{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T16:13:02Z","timestamp":1789143182057,"version":"build-2803163510"},"reference-count":70,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2023,6,15]],"date-time":"2023-06-15T00:00:00Z","timestamp":1686787200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Guangdong Nursing Association","award":["gdshsxh2021a169"],"award-info":[{"award-number":["gdshsxh2021a169"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>This study aimed to analyze the relationship between health literacy and quality of life in patients with TB in Tibet and explore the mediating effects of self-efficacy and self-management in the relationship between health literacy and quality of life.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We used a convenience sampling method to select 271 cases of patients with TB in Tibet to conduct a survey of their general information, health literacy, self-management, self-efficacy and quality of life, and to construct structural equation models.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The total health literacy score of patients with TB in Tibet was 84.28\u00b118.57, while the lowest score was for information acquisition ability (55.99\u00b125.66). Scores for quality of life were generally lower than the norm (patients with chronic diseases from other cities in China) (p&amp;lt;0.01). Moreover, self-efficacy and self-management mediated the relationship between health literacy and quality of life (p&amp;lt;0.05).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>In Tibet, patients with TB have a low level of health literacy and an average level of quality of life. Emphasis should be placed on improving information access literacy, role-physicals and role-emotional to improve overall quality of life. The mediating roles of self-efficacy and self-management between health literacy and quality of life may provide a basis for further interventions.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/inthealth\/ihad040","type":"journal-article","created":{"date-parts":[[2023,5,24]],"date-time":"2023-05-24T23:54:54Z","timestamp":1684972494000},"page":"585-600","source":"Crossref","is-referenced-by-count":10,"title":["Self-efficacy and self-management mediate the association of health literacy and quality of life among patients with TB in Tibet, China: a cross-sectional study"],"prefix":"10.1093","volume":"15","author":[{"given":"An-kang","family":"Liu","sequence":"first","affiliation":[{"name":"School of Nursing, Jinan University , Guangzhou, Guangdong, 510632 , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu-yao","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Oncology, The First Affiliated Hospital of Jinan University , Guangzhou, Guangdong, 510630 , China"},{"name":"Internal Medicine, Nyingchi People's Hospital , Nyingchi, Tibet Autonomous Region, 860000 , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin","family":"Su","sequence":"additional","affiliation":[{"name":"School of Nursing, Jinan University , Guangzhou, Guangdong, 510632 , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Gao","sequence":"additional","affiliation":[{"name":"Nursing Department, Nyingchi People's Hospital , Nyingchi, Tibet Autonomous Region, 860000 , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li-juan","family":"Dong","sequence":"additional","affiliation":[{"name":"Internal Medicine, Nyingchi People's Hospital , Nyingchi, Tibet Autonomous Region, 860000 , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qi-yuan","family":"Lv","sequence":"additional","affiliation":[{"name":"School of Nursing, Jinan University , Guangzhou, Guangdong, 510632 , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiao-hong","family":"Yang","sequence":"additional","affiliation":[{"name":"School of Nursing, Jinan University , Guangzhou, Guangdong, 510632 , China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,6,15]]},"reference":[{"key":"2023090112512553200_bib1","doi-asserted-by":"crossref","first-page":"427","DOI":"10.15585\/mmwr.mm7012a4","article-title":"Epidemiology of tuberculosis and progress toward meeting global targets - worldwide, 2019","volume":"70","author":"Fukunaga","year":"2021","journal-title":"MMWR Morb Mortal Wkly Rep."},{"key":"2023090112512553200_bib2","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1186\/s40249-020-00778-0","article-title":"Spatial inequality, characteristics of internal migration, and pulmonary tuberculosis in China, 2011-2017: a spatial analysis","volume":"9","author":"He","year":"2020","journal-title":"Infect Dis Poverty"},{"key":"2023090112512553200_bib3","doi-asserted-by":"crossref","first-page":"1284","DOI":"10.1186\/s12889-020-09331-y","article-title":"Spatiotemporal characteristics and the epidemiology of tuberculosis in China from 2004 to 2017 by the nationwide surveillance system","volume":"20","author":"Zuo","year":"2020","journal-title":"BMC Public Health"},{"key":"2023090112512553200_bib4","author":"WHO"},{"key":"2023090112512553200_bib5","doi-asserted-by":"crossref","first-page":"773","DOI":"10.1016\/S0140-6736(15)60436-6","article-title":"Prevalence of tuberculosis in China","volume":"385","author":"Hill","year":"2015","journal-title":"Lancet."},{"key":"2023090112512553200_bib6","first-page":"1843","article-title":"Study on spatial clustering characteristics of tuberculosis in China, 2013-2018","volume":"41","author":"Yang","year":"2020","journal-title":"Chin J Epidemiol."},{"key":"2023090112512553200_bib7","first-page":"193","article-title":"Population distribution of tuberculosis in Tibet from 2010 to 2019","volume":"7","author":"Qimeizhuoga","year":"2021","journal-title":"Smart Healthcare"},{"key":"2023090112512553200_bib8","doi-asserted-by":"crossref","first-page":"14009","DOI":"10.1073\/pnas.95.24.14009","article-title":"Hypsographic demography: the distribution of human population by altitude","volume":"95","author":"Cohen","year":"1998","journal-title":"Proc Natl Acad Sci U S A."},{"key":"2023090112512553200_bib9","first-page":"500","article-title":"Chronic exposure to altitude. 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