Objective:We assessed the risk for physical inactivity due to inadequate health literacy using multivariable analysis in a large middleaged population.Methods:This cross-sectional mail survey using a self-administered...Objective:We assessed the risk for physical inactivity due to inadequate health literacy using multivariable analysis in a large middleaged population.Methods:This cross-sectional mail survey using a self-administered questionnaire was conducted in 2020 and included 33,902 community residents aged 40-64 years from 5 cities in Osaka Prefecture,Japan.Of these,12,446(36.7%)agreed to participate in the survey.After exclusion of those with regular visits to medical institutions and those with missing data,the analysis included 3742 participants.Health literacy was measured by the communicative and critical health literacy(CCHL)scale,and participants were classified into 3 groups(low,medium,and high health literacy groups)by the tertiles of the CCHL scale score.Physical inactivity was defined as not completing at least 150 min of moderate-intensity physical activity throughout the week.Results:After adjustment for age,gender,education level,occupation,economic status,living alone,and stages of health behavior change,the multivariable-adjusted odds ratios(ORs)for physical inactivity were 1.36(95% confidence interval[CI]:1.16-1.59,P<0.001)in the medium health literacy group and 1.70(95%CI:1.36-2.11,P<0.001)in the low health literacy group compared with the high health literacy group.Conclusions:This large-scale study provides compelling evidence that those with inadequate health literacy are at higher risk for physical inactivity among middle-aged adults.展开更多
Background:Intrinsic capacity reflects the overall health status of older adults and decline in intrinsic abilities can lead to adverse health outcomes.However,empirical studies examining the association between digit...Background:Intrinsic capacity reflects the overall health status of older adults and decline in intrinsic abilities can lead to adverse health outcomes.However,empirical studies examining the association between digital health literacy,health-promoting lifestyles and intrinsic capacity are scarce.Methods:A cross-sectional study was conducted.Using convenience sampling method,371 older adults were recruited from communities.Multidimensional intrinsic capacity,digital health literacy,health promoting lifestyle and sociodemographic information were measured.Results:The intrinsic capacity of older adults scored 3.75±1.10.The prevalences of declined cognitive capacity,psychological capacity,sensory capacity,vitality,and locomotor capacity were 13.7%,24.3%,19.1%,14.8%,53.1%,respectively.The multiple regression analysis revealed that age(β=−0.253),only living with children and/or grandchildren(β=0.249),current working status(β=−0.132),number of chronic diseases(β=−0.149),frequency of Internet usage(β=0.193),the domain of ability to acquire and evaluate digital health information(β=0.197)in digital health literacy,and the domain of nutrition(β=0.171)in health-promoting lifestyle were the significant factors influencing intrinsic capacity,explaining 27.1%of the variance.Conclusion:Digital health literacy and health-promoting lifestyle have a significant impact on intrinsic capacity.Enhancing digital health literacy and advocating a health-promoting lifestyle are critical to promoting intrinsic capacity for community-dwelling older adults.展开更多
BACKGROUND Timely and accurate evaluation of mental disorders in adolescents using appropriate mental health literacy assessment tools is essential for improving their mental health literacy levels.AIM To develop an e...BACKGROUND Timely and accurate evaluation of mental disorders in adolescents using appropriate mental health literacy assessment tools is essential for improving their mental health literacy levels.AIM To develop an evaluation index system for the mental health literacy of adolescent patients with mental disorders,providing a scientific,comprehensive,and reliable tool for the monitoring and intervention of mental health literacy of such patients.METHODS From December 2022 to June 2023,the evaluation index system for mental health literacy of adolescents with mental disorders was developed through literature reviews,semi-structured interviews,expert letter consultations,and the analytic hierarchy process.Based on this index system,a self-assessment questionnaire was compiled and administered to 305 adolescents with mental disorders to test the reliability and validity of the index system.RESULTS The final evaluation index system for mental health literacy of adolescents with mental disorders included 4 first-level indicators,10 second-level indicators,and 52 third-level indicators.The overall Cronbach’sαcoefficient of the index system was 0.957,with a partial reliability of 0.826 and a content validity index of 0.975.The cumulative variance contribution rate of 10 common factors was 66.491%.The correlation coefficients between each dimension and the total questionnaire ranged from 0.672 to 0.724,while the correlation coefficients in each dimension ranged from 0.389 to 0.705.CONCLUSION The evaluation index system for mental health literacy of adolescents with mental disorders,developed in this study,demonstrated notable reliability and validity,making it a valuable tool for evaluating mental health literacy in this population.展开更多
Healthy behavior has long been linked to mental health outcomes.However,the role of artificial intelligence(AI)literacy in shaping healthy behaviors and its potential impact on mental health remains underexplored.This...Healthy behavior has long been linked to mental health outcomes.However,the role of artificial intelligence(AI)literacy in shaping healthy behaviors and its potential impact on mental health remains underexplored.This paper presents a scoping review offering a novel perspective on the intersection of healthy behaviors,mental health,and AI literacy.By examining how individuals’understanding of AI influences their choices regarding nutrition and their susceptibility to mental health issues,the current study explores emerging trends in health behavior decision-making.This emphasizes the need for integrating AI literacy into mental health and health behaviors education,as well as the development of AI-driven tools to support healthier behavior choices.It highlights that individuals with low AI literacy may misinterpret or overly depend on AI guidance,resulting in maladaptive health choices,while those with high AI literacy may be more likely to engage reflectively and sustain positive behaviors.The paper outlines the importance of inclusive education,user-centered design,and community-based support systems to enhance AI literacy for digitally marginalized groups.AI literacy may be positioned as a key determinant of health equity,better allowing for interdisciplinary strategies that empower individuals to make informed,autonomous decisions that promote both physical and mental health.展开更多
