Éva Bíró|Ferenc Vincze|Gabriella Mátyás|Karolina Kósa
Recursive Path Model for Health Literacy: The Effect of Social Support and Geographical Residence
University of Debrecen|University of Debrecen|University of Debrecen|University of Debrecen
background public health relevance health literacy highlighted fact higher levels improve health outcomes reduce health inequities order design effective interventions improving health literacy relationship health literacy factors sociodemographic variables subjective health social support must understood objective aim test socioecological model determinants health literacy special focus effect residence study investigated geographical differences regarding levels health literacy determinants investigated european nationwide surveys methods data collected polling company sample n 1200 hungarian adult population nationally representative age gender permanent residence 2019 january questionnaire included items sociodemographic data subjective wellbeing social support two health literacy scales recursive path model used outline mediating effect social support sociodemographic variables health literacy direct indirect effects explanatory variables multiple relationships among variables analyzed simultaneously multiplegroup analysis applied three preset categories permanent residence capital city urban rural results statistically significant difference residence regarding levels health literacy social support educational attainment important determinants health literacy adjusting effect sociodemographic variables however magnitude effect social support educational attainment different types settlements strongest rural areas conclusion social support seems mediate effect socioeconomic position health literacy could taken account designing interventions improve health literacy especially rural areas studies would needed especially rural communities see whether improvement social support could utilized projects increase level health literacy