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. 2025 Jan 2;15(1):283.
doi: 10.1038/s41598-024-79835-9.

Analysis of the mediating role of life style in the relationship between health literacy and self-rated health employing structural equation modeling

Mansour Bagherinia  1 , Shahab Rezaeian  2   3 , Ebrahim Shakiba  4   5 , Raheleh Maleki  6 , Abbas Mohammad Karimi Mazhin  5 , Hadi Darvishigilan  7 , Maryam Janatolmakan  6 , Badriyeh Karami  8
Affiliations

Analysis of the mediating role of life style in the relationship between health literacy and self-rated health employing structural equation modeling

Mansour Bagherinia et al. Sci Rep. .

Abstract

Self-rated health is related to the reduction of the burden of diseases and health outcomes. Various factors affect self-rated health. This study aimed to investigate the mediating role of life style in the relationship between health literacy and self-rated health. In 2023, 495 people aged 18-65 participated in this cross-sectional study. Montazeri et al.'s health literacy questionnaire, Eshaghi et al.'s healthy life style assessment questionnaire, and the self-rated health (SRH) questionnaire developed by the World Health Organization were used. The structural equation modeling (SEM) was used. Statistical analysis of data was performed using Stata version 14.2 software. Based on the results, a significant total effect of health literacy on self-rated health (β = - 0.27,p = 0.001), was identified. Life style (β = - 0.20) had a direct effect on self-rated health (p < 0.001). The result from SEM indicated that health literacy exhibited a direct effect on life style (β = 0.72). In addition, the principal hypothesis of this research posits the mediating function of lifestyle within the interrelationship between the two constructs of health literacy and self-rated health. Considering the mediating role of life style in the relationship between health literacy and self-rated health, to improve self-rated health, in addition to paying attention to the role of health literacy, it is necessary to take effective measures to positively change people's lifestyle.

Keywords: Health literacy; Life style; Self-rated health; Structural equation modeling.

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Conflict of interest statement

Declarations. Competing interests: The authors declare no competing interests. Ethics approval: This study was approved by the Ethics Committee of Kermanshah University of Medical Sciences (KUMS) (IR.KUMS.MED.REC.1401.253). Personal information of all participants was guaranteed. In addition, all measures and activities in this study were performed based on accepted scientific principles and ethical considerations in accordance with relevant guidelines and regulations (Declaration of Helsinki).

Figures

Fig. 1
Fig. 1
Pathways between health literacy, mediators, and self-rated health (Standardized coefficients are reported). (*Health L Health Literacy, Life S Life Style, CVDs Cardiovascular diseases, SRH Self- Rated Health).
See this image and copyright information in PMC

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