To construct a structural equation model(SEM) of factors related to health literacy among elderly hypertensive patients in the community and analyze the pathways and strengths of these factors' effects on health literacy in the model. Elderly hypertensive patients (n=140) registered at a community health center in Guangzhou from December 2023 to March 2024 were selected as the study sample using convenience sampling method. Data collection utilized the General Information Questionnaire, Hypertension Health Knowledge Questionnaire, Short-Form Health Belief Model Scale (SFHBMS), and Health Literacy Management Scale (HeLMS). Pearson correlation and logistic regression analyses examined variable relationships. Amos 26.0 software was used to analyze the path relationships between factors, construct a structural equation model, and fit the data and correct the model via maximum likelihood estimation. The total health literacy score was 107.56±14.30. Both total health knowledge and health belief scores were positively correlated with the total health literacy score (P<0.001). Health knowledge had a direct effect on health literacy (β=0.238, P=0.012), while health beliefs had a direct effect (β=0.444, P<0.001). Health knowledge also indirectly influenced health literacy through health beliefs (indirect effect=0.099).The total effect of health knowledge on health literacy was 0.337, and the mediating effect of health beliefs accounted for 29.38% of the total effect. Health knowledge and health beliefs all have a positive effect on the health literacy of elderly hypertensive patients in the community, and health beliefs play a partial mediating role between health knowledge and health literacy.

Peng Huijiao, Huang Wanxia, Zheng Changhua. Analysis of Structural Equation Modeling on Factors Related to Health Literacy among Elderly Hypertensive Patients in the Community. Frontiers in Medical Science Research (2025), Vol. 7, Issue 5: 82-88. https://doi.org/10.25236/FMSR.2025.070509.

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