Socioeconomic Determinants of Melanoma-Related Health Literacy and Attitudes Among College Students in China: A Population-Based Cross-Sectional Study

Objectives: To investigate the association of gender, ethnicity, living region, and socioeconomic status (SES) with health literacy and attitudes toward nevi and melanoma in Chinese adolescents and to examine whether health literacy mediates the association of SES with attitudes.Study Design: A mult...

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Autores principales:	Tianhao Wu, Xianggui Wang, Shuang Zhao, Yi Xiao, Minxue Shen, Xi Han, Xiang Chen, Juan Su
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	melanoma health literacy mediation model attitude prevention Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/ee178cbfe57f4a5f9abd88d184eeaa9f
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spelling	oai:doaj.org-article:ee178cbfe57f4a5f9abd88d184eeaa9f2021-11-11T07:39:31ZSocioeconomic Determinants of Melanoma-Related Health Literacy and Attitudes Among College Students in China: A Population-Based Cross-Sectional Study2296-256510.3389/fpubh.2021.743368https://doaj.org/article/ee178cbfe57f4a5f9abd88d184eeaa9f2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpubh.2021.743368/fullhttps://doaj.org/toc/2296-2565Objectives: To investigate the association of gender, ethnicity, living region, and socioeconomic status (SES) with health literacy and attitudes toward nevi and melanoma in Chinese adolescents and to examine whether health literacy mediates the association of SES with attitudes.Study Design: A multicenter cross-sectional study was conducted among newly enrolled college students. First-year students were recruited from five universities in different regions of China in 2018 using the cluster sampling method. The observers were blinded to the participants.Methods: Health literacy and attitudes were measured using a previously validated tool (Nevus and Melanoma Health Literacy and attitudes Test). SES was measured by annual family income and parental highest educational level. Nonparametric test was used to examine the association of participants' characteristics with health literacy and attitudes. Two-level generalized linear model with logarithm link function and Gamma distribution was used individually for SES. The mediation effect model was used to examine the mediation effect of health literacy.Results: A total of 21,086 questionnaires were completed by college students with a mean age of 18.0 ± 0.8 years. The mean scores of health literacy and attitudes were 9.83 ± 7.46 (maximum score: 28) and 16.98 ± 2.92 (maximum score: 20), respectively. Female, Han nationality, annual family income, and parental educational levels were positively associated with health literacy and attitudes. Regional differences showed different effects on health literacy and attitudes. A mediation model showed that literacy mediated the association of SES with attitudes toward nevi and melanoma. Health literacy mediated ~30–50% of the association of SES with attitudes.Conclusions: Melanoma-related health literacy among Chinese college students is generally insufficient and needs to be improved. Targeted and personalized health education for improving health literacy related to nevi and melanoma may improve the general population's attitudes and further promote health-related behavior to prevent and identify early-stage melanoma.Tianhao WuTianhao WuTianhao WuXianggui WangShuang ZhaoShuang ZhaoShuang ZhaoYi XiaoYi XiaoYi XiaoMinxue ShenMinxue ShenMinxue ShenXi HanXiang ChenXiang ChenXiang ChenJuan SuJuan SuJuan SuFrontiers Media S.A.articlemelanomahealth literacymediation modelattitudepreventionPublic aspects of medicineRA1-1270ENFrontiers in Public Health, Vol 9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	melanoma health literacy mediation model attitude prevention Public aspects of medicine RA1-1270
spellingShingle	melanoma health literacy mediation model attitude prevention Public aspects of medicine RA1-1270 Tianhao Wu Tianhao Wu Tianhao Wu Xianggui Wang Shuang Zhao Shuang Zhao Shuang Zhao Yi Xiao Yi Xiao Yi Xiao Minxue Shen Minxue Shen Minxue Shen Xi Han Xiang Chen Xiang Chen Xiang Chen Juan Su Juan Su Juan Su Socioeconomic Determinants of Melanoma-Related Health Literacy and Attitudes Among College Students in China: A Population-Based Cross-Sectional Study
description	Objectives: To investigate the association of gender, ethnicity, living region, and socioeconomic status (SES) with health literacy and attitudes toward nevi and melanoma in Chinese adolescents and to examine whether health literacy mediates the association of SES with attitudes.Study Design: A multicenter cross-sectional study was conducted among newly enrolled college students. First-year students were recruited from five universities in different regions of China in 2018 using the cluster sampling method. The observers were blinded to the participants.Methods: Health literacy and attitudes were measured using a previously validated tool (Nevus and Melanoma Health Literacy and attitudes Test). SES was measured by annual family income and parental highest educational level. Nonparametric test was used to examine the association of participants' characteristics with health literacy and attitudes. Two-level generalized linear model with logarithm link function and Gamma distribution was used individually for SES. The mediation effect model was used to examine the mediation effect of health literacy.Results: A total of 21,086 questionnaires were completed by college students with a mean age of 18.0 ± 0.8 years. The mean scores of health literacy and attitudes were 9.83 ± 7.46 (maximum score: 28) and 16.98 ± 2.92 (maximum score: 20), respectively. Female, Han nationality, annual family income, and parental educational levels were positively associated with health literacy and attitudes. Regional differences showed different effects on health literacy and attitudes. A mediation model showed that literacy mediated the association of SES with attitudes toward nevi and melanoma. Health literacy mediated ~30–50% of the association of SES with attitudes.Conclusions: Melanoma-related health literacy among Chinese college students is generally insufficient and needs to be improved. Targeted and personalized health education for improving health literacy related to nevi and melanoma may improve the general population's attitudes and further promote health-related behavior to prevent and identify early-stage melanoma.
format	article
author	Tianhao Wu Tianhao Wu Tianhao Wu Xianggui Wang Shuang Zhao Shuang Zhao Shuang Zhao Yi Xiao Yi Xiao Yi Xiao Minxue Shen Minxue Shen Minxue Shen Xi Han Xiang Chen Xiang Chen Xiang Chen Juan Su Juan Su Juan Su
author_facet	Tianhao Wu Tianhao Wu Tianhao Wu Xianggui Wang Shuang Zhao Shuang Zhao Shuang Zhao Yi Xiao Yi Xiao Yi Xiao Minxue Shen Minxue Shen Minxue Shen Xi Han Xiang Chen Xiang Chen Xiang Chen Juan Su Juan Su Juan Su
author_sort	Tianhao Wu
title	Socioeconomic Determinants of Melanoma-Related Health Literacy and Attitudes Among College Students in China: A Population-Based Cross-Sectional Study
title_short	Socioeconomic Determinants of Melanoma-Related Health Literacy and Attitudes Among College Students in China: A Population-Based Cross-Sectional Study
title_full	Socioeconomic Determinants of Melanoma-Related Health Literacy and Attitudes Among College Students in China: A Population-Based Cross-Sectional Study
title_fullStr	Socioeconomic Determinants of Melanoma-Related Health Literacy and Attitudes Among College Students in China: A Population-Based Cross-Sectional Study
title_full_unstemmed	Socioeconomic Determinants of Melanoma-Related Health Literacy and Attitudes Among College Students in China: A Population-Based Cross-Sectional Study
title_sort	socioeconomic determinants of melanoma-related health literacy and attitudes among college students in china: a population-based cross-sectional study
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/ee178cbfe57f4a5f9abd88d184eeaa9f
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Socioeconomic Determinants of Melanoma-Related Health Literacy and Attitudes Among College Students in China: A Population-Based Cross-Sectional Study

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