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Association of Individual Health Literacy with Preventive Behaviours and Family Well-Being during COVID-19 Pandemic: Mediating Role of Family Information Sharing

Author

Listed:
  • Janet Yuen Ha Wong

    (School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China)

  • Abraham Ka Chung Wai

    (Emergency Medicine Unit, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China)

  • Shengzhi Zhao

    (School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China)

  • Faustina Yip

    (Emergency Medicine Unit, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China)

  • Jung Jae Lee

    (School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China)

  • Carlos King Ho Wong

    (Department of Family Medicine & Primary Care, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China)

  • Man Ping Wang

    (School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China)

  • Tai Hing Lam

    (School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China)

Abstract

Objective : We tested a model of individual health literacy information sharing with family members, personal preventive behaviours and family well-being during the Coronavirus Disease 2019 (COVID-19) pandemic in Hong Kong. Methods : We analysed data of 1501 randomly selected Chinese adults from a cross-sectional survey in Hong Kong from 9 to 23 April, 2020. Individual health literacy about COVID-19 with the items extracted from the questionnaire in World Health Organization Risk Communication and Community Engagement (RCCE) Action Plan Guidance for COVID-19 preparedness and response, COVID-19 information sharing with family members, preventive behaviours against COVID-19 and family well-being were measured. Structural equation modelling analysis tested the proposed model. Findings : COVID-19 information sharing with family members partially mediated the association between individual health literacy and personal preventive behaviours. The direct effect of 0.24 was shown, and the indirect effect through COVID-19 information sharing with family members was small at 0.03 (Z = 3.66, p < 0.001). Family well-being was associated with personal preventive behaviours against COVID-19. The model was adjusted for sex, age, and socioeconomic status factors and had good fit with RMSEA = 0.04, CFI = 0.98, TLI = 0.96, and SRMR = 0.02. Conclusion : COVID-19 information sharing with family members was a partial mediator between individual health literacy and personal preventive behaviours against COVID-19. Strategies for enhancing health literacy and preventive measures against COVID-19 are needed to promote family well-being in the pandemic.

Suggested Citation

  • Janet Yuen Ha Wong & Abraham Ka Chung Wai & Shengzhi Zhao & Faustina Yip & Jung Jae Lee & Carlos King Ho Wong & Man Ping Wang & Tai Hing Lam, 2020. "Association of Individual Health Literacy with Preventive Behaviours and Family Well-Being during COVID-19 Pandemic: Mediating Role of Family Information Sharing," IJERPH, MDPI, vol. 17(23), pages 1-10, November.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:23:p:8838-:d:452552
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    References listed on IDEAS

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    1. Xin Wang & Man Ping Wang & Kasisomayajula Viswanath & Alice Wan & Tai Hing Lam & Sophia S Chan, 2016. "Smoking and Secondhand Smoke Exposure at Home Were Associated with Poor Perceived Family Well-Being: Findings of FAMILY Project," PLOS ONE, Public Library of Science, vol. 11(8), pages 1-10, August.
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    Cited by:

    1. Xueyan Cheng & Liang Zhang, 2022. "Health Service Needs from a Household Perspective: An Empirical Study in Rural Empty Nest Families in Sinan and Dangyang, China," IJERPH, MDPI, vol. 19(2), pages 1-13, January.
    2. Marietta Koźlarek & Natalia Błaszczyk & Magdalena Grajek & Sylwia Jaskulska, 2022. "Preventive Health Behaviours among Adolescents and Their Parents during the COVID-19 Outbreak in the Light of the Health Beliefs Model," IJERPH, MDPI, vol. 19(24), pages 1-12, December.
    3. Mariusz Duplaga, 2022. "The Roles of Health and e-Health Literacy, Conspiracy Beliefs and Political Sympathy in the Adherence to Preventive Measures Recommended during the Pandemic," IJERPH, MDPI, vol. 19(14), pages 1-13, July.
    4. Sam S. S. Lau & Eric N. Y. Shum & Jackie O. T. Man & Ethan T. H. Cheung & Padmore Adusei Amoah & Angela Y. M. Leung & Kevin Dadaczynski & Orkan Okan, 2022. "COVID-19-Related Health Literacy of School Leaders in Hong Kong: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(19), pages 1-17, October.
    5. Shirley Man-Man Sit & Wei-Jie Gong & Sai-Yin Ho & Agnes Yuen-Kwan Lai & Bonny Yee-Man Wong & Man-Ping Wang & Tai-Hing Lam, 2022. "A Population Study on COVID-19 Information Sharing: Sociodemographic Differences and Associations with Family Communication Quality and Well-Being in Hong Kong," IJERPH, MDPI, vol. 19(6), pages 1-11, March.
    6. Tharadon Pothisa & Parichat Ong-Artborirak & Katekaew Seangpraw & Prakasit Tonchoy & Supakan Kantow & Nisarat Auttama & Sorawit Boonyathee & Monchanok Choowanthanapakorn & Sasivimol Bootsikeaw & Pitak, 2022. "Knowledge of COVID-19 and Its Relationship with Preventive Behaviors and Vaccination among Adults in Northern Thailand’s Community," IJERPH, MDPI, vol. 19(3), pages 1-14, January.
    7. Maria João Silva & Paulo Santos, 2021. "The Impact of Health Literacy on Knowledge and Attitudes towards Preventive Strategies against COVID-19: A Cross-Sectional Study," IJERPH, MDPI, vol. 18(10), pages 1-12, May.

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