Is Health Literacy Associated With Depressive Symptoms Among Korean Adults? Implications for Mental Health Nursing

Rhee, Taeho Greg; Lee, Hee Yun; Kim, Nam Keol; Han, Gunhee; Lee, Jeong-Hwa; Kim, Kyoungwoo

doi:10.1111/ppc.12162

Cited by 25 publications

(20 citation statements)

References 36 publications

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“…Earlier studies reported that individuals with lower health literacy often hide their health problems from family, friends, and healthcare providers because of shame, thereby causing them to likely experience isolation and to perceive less available support (67). Moreover, another study indicated that health literacy can act as an asset and empowerment tool that helps individuals access education about mental health services and utilize existing mental health services (68). Accordingly, to decrease depression and boost social support among older hypertensive and diabetic patients, efforts should be made by health care providers and policymakers to improve the health literacy of these patients.…”

Section: Discussionmentioning

confidence: 99%

The Relationship Between Health Literacy, Social Support, Depression, and Frailty Among Community-Dwelling Older Patients With Hypertension and Diabetes in China

Liu

Meng

et al. 2020

Front. Public Health

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Population aging is one of the major challenges facing modern society and has attracted global attention. With population aging becoming a global phenomenon, the impact of age-related diseases on health is increasing rapidly. Frailty is one of the most pressing issues facing older adults. The purpose of this study was to explore the interrelationship between health literacy, social support, depression, and frailty among older patients with hypertension and diabetes in China. No studies have investigated the mediating effects of social support and depression between health literacy and frailty. The findings of this study can be applied to help ameliorate frailty in older hypertensive and diabetic patients. Data were collected from 637 older hypertensive and diabetic patients aged 65 years and older in Sichuan Province, China. We used structural equation modeling (SEM) to test the hypothesized relationship among the variables. The results showed that 42.4% of the participants suffered from frailty. The mean scores for health literacy, social support, depression, and frailty were 13.6 ± 5.7, 35.7 ± 6.5, 4.0 ± 3.4, and 3.5 ± 2.1, respectively. Social support had a direct negative association with frailty (β = −0.128, 95%CI: [−0.198, −0.056]), and depression had a direct positive association with frailty (β = 0.326, 95%CI: [0.229, 0.411]), while social support had no direct association with depression. Health literacy had a direct positive association with social support (β = 0.151, 95%CI: [0.077, 0.224]) and a direct negative association with depression (β = −0.173, 95%CI: [−0.246, −0.1]), while health literacy had an indirect negative association with frailty through the mediating effect of social support and depression. To mitigate frailty in older patients with hypertension and diabetes, measures that provide social support, and enhance health literacy, while alleviating depression, should be considered, along with greater attention to patients who are divorced, widowed, or unmarried, those with comorbidities, and those with lower socioeconomic status.

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Section: Discussionmentioning

confidence: 99%

The Relationship Between Health Literacy, Social Support, Depression, and Frailty Among Community-Dwelling Older Patients With Hypertension and Diabetes in China

Liu

Meng

et al. 2020

Front. Public Health

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“…The MHL mean score, health literacy mean score, social support mean score, depression mean score, and mental health facility use score were all transformed using the natural logarithm function to interpret the results in approximate percentage changes rather than unit changes in the multiple regression analysis. to be associated with greater prevalence of mental illness symptoms, [43][44][45] and poor parental health literacy predicted negative mental well-being for their children. 46 Furthermore, populations with low health literacy are less likely to seek professional help for mental illness symptoms 44,47 and…”

Section: Discussionmentioning

confidence: 99%

Is health literacy associated with mental health literacy? Findings from Mental Health Literacy Scale

Lee

Hwang

Ball

et al. 2020

Perspect Psychiatr Care

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Purpose: This study aims to measure associated factors of Mental Health Literacy (MHL) among Minnesotans by using the Mental Health Literacy Scale and Andersen's Health Behavior Model. Design and methods: This study utilized cross-sectional survey data with 732 participants.Findings: Participants in higher education groups showed higher MHL levels than those who have less education. Non-Latino Whites had higher MHL levels than any other racial group. Participants who engaged in social groups had higher MHL levels. Interestingly, the relationship between health literacy and MHL was the most substantial factor.

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“…Health literacy is defined as the "degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions" (21). Previous studies have demonstrated that poor literacy is associated with higher levels of depressive symptoms in populations of US smokers with low socioeconomic status, US adults with addictions, and Korean adults (22)(23)(24). Additionally, a study of patients with diabetes indicated that depression may reduce the positive effect of health literacy on self-management (25).…”

Section: Introductionmentioning

confidence: 99%

Physical Comorbidity and Health Literacy Mediate the Relationship Between Social Support and Depression Among Patients With Hypertension

Zhang

Sun

et al. 2020

Front. Public Health

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Depression is a common comorbidity among patients with hypertension. Patients with hypertension and depression have worse health outcomes compared to those without depression. The combined effects of social support, physical comorbidity, and health literacy on depression among individuals with hypertension remain unclear. A survey was conducted between December 2017 and May 2018 to investigate the relationships among social support, physical comorbidity, health literacy, and depression in a population of patients with hypertension in rural areas of Sichuan province, China. Multiple linear regression was used to examine factors that influenced depression, and structural equation modeling (SEM) was used to examine the relationships among the four study variables. The mean scores of 549 patients with hypertension were 37.17 ± 6.84 for social support, 14.62 ± 6.26 for health literacy, and 3.56 ± 3.05 for depression; furthermore, 34.2% of participants had physical comorbidity. Gender and per capita annual family income were significantly associated with depression. Physical comorbidity was directly positively related to depression while health literacy was directly negatively related to depression. Social support had an indirect negative association with depression by the mediating effects of health literacy and physical comorbidity. Adequate social support and health literacy, and less physical comorbidity could potentially contribute to reducing depression. The study highlights the importance of social support in maintaining mental health among patients with hypertension. Strategies that target the enhancement of social support and health literacy should be prioritized to relieve depression among patients with hypertension. More attention should be paid to women, low-income individuals, and patients with physical comorbidities.

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Is Health Literacy Associated With Depressive Symptoms Among Korean Adults? Implications for Mental Health Nursing

Cited by 25 publications

References 36 publications

The Relationship Between Health Literacy, Social Support, Depression, and Frailty Among Community-Dwelling Older Patients With Hypertension and Diabetes in China

The Relationship Between Health Literacy, Social Support, Depression, and Frailty Among Community-Dwelling Older Patients With Hypertension and Diabetes in China

Is health literacy associated with mental health literacy? Findings from Mental Health Literacy Scale

Physical Comorbidity and Health Literacy Mediate the Relationship Between Social Support and Depression Among Patients With Hypertension

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