scholarly journals Young adult health literacy on health promotion as social determinant of health: Challenges for health education practice in Lithuania

2018 ◽  
Vol 40 ◽  
pp. 02005
Author(s):  
J. Cesnaviciene ◽  
A. Kalinkeviciene ◽  
S. Ustilaite

A synthesis of theory, research, and practice shows that education is linked to better health through individuals’ increased health knowledge and healthy behaviour. Health literacy is put forward as the central mediator between education and health. Scientific studies have shown a strong association between the levels of health literacy and health outcomes. The aim of the study is to identify the levels of health literacy on health promotion among Lithuania’s young adults. The anonymous self-reported questionnaire survey was carried out in the period of 2014-2015. The research sample involved 842 young adults aged 18-29. Health literacy was measured using an HLS-EU-Q-47 questionnaire. The research studies suggest that less than half of Lithuanian young adults have sufficient or excellent health literacy on health promotion, which is essential in maintaining good health and the quality of life. These findings are important evidence that health education should become a priority area at all levels of educational process at every stage of the life: from childhood through adulthood.

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 397-397
Author(s):  
Hee Yun Lee ◽  
Eun Young Choi ◽  
Jieun Song ◽  
Jamie Gajos ◽  
Yan Luo

Abstract Opioid overdose risk is particularly high in immigrant communities partly due to limited English proficiency (Guarino et al., 2015). Previous studies reported that social determinants of health (SDH) have been associated with risk for opioid overdose (Dasgupta et al., 2018). The current study examines the association between SDH and literacy of opioid overdose risk among the immigrant population living in a rural area. Specifically, we examine the association in various age groups including young adults (aged 20 to 34), middle-aged (aged 35 to 49), and older adults (ages 50 to 75). Data were drawn from a sample of Korean American immigrants residing in rural Alabama (N=225). The participants administered the Brief Opioid Knowledge (BOOK) Questionnaire (Dunn et al., 2016). Multiple regression analyses were conducted for three age groups to identify predictors of opioid literacy. Overall, older adults had lower levels of opioid literacy relative to their younger counterparts. Among young adults, low English proficiency, more chronic conditions, and greater depressive symptoms were significant predictors of limited opioid literacy. For the middle-aged adults, lower levels of health literacy and more pain symptoms were associated with limited opioid literacy. Among older adults, women, those with higher English proficiency, and lower health literacy had lower levels of opioid literacy. The findings demonstrated a greater vulnerability of older immigrants to limited opioid literacy. Different predictors based on SDH of limited opioid literacy across age groups have implications for tailored health promotion strategies to reduce opioid overdose risk.


2016 ◽  
Vol 24 (4) ◽  
pp. 69-80 ◽  
Author(s):  
Li-Ling Liao ◽  
Chieh-Hsing Liu ◽  
Chi-Chia Cheng ◽  
Tzu-Chau Chang

Background: Health literacy is related to health inequality, health behaviors, and health status. Globally, health literacy has primarily focused on adults and has been based on the medical model. It is necessary to understand children’s life experiences as they relate to health; thus, this study attempted to evaluate and describe the health literacy abilities of sixth-graders in Taiwan. Methods: Interviews were conducted with 10 teachers and 11 caregivers, and focus groups were conducted with 32 children. Health literacy abilities corresponding to real-life situations were identified from life skills and the Taiwanese Curriculum Guidelines for health education. Three expert meetings were held to redefine children’s health literacy using a health promotion perspective and confirmed indicators. Results: An operational definition of three aspects of children’s health literacy and 25 abilities was proposed: 11 functional health literacy abilities (e.g. understands the connection between personal health care behaviors and health); seven interactive health literacy abilities (e.g. obtains and understands information from various channels); and seven critical health literacy abilities (e.g. analyzes the relationship between personal needs and diet choices for a balanced diet). These indicators cover 10 health education categories. Conclusions: These findings highlight the importance of understanding Taiwanese children’s health literacy, and the urgency of developing an appropriate measurement tool. The definition and indicators in this study were identified using a child-centered approach focusing on children’s real-life experiences. The result serves as a solid basis for the development of the Taiwan Children’s Health Literacy Scale, and provides information for the decision-making sector on health education.


