Mediating role of health literacy in the relationship between social isolation and psychological distress among pre-frail older adults  

作　　者：Juan Fang Li-Hui Li Ming-Qian He Yue Ji Dong-Yan Lu Li-Bing Zhang Jin-Lan Yao 

机构地区：[1]School of Medicine,Huzhou University,Huzhou 313000,Zhejiang Province,China

出　　处：《World Journal of Psychiatry》2025年第1期137-144,共8页世界精神病学杂志（英文）

基　　金：Supported by the Scientific Research Fund of Zhejiang Provincial Education Department,No.Y202351104;and Huzhou Science and Technology Plan Project,No.2023GZ67。

摘　　要：BACKGROUND Frailty has become a significant public health issue.The recent increase in the number of frail older adults has led to increased attention being paid to psycho-logical care services in communities.The social isolation of pre-frail older adults can impact their psychological distress.AIM To explore the mediating effect of health literacy between social isolation and psychological distress among communitydwelling older adults with pre-frailty.METHODS This descriptive cross-sectional study was conducted with 254 pre-frail older individuals aged 60 years and over.Social isolation,health literacy,and psycholo-gical distress were comprehensively measured using the Lubben Social Network Scale-6,12-item Short-Form Health Literacy Questionnaire,and the Kessler Psy-chological Distress Scale-10.Data were evaluated using the SPSS 27.0 package program and the PROCESS macro tool.Descriptive statistical analyses,correlation analyses,and bootstrap mediation tests were used to assess associations between the variables.RESULTS The results showed that social isolation had an effect on health literacy among pre-frail older adults(β=0.240,P<0.001),social isolation impact on psycho-logical distress pre-frail older adults(β=-0.415,P<0.001);health literacy was identified effect on psychological distress among pre-frail older persons(β=-0.307,P<0.001).Health literacy partially mediated the relationship between social isolation and psychological distress among community-dwelling older adults with pre-frailty,with a mediation effect of-0.074,accounting for 17.83%of the total effect.

关 键 词：FRAIL Ageing Psychological distress Health literacy Social isolation 

分 类 号：R395.6[哲学宗教—心理学]