有效样本，并根据社会经济背景将参与者分为高社会经济地位组和低社会经济地位组。进行相关性分析和多元线性回归，以探讨健康素养各维度对不同社会经济地位患者自我管理行为的影响。
结果
在控制混杂变量后，沟通（β = 0.262，P < 0.01）和分布式（β = 0.343，P < 0.01）健康素养维度对低社会经济地位组的自我管理行为有显著正向影响。在高社会经济地位组中，批判性（β = 0.253，P < 0.05）和分布式（β = 0.267，P < 0.01）健康素养对自我管理行为有显著正向影响。两组中功能健康素养均未观察到显著影响。
结论
该研究全面揭示了不同维度的健康素养对不同社会经济地位的慢性病患者自我管理行为的不同影响。这些发现为制定旨在通过提高健康素养来改善自我管理行为的策略提供了理论依据，特别是针对不同社会经济背景的患者量身定制。
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