In the era of intelligent media,the interaction between teachers and students in higher education is undergoing a profound transformation.The model has shifted from one-way transmission to multi-agent,two-way collabor...In the era of intelligent media,the interaction between teachers and students in higher education is undergoing a profound transformation.The model has shifted from one-way transmission to multi-agent,two-way collaboration involving“teacher-student-AI(artificial intelligence)”.Interaction depth moves from surface Q&A to deep thought engagement,supported by instant,precise feedback and a blended virtual-physical space.New forms such as data-driven personalized interaction and immersive collaborative learning have emerged.However,this evolution brings significant challenges:over-reliance on technology may weaken cognitive autonomy;virtual interaction risks emotional detachment and trust erosion;ethical concerns like algorithmic bias and data privacy arise;teachers’roles become blurred;and evaluation systems lag behind technological advances.Future pathways should position AI as a supportive tool while upholding human centrality.Strengthening emotional connection through online-offline blending,reforming assessment to value process and growth,and empowering teachers as digitally literate“learning guides”and“emotional connectors”are key to building a healthy,sustainable interactive ecosystem.展开更多
Background:Maternal mental health literacy is a cognitive resource that may support preschoolers’emotional development,yet its influence on emotional regulation and the related mechanisms remains unclear.This study e...Background:Maternal mental health literacy is a cognitive resource that may support preschoolers’emotional development,yet its influence on emotional regulation and the related mechanisms remains unclear.This study examined whether maternal depressive mood and democratic parenting form a chain pathway linking maternal mental health literacy to preschoolers’emotional regulation ability.Methods:Mothers of 544 preschoolers in China’s Mainland completed an online questionnaire that assessed maternal mental health literacy,depressive mood,democratic parenting,and child emotional regulation.Structural path analysis was conducted with child age and gender controlled.Indirect effects were tested using 5000 bootstrap samples.Results:Maternal mental health literacy did not directly predict preschoolers’emotional regulation.Three indirect effects were significant.The pathway through depressive mood had an effect of 0.005,the pathway through democratic parenting had an effect of 0.004,and the chain pathway through depressive mood and democratic parenting had an effect of 0.002.All confidence intervals excluded 0.Conclusion:Maternal mental health literacy influences preschoolers’emotional regulation only through maternal depressive mood and democratic parenting,indicating that cognitive resources affect child emotional outcomes through emotional and behavioral processes rather than a direct pathway.展开更多
At present, enhancing the digital literacy of village cadres faces practical constraints such as governance capability gaps induced by the second-level digital divide, the absence of a systematic cultivation system, i...At present, enhancing the digital literacy of village cadres faces practical constraints such as governance capability gaps induced by the second-level digital divide, the absence of a systematic cultivation system, incomplete last-kilometer implementation for translating skills into practice, and inadequate incentive mechanisms. As a novel educational form deeply integrating digital information technology with teaching and learning, distance open education provides multi-directional empowerment for enhancing village cadres digital literacy. This is achieved through open learning methods, the application of modern digital technologies, tailored learning programs, and the establishment of "overpass bridges" for translating learning outcomes into practice. Based on this, it is essential to further streamline the pathways for educating and cultivating village cadres, vigorously promote the digitalization of teaching, practice, and support services, develop systematic and localized digital education resources, and actively explore and establish a complementary credit bank system for their digital literacy cultivation.展开更多
Stroke,as an acute cerebrovascular disease,is characterized by high incidence,high mortality,and high disability rate,thus attracting great attention from the medical community.Medication literacy,on the other hand,is...Stroke,as an acute cerebrovascular disease,is characterized by high incidence,high mortality,and high disability rate,thus attracting great attention from the medical community.Medication literacy,on the other hand,is an active,comprehensive,and sustainable concept of health management,which includes the learning of health knowledge and the guidelines for healthy behaviors,and directly affects the treatment effect and health safety of patients.This paper conducts an in-depth study on the current research status of medication literacy in stroke patients,analyzes its influencing factors,and explores specific intervention strategies from multiple perspectives,aiming to provide a theoretical reference for improving patients’medication management ability and optimizing clinical prognosis.展开更多
BACKGROUND Frailty has become a significant public health issue.The recent increase in the number of frail older adults has led to increased attention being paid to psycho-logical care services in communities.The soci...BACKGROUND Frailty has become a significant public health issue.The recent increase in the number of frail older adults has led to increased attention being paid to psycho-logical care services in communities.The social isolation of pre-frail older adults can impact their psychological distress.AIM To explore the mediating effect of health literacy between social isolation and psychological distress among communitydwelling older adults with pre-frailty.METHODS This descriptive cross-sectional study was conducted with 254 pre-frail older individuals aged 60 years and over.Social isolation,health literacy,and psycholo-gical distress were comprehensively measured using the Lubben Social Network Scale-6,12-item Short-Form Health Literacy Questionnaire,and the Kessler Psy-chological Distress Scale-10.Data were evaluated using the SPSS 27.0 package program and the PROCESS macro tool.Descriptive statistical analyses,correlation analyses,and bootstrap mediation tests were used to assess associations between the variables.RESULTS The results showed that social isolation had an effect on health literacy among pre-frail older adults(β=0.240,P<0.001),social isolation impact on psycho-logical distress pre-frail older adults(β=-0.415,P<0.001);health literacy was identified effect on psychological distress among pre-frail older persons(β=-0.307,P<0.001).Health literacy partially mediated the relationship between social isolation and psychological distress among community-dwelling older adults with pre-frailty,with a mediation effect of-0.074,accounting for 17.83%of the total effect.展开更多
