Abstract：
:Nearly half of U.S. adults have health literacy (HL) difficulties, and lack the ability to effectively obtain, process, and understand health information. Poor HL is associated with depression, yet mechanisms of this relation are unclear. This study examined whether social support mediated the relation between HL and depressive symptoms in 200 low-socioeconomic status (SES), racially/ethnically diverse smokers enrolled in cessation treatment. Mediation analyses were conducted using bootstrapping and controlling for SES and nicotine dependence. In simple mediation models, social support [Interpersonal Support Evaluation List (ISEL) total, subscales (Appraisal, Belonging, Tangible)] mediated the effect of HL on depression, such that lower HL was associated with lower perceived support, which predicted higher depressive symptoms (ps < .05). A multiple mediation model, with ISEL subscales entered simultaneously as mediators, was significant (p < .05) but only the Belonging subscale demonstrating independent significance (p < .05). Thus, social support may be a critical factor underlying the HL-depression relationship in low-SES, racially/ethnically diverse smokers.
journal_name
J Behav Medjournal_title
Journal of behavioral medicineauthors
Stewart DW,Reitzel LR,Correa-Fernández V,Cano MÁ,Adams CE,Cao Y,Li Y,Waters AJ,Wetter DW,Vidrine JIdoi
10.1007/s10865-014-9566-5subject
Has Abstractpub_date
2014-12-01 00:00:00pages
1169-79issue
6eissn
0160-7715issn
1573-3521journal_volume
37pub_type
杂志文章abstract：:Women tend to report greater acute and chronic pain intensity than men, and various mechanisms have been proposed to account for these sex differences. Suppression has been related to amplified pain intensity, and thus we examined whether sex differences in the use of suppression partly explained the discrepancy betwe...
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journal_title：Journal of behavioral medicine
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