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The Association Between Family Health and Proactive Health Risk Management With the Mediating Role of Health
Shangfeng Tang1, Yilin Wei1, Heng Dong1
1School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Hangkong Road No.13, Wuhan, Hubei, China, 86 13937920919.
JMIR Public Health and Surveillance
|April 23, 2026
Summary
Family health positively impacts proactive health risk management. Health literacy partially mediates this relationship, while family communication strengthens it, especially for adults under 60.
Area of Science:
- Public Health
- Behavioral Science
- Health Management
Background:
- Modifiable unhealthy behaviors contribute to over two-thirds of noncommunicable diseases.
- Behavioral risk factor reduction is key for long-term health outcomes.
- The link between family health and proactive health risk management is not well understood.
Purpose of the Study:
- Construct a comprehensive index for proactive health risk management (PHRMI).
- Examine health literacy's mediating role between family health (FH) and PHRMI.
- Investigate family communication's moderating effect on FH, health literacy, and PHRMI.
Main Methods:
- Cross-sectional survey of 30,044 participants across China.
- Utilized validated scales for PHRMI, FH, health literacy, and family communication.
- Employed SPSS PROCESS macro (models 4 and 7) for mediation and moderated mediation analyses.
Main Results:
- Higher family health (FH) was significantly associated with higher proactive health risk management index (PHRMI) levels (β=.710).
- Health literacy partially mediated the FH-PHRMI association (β=.207).
- Family communication moderated the FH-health literacy link (β=.117), amplifying FH's effect.
Conclusions:
- Family health is a crucial factor for proactive health risk management and health literacy.
- Interventions promoting family health may enhance health risk management.
- Family and intergenerational communication strategies are vital for older adults' health promotion.
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