Full
Outline
To explore the relationship between health literacy and quality of life of rural residents in Changzhou City, and to examine the mediating effect of health protective behavior.
A multi-stage random sampling method was employed to select 605 rural residents in Changzhou for the survey. The questionnaire comprised sections on general information, short-form health literacy scale, health protective behavior scale, and the EQ-5D-5L scale. Descriptive statistics and correlation analysis were performed using SPSS software. A structural equation model was constructed using Amos software, and the mediating effect of health protective behavior was examined through bootstrap analysis (with 5 000 resamples).
The score of the health literacy index for rural residents in Changzhou City was 35.77±7.42, the average utility score was 0.95±0.09, and the average EQ-VAS score was 83.88±12.13. A positive correlation was observed between health literacy and health protective behavior among rural residents in Changzhou (β=0.463, P<0.001). Similarly, health protective behavior was positively correlated with quality of life (β=0.244, P=0.006), and health literacy also showed a positive correlation with quality of life (β=0.157, P=0.037). Mediating effect analysis revealed that the direct effect of health literacy on quality of life among rural residents in Changzhou was 0.157, with an indirect effect of 0.113, resulting in a total effect of 0.270. The confidence interval for the path of health literacy → health protective behavior → quality of life was [0.038, 0.201]. The mediating effect of health protective behavior between health literacy and quality of life accounted for 41.85% (P=0.004).
Efforts should be continuously made to enhance the health literacy of rural residents, facilitating the transformation of their health knowledge and beliefs into health protective behaviors, so as to further improve the quality of life among rural residents.
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| 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 |
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