Title

Social participation, health literacy, and health and well-being : a cross-sectional study in Ghana

Document Type

Journal article

Source Publication

SSM - Population Health

Publication Date

4-2018

Volume

4

First Page

263

Last Page

270

Publisher

Elsevier Ltd

Keywords

Health literacy, Social capital, Social participation, Health promotion, Well-being

Abstract

Numerous studies attest to the salubriousness of social participation across contexts. Factors such as health-related behaviour, health risk aversion, and psychosocial traits partly explain this association. While a study of these factors contributes to an understanding of the role that social participation plays in health-related outcomes, significant gaps still exist in this field of investigation. In particular, existing studies have not explored the relationship between social participation and health literacy and how it affects health and well-being adequately. This paper addresses this gap by examining the responses of some 779 rural and urban residents in Ashanti Region in Ghana. The study used path analyses within structural equation modelling (SEM) to assess the mediational role of health literacy in the association between social participation (religious participation, volunteer activities and group membership), and health status and subjective well-being. All the proxies of social participation significantly predicted health literacy. It was also evident that social participation influences health and well-being substantially. After controlling for socio-demographic variables, religious participation and group membership indirectly predicted well-being and health status through health literacy. Volunteer activities showed a negative indirect effect; thus, social participation does not always have a favourable effect on health and well-being. However, the findings suggest that overall, enhancing social participation may be promising for effective health promotion.

DOI

10.1016/j.ssmph.2018.02.005

E-ISSN

23528273

Publisher Statement

Copyright © 2018 Published by Elsevier Ltd. Access to external full text or publisher's version may require subscription.

Full-text Version

Publisher’s Version

Language

English

Recommended Citation

Amoah, P. A. (2018). Social participation, health literacy, and health and well-being: A cross-sectional study in Ghana. SSM-Population Health, 4, 263-270. doi: 10.1016/j.ssmph.2018.02.005

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