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      Self-efficacy and self-management mediate the association of health literacy and quality of life among patients with TB in Tibet, China: a cross-sectional study

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          Abstract

          Background

          This study aimed to analyze the relationship between health literacy and quality of life in patients with TB in Tibet and explore the mediating effects of self-efficacy and self-management in the relationship between health literacy and quality of life.

          Methods

          We used a convenience sampling method to select 271 cases of patients with TB in Tibet to conduct a survey of their general information, health literacy, self-management, self-efficacy and quality of life, and to construct structural equation models.

          Results

          The total health literacy score of patients with TB in Tibet was 84.28±18.57, while the lowest score was for information acquisition ability (55.99±25.66). Scores for quality of life were generally lower than the norm (patients with chronic diseases from other cities in China) (p<0.01). Moreover, self-efficacy and self-management mediated the relationship between health literacy and quality of life (p<0.05).

          Conclusions

          In Tibet, patients with TB have a low level of health literacy and an average level of quality of life. Emphasis should be placed on improving information access literacy, role-physicals and role-emotional to improve overall quality of life. The mediating roles of self-efficacy and self-management between health literacy and quality of life may provide a basis for further interventions.

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          Most cited references69

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          The evolving concept of health literacy.

          The relationship between poor literacy skills and health status is now well recognized and better understood. Interest in this relationship has led to the emergence of the concept of health literacy. The concept has emerged from two different roots - in clinical care and in public health. This paper describes the two distinctive concepts that reflect health literacy, respectively, as a clinical "risk", or a personal "asset". In the former case a strong science is developing to support screening for poor literacy skills in clinical care and this is leading to a range of changes to clinical practice and organization. The conceptualization of health literacy as an asset has its roots in educational research into literacy, concepts of adult learning, and health promotion. The science to support this conceptualization is less well developed and is focused on the development of skills and capacities intended to enable people to exert greater control over their health and the factors that shape health. The paper concludes that both conceptualizations are important and are helping to stimulate a more sophisticated understanding of the process of health communication in both clinical and community settings, as well as highlighting factors impacting on its effectiveness. These include more personal forms of communication and community based educational outreach. It recommends improved interaction between researchers working within the two health literacy perspectives, and further research on the measurement of health literacy. The paper also emphasizes the importance of more general strategies to promote literacy, numeracy and language skills in populations.
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            Understanding the limitations of global fit assessment in structural equation modeling

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              The Analysis of Covariance Structures: Goodness-of-Fit Indices

              J. HOELTER (1983)
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                Author and article information

                Contributors
                Journal
                Int Health
                Int Health
                inthealth
                International Health
                Oxford University Press
                1876-3413
                1876-3405
                September 2023
                15 June 2023
                15 June 2023
                : 15
                : 5
                : 585-600
                Affiliations
                School of Nursing, Jinan University , Guangzhou, Guangdong, 510632, China
                Department of Oncology, The First Affiliated Hospital of Jinan University , Guangzhou, Guangdong, 510630, China
                Internal Medicine, Nyingchi People's Hospital , Nyingchi, Tibet Autonomous Region, 860000, China
                School of Nursing, Jinan University , Guangzhou, Guangdong, 510632, China
                Nursing Department, Nyingchi People's Hospital , Nyingchi, Tibet Autonomous Region, 860000, China
                Internal Medicine, Nyingchi People's Hospital , Nyingchi, Tibet Autonomous Region, 860000, China
                School of Nursing, Jinan University , Guangzhou, Guangdong, 510632, China
                School of Nursing, Jinan University , Guangzhou, Guangdong, 510632, China
                Author notes
                Corresponding author: Tel: +8618988995399; E-mail: yqiaohong@ 123456163.com
                Article
                ihad040
                10.1093/inthealth/ihad040
                10472895
                37317980
                dcae3be8-f87e-4c50-8aef-88e78688cfc5
                © The Author(s) 2023. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License ( https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@ 123456oup.com

                History
                : 18 May 2022
                : 16 February 2023
                : 23 May 2023
                Page count
                Pages: 16
                Funding
                Funded by: Guangdong Nursing Association;
                Award ID: gdshsxh2021a169
                Categories
                Original Article
                AcademicSubjects/MED00390

                Medicine
                health literacy,quality of life,self-efficacy,self-management,tb, tibet
                Medicine
                health literacy, quality of life, self-efficacy, self-management, tb, tibet

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