The Role of Resilience and Gender in Relation to Infectious-Disease-Specific Health Literacy and Anxiety During the COVID-19 Pandemic

Xueling Xiao,1 Jinshun Xiao,2 Juqin Yao,1 Yaling Chen,3 Leorey Saligan,4 Nancy R Reynolds,5 Honghong Wang1 1Xiangya Nursing School of Central South University, Changsha, Hunan, People’s Republic of China; 2School of Information Engineering, Wuhan College, Wuhan, Hubei, People’s R...

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Autores principales:	Xiao X, Xiao J, Yao J, Chen Y, Saligan L, Reynolds NR, Wang H
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	health literacy infectious-disease-specific health literacy resilience anxiety pandemic mental health Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/23a13af75a214993ababa439c23489dc
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spelling	oai:doaj.org-article:23a13af75a214993ababa439c23489dc2021-12-02T11:41:52ZThe Role of Resilience and Gender in Relation to Infectious-Disease-Specific Health Literacy and Anxiety During the COVID-19 Pandemic1178-2021https://doaj.org/article/23a13af75a214993ababa439c23489dc2020-12-01T00:00:00Zhttps://www.dovepress.com/the-role-of-resilience-and-gender-in-relation-to-infectious-disease-sp-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Xueling Xiao,1 Jinshun Xiao,2 Juqin Yao,1 Yaling Chen,3 Leorey Saligan,4 Nancy R Reynolds,5 Honghong Wang1 1Xiangya Nursing School of Central South University, Changsha, Hunan, People’s Republic of China; 2School of Information Engineering, Wuhan College, Wuhan, Hubei, People’s Republic of China; 3Nursing Department, Medical School of Wuhan University of Science and Technology, Wuhan, Hubei, People’s Republic of China; 4National Institute of Nursing Research/National Institute of Health, Bethesda, MD, USA; 5Johns Hopkins School of Nursing, Baltimore, MD, USACorrespondence: Juqin YaoXiangya Nursing School of Central South University, 172 Tongzipo Road, Yuelu District, Changsha, Hunan 410013, People’s Republic of ChinaTel/Fax +86-731-2650266Email yaojq722@csu.edu.cnBackground: Anxiety is one of the psychological problems being experienced by the general population during the current coronavirus disease 2019 (COVID-19) pandemic. Health literacy, such as infectious-disease-specific health literacy, is associated with anxiety, but the mechanism of such association is not clear. This study explored the relationship between infectious-disease-specific health literacy and anxiety.Methods: We conducted an online survey in Hubei province, the early epicenter of the COVID-19 pandemic. A total of 1038 COVID-19-negative participants accomplished a battery of online survey tools determining their sociodemographic characteristics, perceived risk of acquiring COVID-19, infectious-disease-specific health literacy, resilience, and anxiety symptoms. We examined the moderated mediation models, in which the mediator was resilience and the moderator was gender.Results: Most (63%) of the study participants experienced at least mild anxiety. The indirect effect of infectious-disease-specific health literacy on anxiety through resilience was − 0.282 (95% confidence interval [CI] = [− 0.511, − 0.083]), contributing to 32.7% of the total effect of health literacy on anxiety. Resilience fully mediated the association. The mediation effect of resilience tended to be stronger for the male participants than for the female participants as the moderation effect of gender remained until we included perceived risk of acquiring COVID-19 in the model.Conclusion: Resilience was found to mediate the association between infectious-disease-specific health literacy and anxiety. Individuals with good infectious-disease-specific health literacy are more likely to acquire higher resilience, which may in turn decrease their anxiety level. Males may benefit more from the mediation effect of resilience during the current pandemic. Infectious-disease-specific health literacy programs may help reduce the anxiety of the program participants by enhancing their resilience during a pandemic.Keywords: health literacy, infectious-disease-specific health literacy, resilience, anxiety, pandemic, mental healthXiao XXiao JYao JChen YSaligan LReynolds NRWang HDove Medical Pressarticlehealth literacyinfectious-disease-specific health literacyresilienceanxietypandemicmental healthNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 16, Pp 3011-3021 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	health literacy infectious-disease-specific health literacy resilience anxiety pandemic mental health Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	health literacy infectious-disease-specific health literacy resilience anxiety pandemic mental health Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Xiao X Xiao J Yao J Chen Y Saligan L Reynolds NR Wang H The Role of Resilience and Gender in Relation to Infectious-Disease-Specific Health Literacy and Anxiety During the COVID-19 Pandemic
