The Influence of Health Literacy and Social Support on Loneliness Among Patients With Severe Mental Illness in Rural Southwest China
Open accessAbstract
Loneliness is an important risk factor for poor health outcomes among adults, especially among those with severe mental illnesses (SMIs). Existing research has shown that adults with SMIs often lack health literacy, which contributes to more restricted social networks and low levels of social support. The objective of this cross-sectional study was to examine the influence of health literacy and social support on the loneliness of patients with SMI in rural Southwest China. We recruited 300 patients with SMI in rural Southwest China between December, 2017 to May, 2018 via a multi-stage stratified random sampling approach. We used structural equation modeling (SEM) test the hypothesized relationships among the variables of the 270 patients who completed the survey. Results of the SEM showed that health literacy was both directly and indirectly associated with loneliness, with social support playing a mediating role. These findings suggest psychoeducation for SMI patients, and their informal caregivers, may offer beneficial effects toward reducing loneliness in this vulnerable population. Further, social support is another potential target for intervention development for improving patient outcomes.
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Those with greater mental health literacy may be more likely to obtain adequate assistance and utilize available resources to address their psychosocial difficulties.
“Those with greater mental health literacy may be more likely to obtain adequate assistance and utilize available resources to address their psychosocial difficulties.77”
From A Longitudinal Study of Loneliness Before the End of the COVID-19 Pandemic: Trajectories, Predictors, and Impact on Chinese Adolescent Mental Health (2024) · cites this paper as [77]
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References 68 · Cited by 19
Research works printed but not linked: 2
- Statictics (2010). The China’s 2010 Census-Volume 3: Education Level [Online]. Beijing: Statistics Press.
- Statictics (2018). China Statistical Yearbook 2018. Beijing: China Statistics Press.
- Authors
- Liu, Y., Meng, H., Conner, K. O., Qiao, M., & Liu, D.
- Affiliations
- Sichuan University (CN)
- University of South Florida (US)
- Corresponding author
- Liu, Danping
- Venue
- Frontiers in Psychology
- Publisher
- Frontiers Media SA
- Published
- 2021-09-08
- Volume
- 12
- Pages
- 564666-564666
- ISSN
- 1664-1078 (ISSN-L)
- PMC
- PMC8455823
- OpenAlex
- W3197891536
- Cited by
- 19
- References
- 68
- Citations by year
- 2026: 8 · 2025: 2 · 2024: 5 · 2023: 3 · 2022: 1
- FWCI
- 2.52
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Psychology (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
- Social Sciences › Health › Health disparities and outcomes
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- loneliness, health literacy, social support, severe mental illness, rural population, mediating role of social support, psychoeducation, informal caregivers, Southwest China
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