摘要
目的探索心血管疾病(Cardio Vascular Diseases,CVDs)患者的健康信息素养现状,以及个人社会资本在CVDs患者社会经济地位与健康信息素养间的中介效应,为提出改进CVDs患者健康信息素养的策略提供理论参考。方法采用一般资料调查表、16条目个人社会资本量表、29条目健康信息素养自评量表,对上海市、黑龙江省部分社区卫生服务中心的CVDs患者进行调查。采用结构方程模型分析中介效应,采用Bootstrap检验中介效应。结果CVDs患者健康信息素养得分为(16.40±3.77)分,社会经济地位得分为(5.68±1.25)分,个人社会资本得分为(20.90±6.32)分。Pearson相关分析结果显示,CVDs患者健康信息素养与社会经济地位(r=0.357)、个人社会资本(r=0.211)均呈正相关,社会经济地位与个人社会资本(r=0.152)也呈正相关(P<0.05)。结构方程模型结果显示,社会经济地位、个人社会资本均可直接影响CVDs患者的健康信息素养。Bootstrap检验结果显示,个人社会资本在社会经济地位和健康信息素养间起部分中介作用,中介效应值为0.011(95%CI:0.005~0.018)。结论CVDs患者健康信息素养水平有待提高,个人社会资本在社会经济地位和健康信息素养间起部分中介作用。因此,未来相关部门应根据CVDs患者个体社会经济状况的差异针对性制定干预策略,并重视个人社会资本的调动与强化作用,以提升CVDs患者的健康信息素养水平。
Objective To explore the current status of health information literacy among patients with cardiovascu-lar diseases(CVDs),and to analyze the mediating effect of personal social capital between socioeconomic status and health information literacy in CVDs patients for establishing a theoretical foundation on targeted strategies to enhance their health in-formation literacy.Methods General information questionnaire,16-item personal social capital scale and 29-item health information literacy self-rating scale were used to investigate CVDs patients in some community health service centers in Shanghai and Heilongjiang Province.Structural equation modeling was employed to analyze the mediating effect,and Boot-strap method was used to validate the mediating effect.Results The mean scores of CVDs patients were(16.40±3.77)points for health information literacy,(5.68±1.25)points for socioeconomic status,and(20.90±6.32)points for per-sonal social capital.Pearson correlation analysis revealed significant positive correlations between health information literacy and socioeconomic status(r=0.357,P<0.05),health information literacy and personal social capital(r=0.211,P<0.05),and socioeconomic status and personal social capital(r=0.152,P<0.05).Structural equation modeling demon-strated that both socioeconomic status and personal social capital directly influenced health information literacy.The Bootstrap test confirmed that personal social capital partially mediated the relationship between socioeconomic status and health infor-mation literacy,with a mediation effect value of 0.011(95%CI:0.005-0.018).Conclusion The findings indicate that the health information literacy level among CVDs patients requires improvement.Personal social capital serves as a partial mediator between socioeconomic status and health information literacy.Therefore,relevant departments should formulate tar-geted intervention strategies according to the differences in individual socioeconomic status of CVDs patients,and pay atten-tion to the mobilization and strengthening of personal social capital,so as to improve the health information literacy level of CVDs patients in the future.
作者
赵姿烨
李泽慧
刘玮
武龙佳
吴思琪
李豪洁
孙佳玥
徐天宇
尹慧
ZHAO Zi-ye;LI Ze-hui;LIU Wei;WU Long-jia;WU Si-qi;LI Hao-jie;SUN Jia-yue;XU Tian-yu;YIN Hui(School of Health Administration,Harbin Medical University,Harbin 150081,China)
出处
《中国健康教育》
北大核心
2025年第7期585-589,共5页
Chinese Journal of Health Education
基金
数字化背景下老年人“健康知沟”生成机制及弥合策略研究(72374057)
老年心血管病患者健康信息传播特征分析及对策研究(ZKKF2022092)。
关键词
心血管疾病
健康信息素养
个人社会资本
结构方程模型
Cardiovascular disease
Health information literacy
Personal social capital
Structural equation modeling
