1. Pathways of Media Contact to Health Literacy in Middle-Aged and Older People: The Chain Mediation Effect of Perceived Social Support and Self-Efficacy
- Author
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Jiang,Mao-Min, Xiao,Ye-Wei, Liao,Zhi-Liu, Jiang,Mao-Min, Xiao,Ye-Wei, and Liao,Zhi-Liu
- Abstract
Mao-Min Jiang,1,* Ye-Wei Xiao,2,* Zhi-Liu Liao3â 5 1School of Public Affairs, Xiamen University, Xiamen, 361005, Peopleâs Republic of China; 2School of Basic Medical Science, Southwest Medical University, Luzhou, 646000, Peopleâs Republic of China; 3School of Public Health, Chongqing Medical University, Chongqing, 400016, Peopleâs Republic of China; 4Research Center for Medicine and Social Development, Chongqing Medical University, Chongqing, 400016, Peopleâs Republic of China; 5Research Center for Public Health Security, Chongqing Medical University, Chongqing, 400016, Peopleâs Republic of China*These authors contributed equally to this workCorrespondence: Zhi-Liu Liao, Email liaozhiliu@cqmu.edu.cnObjective: To understand the status of media exposure, social support, self-efficacy, and health literacy among middle-aged and older adults in China, and explore the impact path of media exposure on the health literacy of this population, providing a reference for promoting their physical and mental health.Methods: From July to November 2022, a multi-stage random sampling method was employed to survey 16,938 Chinese middle-aged and older adults aged 46 and above. Structural equation modeling and statistical analysis were conducted using LISREL 8.8 and Mplus 8.3 software.Results: The average score for media exposure among Chinese middle-aged and older adults was (18.55± 5.36), perceived social support was (60.68± 12.51), self-efficacy was (28.76± 5.40), and health literacy was (35.49± 6.05). Statistical results revealed that media exposure has a positive impact on the health literacy of middle-aged and older adults, with a direct effect of 0.091 (p < 0.001). Mediation analysis showed that media exposure can affect the health literacy of this population through the independent mediating effects of perceived social support (β = 0.013, p < 0.001) and self-efficacy (β = 0.029, p < 0.001), as well as through a chain mediation
- Published
- 2024