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Health literacy, self-care agency, health status and social support among elderly Chinese nursing home residents
Author(s)Yong-bing Liu, Ling-ling Xue, Hui-ping Xue, Ping Hou
Journal titleHealth Education Journal, vol 77, no 3, April 2018
PublisherSage, April 2018
Pagespp 303-311
Sourcehttp://www.journals.sagepub.com/home/hej
KeywordsResidents [care homes] ; Nursing homes ; Preventative medicine ; Self care capacity ; Health [elderly] ; Quantitative studies ; China.
AnnotationImproving health literacy may enable older adults to more appropriately use self-care agency and social support as part of health promotion. This study evaluated the relationship between health literacy, self-care agency, social support and health status among older Chinese nursing home residents in four cities in Xinjiang. The study was conducted from September 2011 to June 2012 in 44 nursing homes. Participants were selected using a stratified cluster random sampling design: 1,452 people aged 60-99 met inclusion criteria. Data were collected using the Chinese Citizen Health Literacy Questionnaire, the Exercise of Self-Care Agency Scale, the Social Support Rating Scale, the Short Form 36 Health Survey Questionnaire (SF36) and the Activities of Daily Living Scale. Subsequently, 1,452 questionnaires were distributed with a response rate of 96.14% (1,396 of 1,452). Path analysis with structural equation modelling was used to test a hypothesised model linking health literacy to self-care agency, social support and health status. The optimal fitted model indicated that pathways linking health literacy to health status consisted of one direct path (path coefficient = .074) and three indirect paths (path coefficient = .194), with a total path coefficient of health literacy to health status being .268. The outcomes suggest that to enhance the effects of health promotion interventions, health professionals should aim at raising the health literacy levels of older people in China. (RH).
Accession NumberCPA-180420202 A
ClassmarkKX: LHB: LK2: CA: CC: 3DQ: 7DC

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