Working Paper Article Version 2 This version is not peer-reviewed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

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.

Journal reference: Int. J. Environ. Res. Public Health 2020, 17, 8838
DOI: 10.3390/ijerph17238838

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.

Subject Areas

COVID-19; health literacy; information sharing; family well-being; preventive measures

Comments (1)

Comment 1
Received: 5 January 2021
Commenter: Janet Yuen Ha Wong
Commenter's Conflict of Interests: Author
Comment: Revision was done according to reviewers' comments.
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