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

Janet Yuen Ha Wong, Abraham Ka Chung Wai, Shengzhi Zhao, Faustina Yip, Jung Jae Lee, Carlos King Ho Wong, Man Ping Wang and Tai Hing Lam
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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

IJERPH, 2020, vol. 17, issue 23, 1-10

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.

Keywords: COVID-19; health literacy; information sharing; family well-being; preventive measures (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (7)

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