Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

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
ORCID logo ,
Abraham Ka Chung Wai
,
Shengzhi Zhao
,
Faustina Yip
,
Jung Jae Lee
ORCID logo ,
Carlos King Ho Wong
,
Man Ping Wang
* ORCID logo ,
Tai Hing Lam
Version 1 : Received: 24 September 2020 / Approved: 27 September 2020 / Online: 27 September 2020 (03:05:51 CEST)
Version 2 : Received: 5 January 2021 / Approved: 5 January 2021 / Online: 5 January 2021 (11:40:50 CET)

A peer-reviewed article of this Preprint also exists.

Wong, J.Y.H.; Wai, A.K.C.; Zhao, S.; Yip, F.; Lee, J.J.; Wong, C.K.H.; Wang, M.P.; Lam, T.H. Association of Individual Health Literacy with Preventive Behaviours and Family Well-Being during COVID-19 Pandemic: Mediating Role of Family Information Sharing. Int. J. Environ. Res. Public Health 2020, 17, 8838. Wong, J.Y.H.; Wai, A.K.C.; Zhao, S.; Yip, F.; Lee, J.J.; Wong, C.K.H.; Wang, M.P.; Lam, T.H. Association of Individual Health Literacy with Preventive Behaviours and Family Well-Being during COVID-19 Pandemic: Mediating Role of Family Information Sharing. Int. J. Environ. Res. Public Health 2020, 17, 8838.

Abstract

Objective: We tested a model of individual health literacy, information sharing with family members, personal preventive behaviours and family well-being during 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, 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 .24 was shown and indirect effect through COVID-19 information sharing with family members was small with .03 (Z = 3.66, p < .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 = .04, CFI = .98, TLI = .96, and SRMR = .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

Subject

Medicine and Pharmacology, Immunology and Allergy

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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