See the published version of this preprint at BMC Public Health.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
Research article
Haiyan Yu
Wenzhou Medical University
Corresponding Author
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: Health literacy is an important behavioral factor for promoting health and disease prevention. This study aimed to examine whether health literacy affected health outcomes in China’s floating population and whether health service utilization had a mediating effect between health literacy and health outcomes.
Method: A cross-sectional study was carried out in Zhejiang Province, China, in November and December 2019. Self-reported questionnaires were used for data collection, which included sociodemographic characteristics, health literacy, health outcomes, and health service utilization. On the basis of reliability testing, confirmatory factor analysis was used to test questionnaire validity. Descriptive statistics were used to understand the demographic characteristics of the floating population, and structural equation modeling was used for the mediation test to check whether health service utilization had a mediating effect between health literacy and health outcomes.
Results: There were positive correlations between health literacy, health service utilization, and health outcomes; correlation coefficients ranged from 0.165 to 0.944. Mediation analysis showed that health service utilization had partial mediating effects between health literacy and health outcomes. In the relationship between health literacy and health outcomes, the indirect effects of health service utilization accounted for 6.6%–8.7% of the total effects.
Conclusion: Health service utilization has partial mediating effects between health literacy and health outcomes. Health literacy affects the proactiveness of health service utilization in the floating population through healthcare literacy and health promotion, thereby affecting health outcomes.
Keywords
floating population, health literacy, health outcomes, health services
Figure 1
The full text of this article is available to read as a PDF.
Loading...
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Public Health.
No community comments so far
Review #1 received
Received 28 Feb, 2021
Reviewers invited
Invitations sent on 11 Feb, 2021
Reviewer #1 agreed
On 11 Feb, 2021
Editor assigned
On 16 Dec, 2020
Submission checks complete
On 16 Dec, 2020
Editor invited
On 16 Dec, 2020
No comments provided
Editorial decision: Minor revision
On 08 Dec, 2020
Review #1 received
Received 29 Nov, 2020
Review #2 received
Received 23 Nov, 2020
Reviewer #2 agreed
On 20 Nov, 2020
Reviewers invited
Invitations sent on 18 Nov, 2020
Reviewer #1 agreed
On 18 Nov, 2020
Editor assigned
On 15 Nov, 2020
Submission checks complete
On 15 Nov, 2020
Editor invited
On 15 Nov, 2020
Version 1
Posted 16 Jun, 2020
No comments provided
Editorial decision: Major revision
On 14 Oct, 2020
Review #2 received
Received 05 Oct, 2020
Reviewer #2 agreed
On 15 Jul, 2020
Review #1 received
Received 08 Jul, 2020
Reviewer #1 agreed
On 24 Jun, 2020
Reviewers invited
Invitations sent on 23 Jun, 2020
Submission checks complete
On 14 Jun, 2020
Editor invited
On 12 Jun, 2020
Editor assigned
On 08 Jun, 2020
First submitted
On 04 Jun, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Learn more about our company.
A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
See the published version of this preprint at BMC Public Health.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Haiyan Yu
Wenzhou Medical University
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Public Health.
No community comments so far
Review #1 received
Received 28 Feb, 2021
Reviewers invited
Invitations sent on 11 Feb, 2021
Reviewer #1 agreed
On 11 Feb, 2021
Editor assigned
On 16 Dec, 2020
Submission checks complete
On 16 Dec, 2020
Editor invited
On 16 Dec, 2020
No comments provided
Editorial decision: Minor revision
On 08 Dec, 2020
Review #1 received
Received 29 Nov, 2020
Review #2 received
Received 23 Nov, 2020
Reviewer #2 agreed
On 20 Nov, 2020
Reviewers invited
Invitations sent on 18 Nov, 2020
Reviewer #1 agreed
On 18 Nov, 2020
Editor assigned
On 15 Nov, 2020
Submission checks complete
On 15 Nov, 2020
Editor invited
On 15 Nov, 2020
Version 1
Posted 16 Jun, 2020
No comments provided
Editorial decision: Major revision
On 14 Oct, 2020
Review #2 received
Received 05 Oct, 2020
Reviewer #2 agreed
On 15 Jul, 2020
Review #1 received
Received 08 Jul, 2020
Reviewer #1 agreed
On 24 Jun, 2020
Reviewers invited
Invitations sent on 23 Jun, 2020
Submission checks complete
On 14 Jun, 2020
Editor invited
On 12 Jun, 2020
Editor assigned
On 08 Jun, 2020
First submitted
On 04 Jun, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Public Health.
Background: Health literacy is an important behavioral factor for promoting health and disease prevention. This study aimed to examine whether health literacy affected health outcomes in China’s floating population and whether health service utilization had a mediating effect between health literacy and health outcomes.
Method: A cross-sectional study was carried out in Zhejiang Province, China, in November and December 2019. Self-reported questionnaires were used for data collection, which included sociodemographic characteristics, health literacy, health outcomes, and health service utilization. On the basis of reliability testing, confirmatory factor analysis was used to test questionnaire validity. Descriptive statistics were used to understand the demographic characteristics of the floating population, and structural equation modeling was used for the mediation test to check whether health service utilization had a mediating effect between health literacy and health outcomes.
Results: There were positive correlations between health literacy, health service utilization, and health outcomes; correlation coefficients ranged from 0.165 to 0.944. Mediation analysis showed that health service utilization had partial mediating effects between health literacy and health outcomes. In the relationship between health literacy and health outcomes, the indirect effects of health service utilization accounted for 6.6%–8.7% of the total effects.
Conclusion: Health service utilization has partial mediating effects between health literacy and health outcomes. Health literacy affects the proactiveness of health service utilization in the floating population through healthcare literacy and health promotion, thereby affecting health outcomes.
Figure 1
The full text of this article is available to read as a PDF.
Loading...