Food Science and Human Wellness (FSHW ISSN:2213-4530,CN 10-1750/TS) publishes original research papers demonstrating the latest advancement of multidisciplinary subjects related to food science and human health.Topics...Food Science and Human Wellness (FSHW ISSN:2213-4530,CN 10-1750/TS) publishes original research papers demonstrating the latest advancement of multidisciplinary subjects related to food science and human health.Topics may include but not limited to:nutriology,bio-chemistry,microbiology,immunology and toxicology.展开更多
Background:Oral health issues persistently affect the overall health and well-being of rural populations.Village health volunteers(VHVs)play a crucial role in advancing oral health literacy in their community.This stu...Background:Oral health issues persistently affect the overall health and well-being of rural populations.Village health volunteers(VHVs)play a crucial role in advancing oral health literacy in their community.This study aimed to examine the factors related to nutritional literacy for oral health among VHVs.Methods:This was a mixed-methods study employing an explanatory sequential design.The quantitative data were gathered through questionnaires distributed to a cohort of 10,514 VHVs registered in Health Region 1.A stratified random sampling technique was used to ensure adequate representation of various subgroups within the VHV population,considering factors such as age,education level,and geographical distribution across the region.This approach allowed for a more representative sample that accurately reflects the diversity of the VHV population.Qualitative data were obtained through semi-structured interviews with a purposive sampling of 20 participants based on specific criteria.Quantitative data were analyzed using descriptive statistics and biserial correlation techniques,while qualitative data were analyzed using content analysis.Results:The study found that the sample group possessed a moderate level of knowledge of health literacy principles and nutrition for oral health.However,their self-assessed skills in nutritional literacy for oral health were rated as high.A statistically significant negative correlation was found between knowledge of nutrition for oral health and skills in nutritional literacy for oral health.VHVs equated health literacy with knowledge because their public health training had focused more on imparting knowledge rather than developing skills based on health literacy principles.Conclusion:There is a need to emphasize skill-based health literacy training and to use effective skill development techniques that are tailored to the specific roles and responsibilities of health volunteers.It is also recommended to continuously monitor and evaluate the outcomes of these efforts.展开更多
Addiction literacy equips older adults with the knowledge to navigate substance use risks amid unique challenges like polypharmacy and social isolation.With rising trends in cannabis use among this group,targeted educ...Addiction literacy equips older adults with the knowledge to navigate substance use risks amid unique challenges like polypharmacy and social isolation.With rising trends in cannabis use among this group,targeted education can promote safe practices and reduce preventable harms.By fostering open conversations and integrating addiction literacy into healthcare,providers can support informed decision-making.展开更多
The pervasive diffusion of Artificial Intelligence(AI)technologies is reshaping how individuals,institutions,and societies access,process,and govern information.While AI promises increased efficiency and personalizati...The pervasive diffusion of Artificial Intelligence(AI)technologies is reshaping how individuals,institutions,and societies access,process,and govern information.While AI promises increased efficiency and personalization across sectors-education,healthcare,work,and public administration-it also introduces new social inequalities linked to unequal capacities to understand,use,and critically engage with these systems.This article explores the sociological implications of digital literacy as a foundational competence for developing AI literacy.Drawing on a multidisciplinary framework,the paper examines how digital literacy,understood in its epistemic,ethical,and political dimensions,enables critical agency in algorithmically mediated environments.Through a structured analysis of current literature and policy perspectives,the article highlights the need for inclusive,situated,and interdisciplinary educational strategies that empower citizens to participate in AI-related decision-making processes.It concludes by proposing a reconceptualization of digital literacy as a civic infrastructure for algorithmic citizenship,grounded in equity,democratic engagement,and technological accountability.展开更多
BACKGROUND Given their responsibility for the well-being of individuals,nurses with advanced mental health literacy,along with strong holistic nursing competencies and professional self-efficacy,are better equipped to...BACKGROUND Given their responsibility for the well-being of individuals,nurses with advanced mental health literacy,along with strong holistic nursing competencies and professional self-efficacy,are better equipped to assess both the mental and physical health of their patients,leading to the provision of holistic nursing care.AIM To investigate the relationship between nurses’mental health literacy levels and their holistic nursing competencies,as well as their nursing professional selfefficacy.METHODS This study is cross-sectional,correlational research.The study sample consisted of a total of 261 volunteer nurses working in a training and research hospital and a state hospital between March 11,2024 and April 8,2024.Data were collected face to face with the“Descriptive Data Form”,“Mental Health Literacy Scale(MHLS)”,“Holistic Nursing Competence Scale(HNCS)”,and the“Nursing Profession Self-Efficacy Scale(NPSES)”.RESULTS The mean scale scores for the nurses were as follows:MHLS:95.88±11.67;HNCS:179.46±33.82;NPSES:64.79±11.24.A low-level positive correlation was found between the total scores of the MHLS,HNCS,and NPSES,and a moderate-level positive correlation was observed between the total scores of the HNCS and NPSES.These correlations were statistically significant(P<0.05).CONCLUSION It is recommended that initiatives be undertaken to enhance the mental health literacy and holistic nursing competencies of nurses and that similar studies be conducted with nurses in different institutions and with a larger number of nurses.展开更多
