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The mediating role of empowerment in the relationship between social support and health literacy in patients with type 2 diabetes mellitus
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Xian-feng ZHOU1, Ge-yao ZHOU2, Xiao-xia MENG1, Kun-jing WEI1, Zhu-ping WANG3
Modern Preventive Medicine | 2025, 52(23) : 4364 - 4370
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Modern Preventive Medicine | 2025, 52(23): 4364-4370
• Health and Social Behavior •
The mediating role of empowerment in the relationship between social support and health literacy in patients with type 2 diabetes mellitus
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Xian-feng ZHOU1, Ge-yao ZHOU2, Xiao-xia MENG1, Kun-jing WEI1, Zhu-ping WANG3
Affiliations
  • School of Medicine and Health Management, Guizhou Medical University, Anshun, Guizhou 561113, China
Published: 2025-12-10 doi: 10.20043/j.cnki.MPM.202501163
Outline
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Objective

To explore the mediating effect of empowerment on the relationship between social support and health literacy in patients with type 2 diabetes mellitus.

Methods

A cross-sectional survey was conducted with 243 patients with type 2 diabetes mellitus recruited by convenience sampling from a Grade III Class A hospital in Guiyang. Data were collected using a general information questionnaire, the Diabetes Health Literacy Scale (DHLS), the Diabetes Empowerment Scale-Short Form(DES-SF), and the MOS Social Support Survey (MOS-SSS). Statistical analyses in SPSS 26.0 included the Wilcoxon rank-sum test, Kruskal-Wallis H test, Spearman correlation analysis, and multiple linear regression analysis. A structural equation model was constructed using AMOS 24.0, and the mediating effect was tested through the bootstrap method.

Results

The health literacy score was 53.00 (40.00, 61.00), the empowerment score was 31.00 (27.00, 36.00), and the social support score was 72.00 (61.00, 81.00) among the 243 patients with type 2 diabetes mellitus. Social support was positively correlated with health literacy (r=0.539, P<0.01), social support was positively correlated with empowerment (r=0.613, P<0.01), and empowerment was positively correlated with health literacy (r=0.597, P<0.01). Social support could directly and positively predict health literacy, and also indirectly predict health literacy through empowerment. The mediating effect value of empowerment was 1.036, accounting for 32.1% of the total effect.

Conclusion

Empowerment plays a partial mediating role between social support and health literacy in patients with type 2 diabetes mellitus. Therefore, by improving social support and strengthening empowerment, health literacy can be enhanced in patients with type 2 diabetes mellitus.

Type 2 diabetes mellitus  /  Health literacy  /  Empowerment  /  Social support  /  Mediating effect
周先凤, 周戈耀, 孟小夏, 韦坤静, 王筑萍. 2型糖尿病患者赋权在社会支持与健康素养间的中介作用. 现代预防医学, 2025 , 52 (23) : 4364 -4370 . DOI: 10.20043/j.cnki.MPM.202501163
Xian-feng ZHOU, Ge-yao ZHOU, Xiao-xia MENG, Kun-jing WEI, Zhu-ping WANG. The mediating role of empowerment in the relationship between social support and health literacy in patients with type 2 diabetes mellitus[J]. Modern Preventive Medicine, 2025 , 52 (23) : 4364 -4370 . DOI: 10.20043/j.cnki.MPM.202501163
Year 2025 volume 52 Issue 23
37
18
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doi: 10.20043/j.cnki.MPM.202501163
  • Receive Date:2025-01-13
  • Online Date:2026-11-02
  • Published:2025-12-10
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  • Received:2025-01-13
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    School of Medicine and Health Management, Guizhou Medical University, Anshun, Guizhou 561113, China
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表12种不同金属材料的力学参数
科
Family
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Number of
genus
种数
Number of
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Number of
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Percentage of total
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鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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