original research article
front. psychiatry
sec public mental health
Volume 15 – 2024 | doi: 10.3389/fpsyt.2024.1487274
This article is part of the research topic ‘The intersection of psychology, healthy behaviors, and their outcomes’ View all 27 articles
provisional consent
1 Faculty of Physical Education, Xinjiang Yili Normal University, China 2 Southwest University, Chongqing, China 3 Faculty of Physical Education, Sichuan Agricultural University, Ya’an, China
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Background: Adopting a health-promoting lifestyle (HPL) is important to improve overall well-being and reduce the risk of chronic disease. The relationship between health literacy (HL) and HPL in Chinese community populations is complex, and potential mediating factors are still not fully understood. Family health and physical activity (PA) may play an important role in this relationship. This study aims to build a chain mediation model to investigate whether family health and PA mediate the effects of HL on HPL among Chinese community residents. Using convenience sampling method, 1,072 Chinese community residents were selected for the cross-sectional study. All participants had demographic information as well as data from the Health Literacy Scale Short Form (HLS-SF12), Family Health Scale Short Form (FHS-SF), and Physical Activity Rating Scale (PARS-). completed the collected self-report questionnaire. 3), and the Health Promoting Lifestyle Profile II Revised Edition (HPLP-II R). Data were analyzed using SPSS 26.0 and mediation analysis was performed using the SPSS PROCESS macro. There were significant pairwise correlations between HL, family health status, PA, and HPL (p < 0.01). HL was directly related to HPL (effect = 0.442; SE = 0.025; 95% CI: 0.392, 0.491). Additionally, three indirect pathways were identified. Family health independently mediated 6.02% of the effect (effect = 0.032; SE = 0.010; 95% CI: 0.013, 0.051), and PA also independently mediated 9.02% of the effect (effect = 0.048; SE = 0.010; 95% CI: 0.030, 0.068), and the combination of linkage mediation through both family health and PA accounted for 1.88% of the effect (effect = 0.010; SE = 0.003; 95% CI: 0.005, 0.017). It not only directly influences the promotion of HPL, but also indirectly through the mediating role of family health and PA. These insights elucidate the mechanisms by which HL influences HPL and provide valuable theoretical guidance for the development and implementation of effective strategies to promote healthy lifestyle practices.
Keywords: health literacy, healthy lifestyle, physical activity, family health, health-promoting lifestyle
Received date: August 27, 2024. Received date: October 17, 2024.
Copyright: © 2024 Ma, Huang, Tian, Liu, Yu, Li, Guo. This is an open access article distributed under the terms of the Creative Commons Attribution License (CC BY). Use, distribution, or reproduction in other forums is permitted in accordance with accepted scholarly practice, provided the original author or licensor is credited and the original work in this journal is cited. Any use, distribution, or reproduction other than in accordance with these terms is not permitted.
* Person in charge: Li-ya Guo, Faculty of Physical Education, Yili Normal University, Xinjiang Uyghur Autonomous Region, China
Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of the authors’ affiliated organizations or of the publisher, editors, or reviewers. The products reviewed in this article or any manufacturer claims are not endorsed or approved by the publisher.
