The impact of health literacy on college students’ psychological disturbances and quality of life: a structural equation modeling analysis

• Main Authors: Jehad A. Rababah, Mohammed M. Al-Hammouri, Barbara L. Drew
• Format: Article
• Language: English
• Published: BMC 2020-08-01
• Series: Health and Quality of Life Outcomes
• Subjects: Health literacy; Psychological disturbances; Quality of life; College students; Structural equation modeling
• Online Access: http://link.springer.com/article/10.1186/s12955-020-01541-7

Abstract Background The literature regarding the effect of health literacy on college students’ psychological health and quality of life is scarce. The purpose of conducting this cross-sectional study was to examine the effect of health literacy on certain psychological disturbances (perceived stress, depressive symptoms, and impulsivity) and quality of life of college students. Methods A cross-sectional quantitative design was utilized in this study. A total of 310 four-year college students participated in this study. The students completed a demographics questionnaire as well as already established and validated measures of health literacy, perceived stress, depressive symptoms, impulsivity, and quality of life. Structural equation modeling was performed to analyze the data to explore the effect of health literacy on the psychological disturbances and quality of life. Results The results showed that health literacy has a negative effect on three psychological disturbances commonly experienced by college students; perceived stress, depressive symptoms, and impulsivity. In addition, the effect of health literacy on the quality of life was positive. Conclusion The proposed conceptual model was supported. College students’ counseling staff could use the findings to better address students’ needs pertinent to psychological health and quality of life. Future research is warranted to develop a more comprehensive model that explains the role of health literacy in determining college students’ psychological health and quality of life.