收藏切换
The chain-mediating effect of health literacy and self-efficacy between social support and health-promoting behaviors in older adults
收藏切换
Yin-xin HOU, Hui FANG, Ying-xin DUAN, Shan-ju HU
Modern Preventive Medicine | 2026, 53(8) : 1453 - 1458
Less
收藏切换
Modern Preventive Medicine | 2026, 53(8): 1453-1458
• Health and Social Behavior •
The chain-mediating effect of health literacy and self-efficacy between social support and health-promoting behaviors in older adults
Full
Yin-xin HOU, Hui FANG, Ying-xin DUAN, Shan-ju HU
Affiliations
  • School of Management, Shandong Second Medical University, Weifang, Shangdong 261053, China
Published: 2026-04-25 doi: 10.20043/j.cnki.MPM.202506254
Outline
收藏切换
Objective

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.

Methods

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.

Results

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).

Conclusion

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.

Social support  /  Health-promoting behaviors  /  Health literacy  /  Self-efficacy  /  Chain-mediating effect
侯银鑫, 房慧, 段颖欣, 胡善菊. 健康素养与自我效能感在社会支持与老年人健康促进行为间的链式中介效应. 现代预防医学, 2026 , 53 (8) : 1453 -1458 . DOI: 10.20043/j.cnki.MPM.202506254
Yin-xin HOU, Hui FANG, Ying-xin DUAN, Shan-ju HU. The chain-mediating effect of health literacy and self-efficacy between social support and health-promoting behaviors in older adults[J]. Modern Preventive Medicine, 2026 , 53 (8) : 1453 -1458 . DOI: 10.20043/j.cnki.MPM.202506254
Year 2026 volume 53 Issue 8
33
17
Cite this Article
BibTeX
Article Info
doi: 10.20043/j.cnki.MPM.202506254
  • Receive Date:2025-06-16
  • Online Date:2026-11-02
  • Published:2026-04-25
Article Data
Affiliations
History
  • Received:2025-06-16
Funding
Affiliations
    School of Management, Shandong Second Medical University, Weifang, Shangdong 261053, China
References
Share
https://castjournals.cast.org.cn/joweb/xdyfyx/EN/10.20043/j.cnki.MPM.202506254
Share to
QR

Scan QR to access full text

Cite this article
BibTeX
Citations
表12种不同金属材料的力学参数
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
关闭全屏
  • BibTeX
  • EndNote
  • RefWorks
  • TxT