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Table 6 Mediation effects of health literacy (reference = sufficient level of health literacy) in the relationship between health related outcomesa and educational attainment (reference = higher education), HISlink 2018, Belgium – Results from multiple imputation

From: Does health literacy mediate the relationship between socioeconomic status and health related outcomes in the Belgian adult population?

 

Odds Ratiob

(95% CI)

Health behaviour

Practice of physical activity vs. No practice of physical activity

Total Effect

0.51 (0.45–0.56)***

Direct effect

0.53 (0.47–0.59)***

Indirect effect

0.96 (0.94–0.98)**

Percentage mediated (%)

4.1 (1.7 to 6.5)**

Healthy diet vs. Unhealthy diet

Total Effect

0.46 (0.40–0.52)***

Direct effect

0.48 (0.41–0.56)***

Indirect effect

0.96 (0.93–0.98)**

Percentage mediated (%)

3.8 (1.2 to 6.5)**

Alcohol consumption (At least once a week vs. Less than once a week)

Total Effect

0.39 (0.36–0.43)***

Direct effect

0.40 (0.36–0.44)***

Indirect effect

0.98 (0.96–0.99)**

Percentage mediated (%)

1.1 (0.1 to 2.2)

Tobacco consumption (current smokers vs. No current smokers)

Total Effect

1.87 (1.64–2.09)***

Direct effect

1.83 (1.60–2.05)***

Indirect effect

1.02 (1.01–1.04)**

Percentage mediated (%)

4.8 (0.4 to 9.3)

Health status

Good perceived health vs. Poor perceived health

Total Effect

0.46 (0.41–0.52)***

Direct effect

0.50 (0.43–0.56)***

Indirect effect

0.93 (0.91–0.95)***

Percentage mediated (%)

6.4 (3.9 to 9.0)***

Poor mental health status

Total Effect

1.43 (1.24–1.61)***

Direct effect

1.36 (1.18–1.54)**

Indirect effect

1.05 (1.02–1.08)**

Percentage mediated (%)

16.0 (5.2 to 26.7)**

Preventive health care

Preventive dental visit vs. No preventive dental visit

Total Effect

0.46 (0.42–0.51)***

Direct effect

0.47 (0.42–0.51)***

Indirect effect

0.98 (0.97-1.00)

Percentage mediated (%)

1.3 (-0.3 to 2.9)

  1. a Certain health related outcomes were not included because after controlling for confounding factors, the association between these outcomes and education or health literacy was no longer significant; b Adjusted by age and sex; Bootstrap Percentile 95% Confidence Limits; ** p < 0.05; *** p < 0.0001. All P values are two-tailed