Cancer patients in China navigate a complex and uneven insurance landscape,making plan choice critical for equitable financial protection.This study conducts a structured narrative review(2010-2025)of the Web of Scien...Cancer patients in China navigate a complex and uneven insurance landscape,making plan choice critical for equitable financial protection.This study conducts a structured narrative review(2010-2025)of the Web of Science,PubMed,CNKI,and Wanfang databases,focusing on empirical research on insurance plan choice,enrollment,or switching among cancer patients and their households in China.Two reviewers independently screened studies and extracted information on key determinants and identification strategies.The evidence converges on five main determinants:insurance literacy,health knowledge,prior coverage,financial capability,and policy promotion intensity(PPI).However,most studies are cross-sectional and descriptive,with inconsistent operationalization of determinants,weak or absent mediation tests for PPI,and limited coverage of rural,elderly,and low-literacy populations.Building on these gaps,we synthesize an evidence map,propose an operational PPI index,and highlight quasi-experimental opportunities(such as staggered NRDL updates and variation in local publicity efforts)to identify mechanisms and inform more inclusive,patient-centered insurance design in China.展开更多
BACKGROUND Organ donation and transplantation are vital for saving lives,yet awareness remains limited.Health literacy,the ability to understand and use health information,and self-control,which influences decision-ma...BACKGROUND Organ donation and transplantation are vital for saving lives,yet awareness remains limited.Health literacy,the ability to understand and use health information,and self-control,which influences decision-making,are crucial factors in promoting awareness.Understanding their relationship can guide efforts to increase participation in organ donation.AIM To investigate the effect of health literacy on organ donation and transplantation awareness,with self-control acting as a mediator,and to emphasize its importance.METHODS The study comprised 345 adults recruited from five different cities in Türkiye.The sample included 208 women(60.29%)and 137 men(39.71%).The age range of the sample group varies between 18 and 49(median age=24.13;SD=8.81).Selfreport data were collected including psychometric measures assessing organ donation and transplantation awareness,health literacy,and self-control.Reliability analysis,descriptive statistics,correlational analysis,and mediational analysis of the data were carried.RESULTS The analysis showed that health literacy was positively correlated with organ donation and transplantation awareness(r=0.340)and self-control(r=0.376).Self-control was positively related to organ donation and transplantation awareness(r=0.531).Mediating analysis supported a mediation model where health literacy was found to influence organ donation and transplantation awareness via self-control(bootstrap=0.158,95%confidence interval=0.105-0.215).CONCLUSION The results indicate that self-control mediates the positive relationship between health literacy and organ donation and transplantation awareness.Enhancing individuals’health literacy may therefore increase awareness of organ donation and transplantation through improvements in self-control.展开更多
Objective:To examine the change in COVID-19 booster vaccine hesitancy according to descriptive characteristics,characteristics related to COVID-19,health literacy(HL)skills related to booster dose.Methods:The inclusio...Objective:To examine the change in COVID-19 booster vaccine hesitancy according to descriptive characteristics,characteristics related to COVID-19,health literacy(HL)skills related to booster dose.Methods:The inclusion criterion was the completion of the primary scheme as two doses of COVID-19 vaccine.The study was conducted in January 2022 by applying face-to-face interview technique.Questions regarding HL were used to question the ability of individuals to access,understand,interpret and use information regarding the COVID-19 booster dose in their decisions.Results:A total of 1210 people were included in this study with an mean age of(41.3±16.6)years,and 51.4%were women.In multivariate analysis,hesitation increased in the"moderately concerned"(aOR 2.65,95%CI 1.09-6.45),"slightly concerned"(aOR 3.01,95%CI 1.26-7.19),"not concerned at all”(aOR 5.69,95%CI 2.27-14.28)groups compared to the group“extremely concerned”about COVID-19 transmission.Those with Sinovac-CoronaVac as their most recent vaccine had increased hesitation compared to those with Pfizer-BioNTech(aOR 3.68,95%CI 2.05-6.61).The effect of HL skills including“accessing”,“understanding”,and“appraising”information on hesitation was not statistically significant(P>0.05).HL skill of“applying”was assessed with ability of information to help decision making.Whether the information is helpful for decision-making,the risk of hesitancy increased for those who stated that it"sometimes helps"(aOR 2.55;95%CI 1.31-4.99)and"never helps"(aOR 11.62;95%CI 3.03-44.58)compared to those who stated that it"always helps".Conclusions:The increased propability of hesitation in those less concerned about COVID-19 transmission shows the importance of appropriately guiding individuals'concern levels with a health communication strategy based on risk communication.The fact that the only HL skill with a significant effect in the multivariate model was“applying”,shows the critical role of this skill in influencing behavioral changes.展开更多
This paper aims to investigate the effect of SME’s resources including,financial resources(FRR),financial literacy(FLR),managerial capacities(MCR)and market orientation(MKR)on SME’s sustainable growth(SG)in both fin...This paper aims to investigate the effect of SME’s resources including,financial resources(FRR),financial literacy(FLR),managerial capacities(MCR)and market orientation(MKR)on SME’s sustainable growth(SG)in both financial SG(FSGE)and non-financial SG(NFSGE)terms;and to identify the technological innovation awareness(TIR)mediates the effect of these resources on SGSMEs.Data were collected from 517 SMEs,using survey method and adopted a random sampling technique.Structure Equation Model(SEM)and the Baron,and Kenny(1986)mediation approach,Amos was applied to test hypotheses.The findings revealed the resources contributed 41.9 percent and 32.9 percent of the variance in FSGE and NFSGE,respectively,and confirmed the mediating role of TIR in the relationship between resources and SG.Notably,FRR had an indirect effect on FSGE through TIR,although TIR partially mediated the relationship between FRR and NFSGE,and between FLR and SG,both in FSGE and NFSGE terms.While,TIR fully mediated the relationship between MKR and SG,both in FSGE and NFSGE terms as well.This evidence informs the importance of business resources and competencies.In particular,TIR plays an important role in business operations to enhance and maintain sustainable growth.展开更多
