Zhenhua Li, Chengfu Yu, Yangang Nie
The Association between School Climate and Aggression: A Moderated Mediation Model
International journal of environmental research and public health
previous studies revealed functional health literacy plays less important role communicative critical health literacy crhl communicative literacy crhl contribute better patient selfmanagement although improving health literacy identified approach fostering community involvement empowerment crhl may regarded neglected domain health literacy rarely achieving focus interventions claim working toward outcome considering research background close scholarly attention needs paid crhl associated factors study aimed assess crhl identify essential factors closely associated status crhl among chinese patients provide implications clinical practice health education medical research public health policy making conducted crosssectional study lasted april 8 2022 september 23 2022 following steps first designed 4section survey questionnaire recruited mandarin chinesespeaking patients qilu hospital shandong university china using randomized sampling subsequently administered questionnaire via wenjuanxing popular webbased survey platform china july 20 2022 august 19 2022 finally used latent class modeling analyze valid data collected classify patient participants identify factors potentially associated different crhl levels data 588 returned questionnaires valid basis collected data classified patient participants 3 latent classes limited moderate adequate crhl identified 4 factors associated limited crhl including middle old age male sex lower educational attainment low internal drive maintain ones health using latent class modeling identified 3 classes crhl 4 factors associated limited crhl among chinese study participants literacy classes predicting factors ascertained study provide implications clinical practice health education medical research health policy making