Recursive Path Model for Health Literacy: The Effect of Social Support and Geographical Residence

Background: The public health relevance of health literacy is highlighted by the fact that its higher levels can improve health outcomes and reduce health inequities. In order to design effective interventions for improving health literacy, the relationship between health literacy and other factors such as sociodemographic variables, subjective health and social support must be understood.Objective: Our aim was to test a socioecological model of the determinants of health literacy with a special focus on the effect of residence. Our study investigated geographical differences regarding the levels of health literacy and its determinants as this was not investigated before in European nationwide surveys.Methods: Data was collected by a polling company in a sample (n = 1,200) of the Hungarian adult population nationally representative by age, gender, and permanent residence in 2019 January. The questionnaire included items on sociodemographic data, subjective well-being, social support, and two health literacy scales. A recursive path model was used to outline the mediating effect of social support between sociodemographic variables and health literacy where both direct and indirect effects of the explanatory variables and multiple relationships among the variables were analyzed simultaneously. Multiple-group analysis was applied to the three pre-set categories of permanent residence (capital city, urban and rural).Results: There was no statistically significant difference by residence regarding levels of health literacy. Social support and educational attainment were the most important determinants of health literacy after adjusting for the effect of other sociodemographic variables. However, the magnitude of effect of social support and educational attainment is different between types of settlements, the strongest being in rural areas.Conclusion: Social support seems to mediate the effect of socioeconomic position on health literacy which could be taken into account when designing interventions to improve health literacy, especially in rural areas. Further studies would be needed especially in rural communities to see whether improvement of social support could be utilized in projects to increase the level of health literacy.

The virtuous cycle: the reinforcing relationship between L2 attitudes and L2 use among young Italian-speaking South-Tyrolese

Aims and Objectives: The aim of the present study is to address the reciprocal relationship between L2 attitudes and L2 use in a bilingual setting among teenaged L2 learners. Whereas several scholars suggested that L2 attitudes and L2 use mutually facilitate each other, empirical studies have traditionally assessed the relationship between L2 attitudes and L2 use from one direction. Design/Methodology: We propose a complex model that integrates concepts tied to the larger social context surrounding formal L2 teaching, such as attitudes towards L2 speakers and L2 use outside the school, with concepts that are more closely associated with formal L2 teaching, such as L2 motivation and L2 competence. In addition, acknowledging that peers’ opinion is a salient issue for teenagers, we also included L2 related peer norms into the model we propose. Based on earlier research we developed six hypotheses regarding the relationships between the theoretical concepts. Self-report questionnaire data were collected among students in Italian language secondary schools in South Tyrol ( N = 315). The questionnaire included items from well-established and validated measurement instruments. We tested the proposed model with non-recursive path modelling. Findings/Conclusions: All the hypotheses were substantiated by the data. We found that both L2 attitudes and L2 related peer norms predicted L2 motivation. In addition, a significant interaction emerged between L2 attitudes and peer norms. L2 motivation predicted L2 competence which in turn predicted L2 use. Finally, the results have provided evidence of a reinforcement process, namely, that L2 use can contribute to positive intergroup attitudes. Originality: To the best of our knowledge, the present paper is the first that utilized non-recursive path modelling in exploring patterns of bilingualism. Significance/Implications: In bilingual settings, L2 use can promote better L2 attitudes. Positive peer norms regarding L2 can counterbalance the effect of negative attitudes on second language acquisition.

A proof-theoretic study of abstract termination principles

We carry out a proof-theoretic analysis of the wellfoundedness of recursive path orders in an abstract setting. We outline a general termination principle and extract from its wellfoundedness proof subrecursive bounds on the size of derivation trees that can be defined in Gödel’s system T plus bar recursion. We then carry out a complexity analysis of these terms and demonstrate how this can be applied to bound the derivational height of term rewrite systems.