With the continuous deepening of vocational education reform,core literacy,as an important concept of educational reform,has gradually been introduced into English teaching.The cultivation of core literacy requires st...With the continuous deepening of vocational education reform,core literacy,as an important concept of educational reform,has gradually been introduced into English teaching.The cultivation of core literacy requires students not only to master basic language knowledge but also to flexibly use cross-cultural communication skills,innovative thinking,and professional literacy to solve problems in actual work situations.In this context,constructing a vocational English evaluation system based on core literacy has become an urgent need to improve the quality of vocational English teaching and cultivate high-quality applied talents.Therefore,the following will focus on exploring the relevant content of the vocational English evaluation system in order to provide some help.展开更多
基金supported by the Fund for Health Promotion from Osaka Prefecture。
文摘Objective:We assessed the risk for physical inactivity due to inadequate health literacy using multivariable analysis in a large middleaged population.Methods:This cross-sectional mail survey using a self-administered questionnaire was conducted in 2020 and included 33,902 community residents aged 40-64 years from 5 cities in Osaka Prefecture,Japan.Of these,12,446(36.7%)agreed to participate in the survey.After exclusion of those with regular visits to medical institutions and those with missing data,the analysis included 3742 participants.Health literacy was measured by the communicative and critical health literacy(CCHL)scale,and participants were classified into 3 groups(low,medium,and high health literacy groups)by the tertiles of the CCHL scale score.Physical inactivity was defined as not completing at least 150 min of moderate-intensity physical activity throughout the week.Results:After adjustment for age,gender,education level,occupation,economic status,living alone,and stages of health behavior change,the multivariable-adjusted odds ratios(ORs)for physical inactivity were 1.36(95% confidence interval[CI]:1.16-1.59,P<0.001)in the medium health literacy group and 1.70(95%CI:1.36-2.11,P<0.001)in the low health literacy group compared with the high health literacy group.Conclusions:This large-scale study provides compelling evidence that those with inadequate health literacy are at higher risk for physical inactivity among middle-aged adults.
基金funded by the College Students’Innovation and Entrepreneurship Program(X2024110650385).
文摘Background:Intrinsic capacity reflects the overall health status of older adults and decline in intrinsic abilities can lead to adverse health outcomes.However,empirical studies examining the association between digital health literacy,health-promoting lifestyles and intrinsic capacity are scarce.Methods:A cross-sectional study was conducted.Using convenience sampling method,371 older adults were recruited from communities.Multidimensional intrinsic capacity,digital health literacy,health promoting lifestyle and sociodemographic information were measured.Results:The intrinsic capacity of older adults scored 3.75±1.10.The prevalences of declined cognitive capacity,psychological capacity,sensory capacity,vitality,and locomotor capacity were 13.7%,24.3%,19.1%,14.8%,53.1%,respectively.The multiple regression analysis revealed that age(β=−0.253),only living with children and/or grandchildren(β=0.249),current working status(β=−0.132),number of chronic diseases(β=−0.149),frequency of Internet usage(β=0.193),the domain of ability to acquire and evaluate digital health information(β=0.197)in digital health literacy,and the domain of nutrition(β=0.171)in health-promoting lifestyle were the significant factors influencing intrinsic capacity,explaining 27.1%of the variance.Conclusion:Digital health literacy and health-promoting lifestyle have a significant impact on intrinsic capacity.Enhancing digital health literacy and advocating a health-promoting lifestyle are critical to promoting intrinsic capacity for community-dwelling older adults.
基金Supported by Inter Disciplinary Direction Cultivation Project of Hunan University of Chinese Medicine,No.2025JC01032025 Hunan Province Science and Technology Innovation Plan Project,No.2025RC9012+2 种基金2022"Unveiling and Leading"Project of Discipline Construction at Hunan University of Chinese Medicine,No.22JBZ044Changsha Municipal Natural Science Foundation,No.kq2402174Hunan Provincial Science Popularization Fund Project,No.2025ZK4223.
文摘BACKGROUND Timely and accurate evaluation of mental disorders in adolescents using appropriate mental health literacy assessment tools is essential for improving their mental health literacy levels.AIM To develop an evaluation index system for the mental health literacy of adolescent patients with mental disorders,providing a scientific,comprehensive,and reliable tool for the monitoring and intervention of mental health literacy of such patients.METHODS From December 2022 to June 2023,the evaluation index system for mental health literacy of adolescents with mental disorders was developed through literature reviews,semi-structured interviews,expert letter consultations,and the analytic hierarchy process.Based on this index system,a self-assessment questionnaire was compiled and administered to 305 adolescents with mental disorders to test the reliability and validity of the index system.RESULTS The final evaluation index system for mental health literacy of adolescents with mental disorders included 4 first-level indicators,10 second-level indicators,and 52 third-level indicators.The overall Cronbach’sαcoefficient of the index system was 0.957,with a partial reliability of 0.826 and a content validity index of 0.975.The cumulative variance contribution rate of 10 common factors was 66.491%.The correlation coefficients between each dimension and the total questionnaire ranged from 0.672 to 0.724,while the correlation coefficients in each dimension ranged from 0.389 to 0.705.CONCLUSION The evaluation index system for mental health literacy of adolescents with mental disorders,developed in this study,demonstrated notable reliability and validity,making it a valuable tool for evaluating mental health literacy in this population.
