David Stewart|Lorraine R. Reitzel|Virmarie Correa-Fernández|Miguel Ángel Cano|Claire Adams|Yumei Cao|Yisheng Li|Andrew J. Waters|David W. Wetter|Jennifer Irvin Vidrine
Social support mediates the association of health literacy and depression among racially/ethnically diverse smokers with low socioeconomic status
The University of Texas MD Anderson Cancer Center|University of Houston|The University of Texas MD Anderson Cancer Center|The University of Texas MD Anderson Cancer Center|University of America|Catholic University of America|Center for Innovation|The University of Texas MD Anderson Cancer Center|Uniformed Services University of the Health Sciences|The University of Texas MD Anderson Cancer Center|The University of Texas MD Anderson Cancer Center
nearly half us adults health literacy hl difficulties lack ability effectively obtain process understand health information poor hl associated depression yet mechanisms relation unclear study examined whether social support mediated relation hl depressive symptoms 200 lowsocioeconomic status ses raciallyethnically diverse smokers enrolled cessation treatment mediation analyses conducted using bootstrapping controlling ses nicotine dependence simple mediation models social support interpersonal support evaluation list isel total subscales appraisal belonging tangible mediated effect hl depression lower hl associated lower perceived support predicted higher depressive symptoms ps 05 multiple mediation model isel subscales entered simultaneously mediators significant p 05 belonging subscale demonstrating independent significance p 05 thus social support may critical factor underlying hldepression relationship lowses raciallyethnically diverse smokers