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Health Literacy Predicts Change in Physical Activity Self-efficacy Among Sedentary Latinas |
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| Authors: | Gregory M. Dominick Shira I. Dunsiger Dorothy W. Pekmezi Bess H. Marcus |
| Affiliation: | 1. Department of Behavioral Health and Nutrition, University of Delaware, 26 North College Avenue, Newark, DE, 19716, USA 2. Centers for Behavioral and Preventive Medicine, The Miriam Hospital and Warren Alpert Medical School, Brown University, Providence, RI, USA 3. Department of Health Behavior, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA 4. Department of Family and Preventive Medicine, The University of California, San Diego, CA, USA |
| Abstract: | Health literacy (HL) is associated with preventive health behaviors. Self-efficacy is a predictor of health behavior, including physical activity (PA); however, causal pathways between HL and self-efficacy for PA are unknown, especially among Latinas who are at risk for chronic disease. To explore this potential relationship, secondary analyses were conducted on data [Shortened Test of Functional Health Literacy in Adults (STOFHLA), PA self-efficacy, and socio-demographics] from a 6-month, randomized controlled trial of a print-based PA intervention (n = 89 Spanish-speaking Latinas). Linear regression models revealed associations between HL and baseline self-efficacy in addition to changes in self-efficacy at 6-months. After controlling for significant covariates, higher HL scores were associated with lower baseline PA self-efficacy. Regardless of treatment assignment, higher HL scores at baseline predicted greater changes in PA self-efficacy at 6-months. HL may contribute to Latinas’ improved PA self-efficacy, though further research is warranted. |
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