文摘Healthy behavior has long been linked to mental health outcomes.However,the role of artificial intelligence(AI)literacy in shaping healthy behaviors and its potential impact on mental health remains underexplored.This paper presents a scoping review offering a novel perspective on the intersection of healthy behaviors,mental health,and AI literacy.By examining how individuals’understanding of AI influences their choices regarding nutrition and their susceptibility to mental health issues,the current study explores emerging trends in health behavior decision-making.This emphasizes the need for integrating AI literacy into mental health and health behaviors education,as well as the development of AI-driven tools to support healthier behavior choices.It highlights that individuals with low AI literacy may misinterpret or overly depend on AI guidance,resulting in maladaptive health choices,while those with high AI literacy may be more likely to engage reflectively and sustain positive behaviors.The paper outlines the importance of inclusive education,user-centered design,and community-based support systems to enhance AI literacy for digitally marginalized groups.AI literacy may be positioned as a key determinant of health equity,better allowing for interdisciplinary strategies that empower individuals to make informed,autonomous decisions that promote both physical and mental health.
文摘In the era of intelligent media,the interaction between teachers and students in higher education is undergoing a profound transformation.The model has shifted from one-way transmission to multi-agent,two-way collaboration involving“teacher-student-AI(artificial intelligence)”.Interaction depth moves from surface Q&A to deep thought engagement,supported by instant,precise feedback and a blended virtual-physical space.New forms such as data-driven personalized interaction and immersive collaborative learning have emerged.However,this evolution brings significant challenges:over-reliance on technology may weaken cognitive autonomy;virtual interaction risks emotional detachment and trust erosion;ethical concerns like algorithmic bias and data privacy arise;teachers’roles become blurred;and evaluation systems lag behind technological advances.Future pathways should position AI as a supportive tool while upholding human centrality.Strengthening emotional connection through online-offline blending,reforming assessment to value process and growth,and empowering teachers as digitally literate“learning guides”and“emotional connectors”are key to building a healthy,sustainable interactive ecosystem.
文摘Background:Maternal mental health literacy is a cognitive resource that may support preschoolers’emotional development,yet its influence on emotional regulation and the related mechanisms remains unclear.This study examined whether maternal depressive mood and democratic parenting form a chain pathway linking maternal mental health literacy to preschoolers’emotional regulation ability.Methods:Mothers of 544 preschoolers in China’s Mainland completed an online questionnaire that assessed maternal mental health literacy,depressive mood,democratic parenting,and child emotional regulation.Structural path analysis was conducted with child age and gender controlled.Indirect effects were tested using 5000 bootstrap samples.Results:Maternal mental health literacy did not directly predict preschoolers’emotional regulation.Three indirect effects were significant.The pathway through depressive mood had an effect of 0.005,the pathway through democratic parenting had an effect of 0.004,and the chain pathway through depressive mood and democratic parenting had an effect of 0.002.All confidence intervals excluded 0.Conclusion:Maternal mental health literacy influences preschoolers’emotional regulation only through maternal depressive mood and democratic parenting,indicating that cognitive resources affect child emotional outcomes through emotional and behavioral processes rather than a direct pathway.
基金Supported by Science Research Fund Project of Yunnan Provincial Department of Education-Research on the Pathways for Distance Open Education to Empower the Enhancement of Digital Literacy and Skills of Rural"Leading Geese"in Ethnic Areas(2023J0792)The Ideological and Political Education Reform Project of Yunnan Province in 2022-Exploration and Practice of Integrating Ideological and Political Education into the Training Mode of"Leading Goose"Talents for Rural Revitalization in the Course of Agricultural and Forestry Economics and Management in Open Education.
文摘At present, enhancing the digital literacy of village cadres faces practical constraints such as governance capability gaps induced by the second-level digital divide, the absence of a systematic cultivation system, incomplete last-kilometer implementation for translating skills into practice, and inadequate incentive mechanisms. As a novel educational form deeply integrating digital information technology with teaching and learning, distance open education provides multi-directional empowerment for enhancing village cadres digital literacy. This is achieved through open learning methods, the application of modern digital technologies, tailored learning programs, and the establishment of "overpass bridges" for translating learning outcomes into practice. Based on this, it is essential to further streamline the pathways for educating and cultivating village cadres, vigorously promote the digitalization of teaching, practice, and support services, develop systematic and localized digital education resources, and actively explore and establish a complementary credit bank system for their digital literacy cultivation.
基金2023 PSM Guangdong Pharmaceutical Science Popularization Research Fund"Drug Management Ability in Elderly Stroke Patients Based onAI-Predicted Pharmaceutical Science Popularization Interventions"(Project No.:2023KP65)。
文摘Stroke,as an acute cerebrovascular disease,is characterized by high incidence,high mortality,and high disability rate,thus attracting great attention from the medical community.Medication literacy,on the other hand,is an active,comprehensive,and sustainable concept of health management,which includes the learning of health knowledge and the guidelines for healthy behaviors,and directly affects the treatment effect and health safety of patients.This paper conducts an in-depth study on the current research status of medication literacy in stroke patients,analyzes its influencing factors,and explores specific intervention strategies from multiple perspectives,aiming to provide a theoretical reference for improving patients’medication management ability and optimizing clinical prognosis.
