Skip to main content


Swipe om te navigeren naar een ander artikel

01-12-2014 | Uitgave 6/2014

Journal of Behavioral Medicine 6/2014

Social support mediates the association of health literacy and depression among racially/ethnically diverse smokers with low socioeconomic status

Journal of Behavioral Medicine > Uitgave 6/2014
Diana W. Stewart, Lorraine R. Reitzel, Virmarie Correa-Fernández, Miguel Ángel Cano, Claire E. Adams, Yumei Cao, Yisheng Li, Andrew J. Waters, David W. Wetter, Jennifer Irvin Vidrine


Nearly half of U.S. adults have health literacy (HL) difficulties, and lack the ability to effectively obtain, process, and understand health information. Poor HL is associated with depression, yet mechanisms of this relation are unclear. This study examined whether social support mediated the relation between HL and depressive symptoms in 200 low-socioeconomic status (SES), racially/ethnically diverse smokers enrolled in cessation treatment. Mediation analyses were conducted using bootstrapping and controlling for SES and nicotine dependence. In simple mediation models, social support [Interpersonal Support Evaluation List (ISEL) total, subscales (Appraisal, Belonging, Tangible)] mediated the effect of HL on depression, such that lower HL was associated with lower perceived support, which predicted higher depressive symptoms (ps < .05). A multiple mediation model, with ISEL subscales entered simultaneously as mediators, was significant (p < .05) but only the Belonging subscale demonstrating independent significance (p < .05). Thus, social support may be a critical factor underlying the HL–depression relationship in low-SES, racially/ethnically diverse smokers.

Log in om toegang te krijgen

Met onderstaand(e) abonnement(en) heeft u direct toegang:

BSL Psychologie Totaal

Met BSL Psychologie Totaal blijft u als professional steeds op de hoogte van de nieuwste ontwikkelingen binnen uw vak. Met het online abonnement heeft u toegang tot een groot aantal boeken, protocollen, vaktijdschriften en e-learnings op het gebied van psychologie en psychiatrie. Zo kunt u op uw gemak en wanneer het u het beste uitkomt verdiepen in uw vakgebied.

Over dit artikel

Andere artikelen Uitgave 6/2014

Journal of Behavioral Medicine 6/2014 Naar de uitgave