description	Xueling Xiao,1 Jinshun Xiao,2 Juqin Yao,1 Yaling Chen,3 Leorey Saligan,4 Nancy R Reynolds,5 Honghong Wang1 1Xiangya Nursing School of Central South University, Changsha, Hunan, People’s Republic of China; 2School of Information Engineering, Wuhan College, Wuhan, Hubei, People’s Republic of China; 3Nursing Department, Medical School of Wuhan University of Science and Technology, Wuhan, Hubei, People’s Republic of China; 4National Institute of Nursing Research/National Institute of Health, Bethesda, MD, USA; 5Johns Hopkins School of Nursing, Baltimore, MD, USACorrespondence: Juqin YaoXiangya Nursing School of Central South University, 172 Tongzipo Road, Yuelu District, Changsha, Hunan 410013, People’s Republic of ChinaTel/Fax +86-731-2650266Email yaojq722@csu.edu.cnBackground: Anxiety is one of the psychological problems being experienced by the general population during the current coronavirus disease 2019 (COVID-19) pandemic. Health literacy, such as infectious-disease-specific health literacy, is associated with anxiety, but the mechanism of such association is not clear. This study explored the relationship between infectious-disease-specific health literacy and anxiety.Methods: We conducted an online survey in Hubei province, the early epicenter of the COVID-19 pandemic. A total of 1038 COVID-19-negative participants accomplished a battery of online survey tools determining their sociodemographic characteristics, perceived risk of acquiring COVID-19, infectious-disease-specific health literacy, resilience, and anxiety symptoms. We examined the moderated mediation models, in which the mediator was resilience and the moderator was gender.Results: Most (63%) of the study participants experienced at least mild anxiety. The indirect effect of infectious-disease-specific health literacy on anxiety through resilience was − 0.282 (95% confidence interval [CI] = [− 0.511, − 0.083]), contributing to 32.7% of the total effect of health literacy on anxiety. Resilience fully mediated the association. The mediation effect of resilience tended to be stronger for the male participants than for the female participants as the moderation effect of gender remained until we included perceived risk of acquiring COVID-19 in the model.Conclusion: Resilience was found to mediate the association between infectious-disease-specific health literacy and anxiety. Individuals with good infectious-disease-specific health literacy are more likely to acquire higher resilience, which may in turn decrease their anxiety level. Males may benefit more from the mediation effect of resilience during the current pandemic. Infectious-disease-specific health literacy programs may help reduce the anxiety of the program participants by enhancing their resilience during a pandemic.Keywords: health literacy, infectious-disease-specific health literacy, resilience, anxiety, pandemic, mental health
format	article
author	Xiao X Xiao J Yao J Chen Y Saligan L Reynolds NR Wang H
author_facet	Xiao X Xiao J Yao J Chen Y Saligan L Reynolds NR Wang H
author_sort	Xiao X
title	The Role of Resilience and Gender in Relation to Infectious-Disease-Specific Health Literacy and Anxiety During the COVID-19 Pandemic
title_short	The Role of Resilience and Gender in Relation to Infectious-Disease-Specific Health Literacy and Anxiety During the COVID-19 Pandemic
title_full	The Role of Resilience and Gender in Relation to Infectious-Disease-Specific Health Literacy and Anxiety During the COVID-19 Pandemic
title_fullStr	The Role of Resilience and Gender in Relation to Infectious-Disease-Specific Health Literacy and Anxiety During the COVID-19 Pandemic
title_full_unstemmed	The Role of Resilience and Gender in Relation to Infectious-Disease-Specific Health Literacy and Anxiety During the COVID-19 Pandemic
title_sort	role of resilience and gender in relation to infectious-disease-specific health literacy and anxiety during the covid-19 pandemic
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/23a13af75a214993ababa439c23489dc
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The Role of Resilience and Gender in Relation to Infectious-Disease-Specific Health Literacy and Anxiety During the COVID-19 Pandemic

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