基金Supported by the Scientific Research Fund of Zhejiang Provincial Education Department,No.Y202351104and Huzhou Science and Technology Plan Project,No.2023GZ67。
文摘BACKGROUND Frailty has become a significant public health issue.The recent increase in the number of frail older adults has led to increased attention being paid to psycho-logical care services in communities.The social isolation of pre-frail older adults can impact their psychological distress.AIM To explore the mediating effect of health literacy between social isolation and psychological distress among communitydwelling older adults with pre-frailty.METHODS This descriptive cross-sectional study was conducted with 254 pre-frail older individuals aged 60 years and over.Social isolation,health literacy,and psycholo-gical distress were comprehensively measured using the Lubben Social Network Scale-6,12-item Short-Form Health Literacy Questionnaire,and the Kessler Psy-chological Distress Scale-10.Data were evaluated using the SPSS 27.0 package program and the PROCESS macro tool.Descriptive statistical analyses,correlation analyses,and bootstrap mediation tests were used to assess associations between the variables.RESULTS The results showed that social isolation had an effect on health literacy among pre-frail older adults(β=0.240,P<0.001),social isolation impact on psycho-logical distress pre-frail older adults(β=-0.415,P<0.001);health literacy was identified effect on psychological distress among pre-frail older persons(β=-0.307,P<0.001).Health literacy partially mediated the relationship between social isolation and psychological distress among community-dwelling older adults with pre-frailty,with a mediation effect of-0.074,accounting for 17.83%of the total effect.
文摘Food Science and Human Wellness (FSHW ISSN:2213-4530,CN 10-1750/TS) publishes original research papers demonstrating the latest advancement of multidisciplinary subjects related to food science and human health.Topics may include but not limited to:nutriology,bio-chemistry,microbiology,immunology and toxicology.
文摘Background:Oral health issues persistently affect the overall health and well-being of rural populations.Village health volunteers(VHVs)play a crucial role in advancing oral health literacy in their community.This study aimed to examine the factors related to nutritional literacy for oral health among VHVs.Methods:This was a mixed-methods study employing an explanatory sequential design.The quantitative data were gathered through questionnaires distributed to a cohort of 10,514 VHVs registered in Health Region 1.A stratified random sampling technique was used to ensure adequate representation of various subgroups within the VHV population,considering factors such as age,education level,and geographical distribution across the region.This approach allowed for a more representative sample that accurately reflects the diversity of the VHV population.Qualitative data were obtained through semi-structured interviews with a purposive sampling of 20 participants based on specific criteria.Quantitative data were analyzed using descriptive statistics and biserial correlation techniques,while qualitative data were analyzed using content analysis.Results:The study found that the sample group possessed a moderate level of knowledge of health literacy principles and nutrition for oral health.However,their self-assessed skills in nutritional literacy for oral health were rated as high.A statistically significant negative correlation was found between knowledge of nutrition for oral health and skills in nutritional literacy for oral health.VHVs equated health literacy with knowledge because their public health training had focused more on imparting knowledge rather than developing skills based on health literacy principles.Conclusion:There is a need to emphasize skill-based health literacy training and to use effective skill development techniques that are tailored to the specific roles and responsibilities of health volunteers.It is also recommended to continuously monitor and evaluate the outcomes of these efforts.
基金Supported by FAPESP and Conselho Nacional de Desenvolvimento Cientifico e Tecnologico,No.2024/13209-0.
文摘Addiction literacy equips older adults with the knowledge to navigate substance use risks amid unique challenges like polypharmacy and social isolation.With rising trends in cannabis use among this group,targeted education can promote safe practices and reduce preventable harms.By fostering open conversations and integrating addiction literacy into healthcare,providers can support informed decision-making.
文摘The pervasive diffusion of Artificial Intelligence(AI)technologies is reshaping how individuals,institutions,and societies access,process,and govern information.While AI promises increased efficiency and personalization across sectors-education,healthcare,work,and public administration-it also introduces new social inequalities linked to unequal capacities to understand,use,and critically engage with these systems.This article explores the sociological implications of digital literacy as a foundational competence for developing AI literacy.Drawing on a multidisciplinary framework,the paper examines how digital literacy,understood in its epistemic,ethical,and political dimensions,enables critical agency in algorithmically mediated environments.Through a structured analysis of current literature and policy perspectives,the article highlights the need for inclusive,situated,and interdisciplinary educational strategies that empower citizens to participate in AI-related decision-making processes.It concludes by proposing a reconceptualization of digital literacy as a civic infrastructure for algorithmic citizenship,grounded in equity,democratic engagement,and technological accountability.
文摘BACKGROUND Given their responsibility for the well-being of individuals,nurses with advanced mental health literacy,along with strong holistic nursing competencies and professional self-efficacy,are better equipped to assess both the mental and physical health of their patients,leading to the provision of holistic nursing care.AIM To investigate the relationship between nurses’mental health literacy levels and their holistic nursing competencies,as well as their nursing professional selfefficacy.METHODS This study is cross-sectional,correlational research.The study sample consisted of a total of 261 volunteer nurses working in a training and research hospital and a state hospital between March 11,2024 and April 8,2024.Data were collected face to face with the“Descriptive Data Form”,“Mental Health Literacy Scale(MHLS)”,“Holistic Nursing Competence Scale(HNCS)”,and the“Nursing Profession Self-Efficacy Scale(NPSES)”.RESULTS The mean scale scores for the nurses were as follows:MHLS:95.88±11.67;HNCS:179.46±33.82;NPSES:64.79±11.24.A low-level positive correlation was found between the total scores of the MHLS,HNCS,and NPSES,and a moderate-level positive correlation was observed between the total scores of the HNCS and NPSES.These correlations were statistically significant(P<0.05).CONCLUSION It is recommended that initiatives be undertaken to enhance the mental health literacy and holistic nursing competencies of nurses and that similar studies be conducted with nurses in different institutions and with a larger number of nurses.
