Health literacy as a moderator of health-related quality of life responses to chronic disease among Chinese rural women.

After further adding education (Model 2 in Table 2 ), the PR for impairments in pain/discomfort (PR = 1.23; 95% CI = 1.01, 1.50) was slightly decreased, and that for impairments in mobility was not statistically significant at the 0.05 level, but borderline significant (PR = 1.74; 95% CI = 0.97, 3.13; P = 0.06).

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However, the definitions and measurements of health literacy are evolving and diverse across countries [ 37 ], with an increasing trend to measure multidimensional competences rather than a single competence [ 12 , 38 ].

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