The Effects of Social Support and Health Literacy on Depression among Rural Patients with Hypertension

LIU Yan; HE Jing; SUN Xia-xia; GE Jing-jing; LIU Dan-ping

doi:10.12182/20200760502

Volume 51 Issue 4

Jul. 2020

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JOURNAL OF SICHUAN UNIVERSITY (MEDICAL SCIENCES) > 2020 > 51(4): 510-514. > DOI: 10.12182/20200760502

LIU Yan, HE Jing, SUN Xia-xia, et al. The Effects of Social Support and Health Literacy on Depression among Rural Patients with Hypertension[J]. Journal of Sichuan University (Medical Sciences), 2020, 51(4): 510-514. DOI: 10.12182/20200760502

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The Effects of Social Support and Health Literacy on Depression among Rural Patients with Hypertension

Department of Health Related Social and Behavioral Science, West China School of Public Health and West China Forth Hospital, Sichuan University, Chengdu 610041, China

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Corresponding author:
LIU Dan-ping, E-mail: liudanping03@163.com
Received Date: January 15, 2020
Revised Date: April 19, 2020
Available Online: July 20, 2020
Published Date: July 19, 2020

Abstract

Abstract

Objective To explore the effects of social support and health literacy on depression among hypertensive patients in rural areas and to provide reference for improving depression in hypertensive patients.
Methods A multi-stage stratified sampling method was used to select 549 hypertensive patients in a rural area of Chengdu city for a questionnaire survey. Structural equation model was used to analyze the effects of social support and health literacy on depression in hypertensive patients.
Results Social support (β=−0.116, 95%CI: (−0.198)-(−0.132)) and health literacy (β=−0.209, 95%CI: (−0.289)-(−0.132)) had a direct negative effect on depression, and social support had a direct positive effect on health literacy (β=0.146, 95%CI: 0.064-0.229). Health literacy was a mediator between social support and depression (β=−0.030, 95%CI: (−0.054)-(−0.013)). The gender, employment status and per capita annual income of the patients affected the incidence of depression (P<0.05).
Conclusions Social support and health literacy are important predictors of depression among hypertensive patients. We should construct a good social support network, strengthen the publicity of health knowledge, and improve social support and health literacy to alleviate the depression in hypertensive patients. At the same time, more attention should be paid to women, people with low per capita annual income and working hypertensive patients.
- Hypertension,
- Social support,
- Health literacy,
- Depression,
- Structural equation model

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The Effects of Social Support and Health Literacy on Depression among Rural Patients with Hypertension

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