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- Title
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.
- Authors
Liu, An-kang; Liu, Yu-yao; Su, Jin; Gao, Jing; Dong, Li-juan; Lv, Qi-yuan; Yang, Qiao-hong
- 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.
- Subjects
TIBET (China); HEALTH literacy; QUALITY of life; TUBERCULOSIS; CONVENIENCE sampling (Statistics); SELF-efficacy
- Publication
International Health (1876-3413), 2023, Vol 15, Issue 5, p585
- ISSN
1876-3413
- Publication type
Article
- DOI
10.1093/inthealth/ihad040