文摘Cancer patients in China navigate a complex and uneven insurance landscape,making plan choice critical for equitable financial protection.This study conducts a structured narrative review(2010-2025)of the Web of Science,PubMed,CNKI,and Wanfang databases,focusing on empirical research on insurance plan choice,enrollment,or switching among cancer patients and their households in China.Two reviewers independently screened studies and extracted information on key determinants and identification strategies.The evidence converges on five main determinants:insurance literacy,health knowledge,prior coverage,financial capability,and policy promotion intensity(PPI).However,most studies are cross-sectional and descriptive,with inconsistent operationalization of determinants,weak or absent mediation tests for PPI,and limited coverage of rural,elderly,and low-literacy populations.Building on these gaps,we synthesize an evidence map,propose an operational PPI index,and highlight quasi-experimental opportunities(such as staggered NRDL updates and variation in local publicity efforts)to identify mechanisms and inform more inclusive,patient-centered insurance design in China.
文摘BACKGROUND Organ donation and transplantation are vital for saving lives,yet awareness remains limited.Health literacy,the ability to understand and use health information,and self-control,which influences decision-making,are crucial factors in promoting awareness.Understanding their relationship can guide efforts to increase participation in organ donation.AIM To investigate the effect of health literacy on organ donation and transplantation awareness,with self-control acting as a mediator,and to emphasize its importance.METHODS The study comprised 345 adults recruited from five different cities in Türkiye.The sample included 208 women(60.29%)and 137 men(39.71%).The age range of the sample group varies between 18 and 49(median age=24.13;SD=8.81).Selfreport data were collected including psychometric measures assessing organ donation and transplantation awareness,health literacy,and self-control.Reliability analysis,descriptive statistics,correlational analysis,and mediational analysis of the data were carried.RESULTS The analysis showed that health literacy was positively correlated with organ donation and transplantation awareness(r=0.340)and self-control(r=0.376).Self-control was positively related to organ donation and transplantation awareness(r=0.531).Mediating analysis supported a mediation model where health literacy was found to influence organ donation and transplantation awareness via self-control(bootstrap=0.158,95%confidence interval=0.105-0.215).CONCLUSION The results indicate that self-control mediates the positive relationship between health literacy and organ donation and transplantation awareness.Enhancing individuals’health literacy may therefore increase awareness of organ donation and transplantation through improvements in self-control.
文摘Objective:To examine the change in COVID-19 booster vaccine hesitancy according to descriptive characteristics,characteristics related to COVID-19,health literacy(HL)skills related to booster dose.Methods:The inclusion criterion was the completion of the primary scheme as two doses of COVID-19 vaccine.The study was conducted in January 2022 by applying face-to-face interview technique.Questions regarding HL were used to question the ability of individuals to access,understand,interpret and use information regarding the COVID-19 booster dose in their decisions.Results:A total of 1210 people were included in this study with an mean age of(41.3±16.6)years,and 51.4%were women.In multivariate analysis,hesitation increased in the"moderately concerned"(aOR 2.65,95%CI 1.09-6.45),"slightly concerned"(aOR 3.01,95%CI 1.26-7.19),"not concerned at all”(aOR 5.69,95%CI 2.27-14.28)groups compared to the group“extremely concerned”about COVID-19 transmission.Those with Sinovac-CoronaVac as their most recent vaccine had increased hesitation compared to those with Pfizer-BioNTech(aOR 3.68,95%CI 2.05-6.61).The effect of HL skills including“accessing”,“understanding”,and“appraising”information on hesitation was not statistically significant(P>0.05).HL skill of“applying”was assessed with ability of information to help decision making.Whether the information is helpful for decision-making,the risk of hesitancy increased for those who stated that it"sometimes helps"(aOR 2.55;95%CI 1.31-4.99)and"never helps"(aOR 11.62;95%CI 3.03-44.58)compared to those who stated that it"always helps".Conclusions:The increased propability of hesitation in those less concerned about COVID-19 transmission shows the importance of appropriately guiding individuals'concern levels with a health communication strategy based on risk communication.The fact that the only HL skill with a significant effect in the multivariate model was“applying”,shows the critical role of this skill in influencing behavioral changes.
文摘This paper aims to investigate the effect of SME’s resources including,financial resources(FRR),financial literacy(FLR),managerial capacities(MCR)and market orientation(MKR)on SME’s sustainable growth(SG)in both financial SG(FSGE)and non-financial SG(NFSGE)terms;and to identify the technological innovation awareness(TIR)mediates the effect of these resources on SGSMEs.Data were collected from 517 SMEs,using survey method and adopted a random sampling technique.Structure Equation Model(SEM)and the Baron,and Kenny(1986)mediation approach,Amos was applied to test hypotheses.The findings revealed the resources contributed 41.9 percent and 32.9 percent of the variance in FSGE and NFSGE,respectively,and confirmed the mediating role of TIR in the relationship between resources and SG.Notably,FRR had an indirect effect on FSGE through TIR,although TIR partially mediated the relationship between FRR and NFSGE,and between FLR and SG,both in FSGE and NFSGE terms.While,TIR fully mediated the relationship between MKR and SG,both in FSGE and NFSGE terms as well.This evidence informs the importance of business resources and competencies.In particular,TIR plays an important role in business operations to enhance and maintain sustainable growth.
文摘With the continuous deepening of vocational education reform,core literacy,as an important concept of educational reform,has gradually been introduced into English teaching.The cultivation of core literacy requires students not only to master basic language knowledge but also to flexibly use cross-cultural communication skills,innovative thinking,and professional literacy to solve problems in actual work situations.In this context,constructing a vocational English evaluation system based on core literacy has become an urgent need to improve the quality of vocational English teaching and cultivate high-quality applied talents.Therefore,the following will focus on exploring the relevant content of the vocational English evaluation system in order to provide some help.
