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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 its Outcomes View all 29 articles

The Impact of Health Literacy on Health-Promoting Lifestyle among Community Residents: The Chain-Mediating Role of Family Health and Physical Activity

Provisionally accepted
Yunxia Ma Yunxia Ma 1Li Huang Li Huang 2Haodong Tian Haodong Tian 2Haowei Liu Haowei Liu 2HangLin Yu HangLin Yu 2Hansen Li Hansen Li 3Li-ya Guo Li-ya Guo 1,2*
  • 1 College of Physical Education, Yili Normal University, Xinjiang, China
  • 2 Southwest University, Chongqing, China
  • 3 School of Physical Education, Sichuan Agricultural University, Yaan, China

The final, formatted version of the article will be published soon.

    Background: Adopting health-promoting lifestyle (HPL) is crucial for improving overall wellbeing and reducing the risk of chronic diseases. The relationship between health literacy (HL) and HPL among Chinese community residents is complex, with potential mediating factors yet to be fully understood. Family health and physical activity (PA) may play significant roles in this relationship. This study aims to construct a chain mediation model to explore whether family health and PA mediate the effects of HL on HPL in Chinese community residents.Using the convenient sampling method, 1,072 Chinese community residents were selected for a cross-sectional study. All participants completed a self-report questionnaire that collected demographic information, as well as data from the Health Literacy Scale Short-Form (HLS-SF12), Family Health Scale Short-Form (FHS-SF), Physical Activity Rating Scale (PARS-3), and Health Promoting Lifestyle Profile-II Revise (HPLP-II R). Data were analyzed using SPSS 26.0, with mediation analysis performed using the SPSS PROCESS macro.There were significant pairwise correlations between HL, family health, PA, and HPL (p < 0.01).HL was directly linked 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), PA also independently mediated 9.02% of the effect (effect = 0.048; SE = 0.010; 95% CI: 0.030, 0.068), and a combined chain 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).HL not only has a direct impact on promoting HPL but also influences it indirectly through the mediating roles of family health and PA. These insights elucidate the mechanisms by which HL affects HPL, providing valuable theoretical guidance for the development and implementation of effective strategies to encourage healthy lifestyle practices.

    Keywords: Health Literacy, Healthy lifestyle, physical activity, Family Health, health-promotion lifestyle

    Received: 27 Aug 2024; Accepted: 17 Oct 2024.

    Copyright: © 2024 Ma, Huang, Tian, Liu, Yu, Li and Guo. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Li-ya Guo, College of Physical Education, Yili Normal University, Xinjiang, China

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