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The Association Between Self-Care and Health Literacy in Patients With Chronic Diseases: A Systematic Review and Meta-Analysis - PubMed

5 hours ago
  • #self-care
  • #health-literacy
  • #chronic-diseases
  • Chronic diseases are a major global health burden, contributing to morbidity, mortality, and healthcare costs.
  • Self-care is essential for effective disease management, with health literacy (HL) and digital health literacy (eHL) playing a key role.
  • A systematic review and meta-analysis of 138 studies found a moderate positive association between HL and self-care (r = 0.29).
  • Higher HL was linked to improved self-care behaviors like medication adherence, disease monitoring, and lifestyle modifications.
  • Psychological, cognitive, and social factors mediate the relationship between HL and self-care, while distress and depression moderate it.
  • Subgroup analyses showed consistent positive effects across various chronic conditions.
  • Risk of bias was high in 62 studies, and certainty of evidence ranged from very low to moderate.
  • Future interventions should integrate tailored education, digital tools, and mental health support to enhance HL effectiveness.