The relationship between health literacy and general well-being: mediating roles of importance of health and self-awareness and moderating role of health status in Turkish adults


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Arslan H., Koçak O., Yıldırım M., Yavuz K., Khalaf P. T., Alkhozahe H.

AUSTRALIAN PSYCHOLOGIST, cilt.1, sa.1, ss.1-11, 2025 (SSCI, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 1 Sayı: 1
  • Basım Tarihi: 2025
  • Doi Numarası: 10.1080/00050067.2024.2439383
  • Dergi Adı: AUSTRALIAN PSYCHOLOGIST
  • Derginin Tarandığı İndeksler: Scopus, Social Sciences Citation Index (SSCI), Academic Search Premier, ASSIA, IBZ Online, Periodicals Index Online, CINAHL, EBSCO Education Source, Psycinfo, Violence & Abuse Abstracts
  • Sayfa Sayıları: ss.1-11
  • Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
  • İstanbul Ticaret Üniversitesi Adresli: Evet

Özet

ABSTRACT

Objective: While health literacy is known to impact general well-being positively, the underlying

mechanisms of this relationship are not fully understood. The current study examined the

associations between health literacy and general well-being in adults, focusing on the mediating

roles of the perceived importance of health and self-awareness behaviours and the

moderating influence of health status.

Method: This study collected data via an online survey from a total of 2,101 Turkish-speaking

adults, 1,482 females (70.5%) and 619 males (29.95%), aged between 17 and 60, with a mean

age of 25.58 (SD = 9.66). Data collection was conducted during January and February 2023.

Participants completed self-reported measures assessing health literacy, the importance of

health, self-awareness, well-being, and health status.

Results: Mediation analysis indicated that health literacy is linked to general well-being

through the importance of health [effect = 0.13, 95% [0.05, 0.11]) and self-awareness [effect

= 0.06, 95% [0.05, 0.11]). Moderation analysis revealed a significant moderating effect of health

status on the relationship between self-awareness and general well-being, with a significant

relationship only evident among those reporting good health (B = 0.051, p < 0.05).

Conclusions: Enhancing health literacy is essential for improving general well-being by

promoting individuals’ understanding of health and fostering self-awareness. Understanding

how health literacy and changes in health status impact well-being can inform the development

of targeted interventions aimed at promoting both well-being and health outcomes.

KEY POINTS

What is already known about this topic:

(1) There is a relationship between health literacy and positive health outcomes, often attributed

to the adoption of health-promoting behaviours.

(2) Previous studies have indicated that health literacy contributes significantly to an individual’s

health and well-being.

(3) Health literacy has been linked to better health awareness and the perceived importance of

health, which play important roles in promoting healthier lifestyles.

What this topic adds:

(1) This study revealed that health literacy is indirectly related to general well-being through

mediating roles of the perceived importance of health and self-awareness behaviours.

(2) The findings highlight that self-awareness positively relates to general well-being primarily

among individuals with good health status.

(3) Enhancing health literacy levels can be a strategic approach to improving general wellbeing

by promoting an understanding of health importance and fostering self-awareness.