Association between cultural capital and health literacy during the COVID-19 pandemic among community residents in China: the mediating effect of social capital

作者全名："Luo, Yi; Zhao, Hang; Chen, Huayong; Xiao, Mimi"

作者地址："[Luo, Yi; Zhao, Hang; Chen, Huayong; Xiao, Mimi] Chongqing Med Univ, Res Ctr Med & Social Dev, Sch Publ Hlth, Chongqing, Peoples R China"

通信作者："Xiao, MM (通讯作者)，Chongqing Med Univ, Res Ctr Med & Social Dev, Sch Publ Hlth, Chongqing, Peoples R China."

来源：FRONTIERS IN PUBLIC HEALTH

ESI学科分类：SOCIAL SCIENCES, GENERAL

WOS号：WOS:001101356700001

JCR分区：Q1

影响因子：5.2

年份：2023

卷号：11

期号：　

开始页：　

结束页：　

文献类型：Article

关键词：community residents; cultural capital; social capital; health literacy; mediation effect; COVID-19

摘要："BackgroundHealth literacy is crucial for managing pandemics such as COVID-19 and maintaining the health of the population; our goal was to investigate the impact of cultural capital on health literacy during the COVID-19 pandemic among community residents and to further examine the mediating role of social capital in the relationship between cultural capital and health literacy.MethodsA cross-sectional study was conducted among 1,600 community residents selected in Chongqing, China using a stratified random sampling method. Data were gathered through a questionnaire survey, including sociodemographic characteristics, cultural capital, social capital, and health literacy. Chi-square analysis, one-way ANOVA, t-test, and hierarchical linear regression were used to analyze the level of health literacy among community residents and the related elements; the structural equation model (SEM) was used to explore the influential mechanisms of health literacy and explore whether social capital acted as a mediator in the relationship between cultural capital and health literacy.ResultsCultural capital, community participation, community trust, reciprocity, and cognitive social capital had a significant positive effect on health literacy. In addition, the results of SEM indicated that cultural capital not only directly influences health literacy (beta = 0.383, 95% CI = 0.265-0.648), but also indirectly influences health literacy through three types of social capital (beta = 0.175, 95% CI = 0.117-0.465; beta = 0.191, 95% CI = 0.111-0.406; beta = 0.028, 95% CI = 0.031-0.174); its mediating effect accounting for 50.7% of the overall effect.ConclusionsOur results highlight the empirical link between cultural capital and health literacy, and suggest that social capital mediates this connection. These findings suggest that governments and communities should focus on the construction of community cultural capital and provide residents with better social capital to improve their health literacy to prepare for future pandemics."

基金机构：This work was supported by the Humanities and Social Sciences Research Project of Chongqing Education Commission (No. 22SKGH068). [22SKGH068]; Humanities and Social Sciences Research Project of Chongqing Education Commission

基金资助正文：We are grateful for the efforts of all the team members and we also sincerely thank the cooperation of the residents surveyed.r This work was supported by the Humanities and Social Sciences Research Project of Chongqing Education Commission (No. 22SKGH068).