To understand the chain-mediating role of health literacy and self-efficacy in the relationship between social support and health-promoting behaviors among older adults.
From September to December 2024, a multi-stage random sampling method was adopted to conduct a questionnaire survey among 1 152 elderly individuals aged 60 and above in Shandong Province. Pearson correlation analysis was used to analyze the correlations among social support, health literacy, self-efficacy, and health-promoting behaviors. Using SPSS software and its PROCESS plug-in, a chain mediation model was constructed to analyze the mediating effects of health literacy and self-efficacy in this relationship, with significance tested via the Bootstrap method.
The direct effect of social support on health-promoting behaviors was significant (β=0.586, 95%CI: 0.503-0.669). The mediating effect of health literacy between social support and health-promoting behaviors was significant, with an effect value of 0.138 (95%CI: 0.100-0.179). The mediating effect of self-efficacy between social support and health-promoting behaviors was significant, with an effect value of 0.125 (95%CI: 0.087-0.167). The chain-mediating effect of health literacy and self-efficacy between social support and health-promoting behaviors was significant, with an effect value of 0.076 (95% CI: 0.053-0.104).
Social support has a positive predictive effect on the health-promoting behaviors of older adults. Social support indirectly influences the health-promoting behaviors of older adults through health literacy and self-efficacy.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 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 |