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Peer-reviewedCC BYFrontiers in public health

The socioecological framework for health literacy promotion in adult non-formal education: empirical findings and socioecological conceptual framework.

  1. 1Center for Education, Languages and Social Technologies, Riga Technical University Rezekne Academy, Rezekne, Latvia.

Abstract

Rapid population aging, chronic disease prevalence, and digital information overload highlight health literacy as a critical competence for societal health promotion. This exploratory study aims to analyze theoretical dimensions of health literacy, investigate socio-demographic associations within a convenience sample of adult residents in Latvia recruited online, and synthesize these insights into a conceptual framework for health literacy promotion. A sequential explanatory mixed-methods research design was implemented in 2025/2026. Quantitative survey data (N = 320) were processed using IBM SPSS, conducting correlation analysis and non-parametric rank comparisons. In the qualitative phase, in-depth semi-structured interviews were conducted with key health and education sector experts (N = 6). Empirical results reveal a moderate positive correlation between information understanding and its practical application (τ = 0.383, p < 0.001), as well as between information accessibility and understanding in the health promotion domain (τ = 0.428, p < 0.001). Marital status was statistically significantly associated with the capacity to critically evaluate health information (H(3) = 10.45, p = 0.015). Reflexive thematic analysis (Braun and Clarke) highlighted barriers such as fragmentation in non-formal education, motivation deficits, and misinformation risks, while emphasizing employer engagement and digital health literacy. The proposed conceptual framework offers a hypothesis-generating, multi-level perspective for designing structured health literacy interventions within adult education environments.

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BibTeX
@article{bazileva2026socioecological,
  title = {{The socioecological framework for health literacy promotion in adult non-formal education: empirical findings and socioecological conceptual framework.}},
  author = {Aleksandra Bazileva and Svetlana Ušča},
  journal = {Frontiers in public health},
  year = {2026},
  month = oct,
  doi = {10.3389/fpubh.2026.1930078},
  url = {https://europepmc.org/article/MED/42908939},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - The socioecological framework for health literacy promotion in adult non-formal education: empirical findings and socioecological conceptual framework.
AU  - Aleksandra Bazileva
AU  - Svetlana Ušča
PY  - 2026
DA  - 2026/10/07
JO  - Frontiers in public health
DO  - 10.3389/fpubh.2026.1930078
UR  - https://europepmc.org/article/MED/42908939
AB  - Rapid population aging, chronic disease prevalence, and digital information overload highlight health literacy as a critical competence for societal health promotion. This exploratory study aims to analyze theoretical dimensions of health literacy, investigate socio-demographic associations within a convenience sample of adult residents in Latvia recruited online, and synthesize these insights into a conceptual framework for health literacy promotion. A sequential explanatory mixed-methods research design was implemented in 2025/2026. Quantitative survey data (N = 320) were processed using IBM SPSS, conducting correlation analysis and non-parametric rank comparisons. In the qualitative phase, in-depth semi-structured interviews were conducted with key health and education sector experts (N = 6). Empirical results reveal a moderate positive correlation between information understanding and its practical application (τ = 0.383, p < 0.001), as well as between information accessibility and understanding in the health promotion domain (τ = 0.428, p < 0.001). Marital status was statistically significantly associated with the capacity to critically evaluate health information (H(3) = 10.45, p = 0.015). Reflexive thematic analysis (Braun and Clarke) highlighted barriers such as fragmentation in non-formal education, motivation deficits, and misinformation risks, while emphasizing employer engagement and digital health literacy. The proposed conceptual framework offers a hypothesis-generating, multi-level perspective for designing structured health literacy interventions within adult education environments.
SN  - 2296-2565
ER  -