Author(s):  
Ruth Cross ◽  
Ivy O'Neil

Abstract This book chapter seeks to: (i) consider models of communication and assess their relevance to health communication; (ii) suggest that health promotion must adopt participatory means of communication; (iii) critique top-down 'banking' approaches to communication and education; (iv) discuss the implications of digital technology development on health communication; (v) assert the importance of health education and consider the idea of health literacy; (vi) explore and critique social marketing; and (vii) explore and critique psychological models of behaviour change.


2015 ◽  
Vol 3 (13) ◽  
pp. 1-120 ◽  
Author(s):  
Julia Bailey ◽  
Sue Mann ◽  
Sonali Wayal ◽  
Rachael Hunter ◽  
Caroline Free ◽  
...  

BackgroundYoung people are at risk of poor sexual health and are, therefore, in need of comprehensive, effective sexual health education. Young people are confident and constant users of digital technology, such as the internet and mobile phones, and there are many innovative possibilities for sexual health education involving these technologies.ObjectivesTo summarise evidence on effectiveness, cost-effectiveness and mechanism of action of interactive digital interventions (IDIs) for sexual health; optimal practice for intervention development; contexts for successful implementation; research methods for digital intervention evaluation; and the future potential of sexual health promotion via digital media.DesignLiterature review of evidence on digital interventions for sexual health for young people, integrating the findings with the views of young people, parents and experts in digital media/sexual health. IDIs are defined as digital media programmes that provide health information and tailored decision support, behaviour-change support and/or emotional support. We focus on sexual well-being for young people aged 13–24 years in the UK.ResultsThere are many imaginative IDIs for sexual health promotion, but few interventions address issues that are important to young people, such as sexual pleasure and relationships. It is vital to collaborate with young people and to use Behaviour-Change Theory in designing interventions. We located 19 randomised controlled trials of IDIs for sexual health promotion for young people, finding a moderate effect on sexual health knowledge [standardised mean difference (SMD) 0.54, 95% confidence interval (CI) 0.17 to 0.92], a small effect on confidence (self-efficacy) (SMD 0.11, 95% CI 0.02 to 0.20) and a positive effect on sexual behaviour (odds ratio 1.28, 95% CI 1.01 to 1.61), but no significant effects on safer sex intention or biological outcomes. One study suggests that IDIs may be as good as face-to-face interventions for sexual health knowledge and safer sex intention. There are no existing data on the cost-effectiveness of IDIs for sexual health promotion. The impact of an IDI will be determined by the proportion of the target population reached, intervention efficacy, adoption in a setting, how well it is delivered and maintenance/sustainability. All of these elements must be addressed for IDIs to be successful. More collaboration is needed to capitalise on the knowledge of users and stakeholders, the design and software skills of the commercial sector and the theoretical expertise and evaluation skills of academia.ConclusionsIDIs are effective for knowledge acquisition and sexual behaviour, and could usefully contribute to sexual health education in schools, in clinic settings and online; however, there are obstacles to overcome, such as access to information technology and ensuring the quality and safety of interventions.Future workMore evidence is needed on the best designs for interventions (e.g. choice of behaviour-change mechanisms and interactive features) and the best models of delivery (e.g. setting, modes of delivery, methods of facilitation and support for engagement) to improve sexual behaviour, biological outcomes and sexual well-being in a cost-effective way.FundingThe National Institute for Health Research Public Health Research programme.


Jurnal NERS ◽  
2019 ◽  
Vol 14 (1) ◽  
pp. 1
Author(s):  
Yoyok Bekti Prasetyo ◽  
Nursalam Nursalam ◽  
Rahmat Hargono ◽  
Ahsan Ahsan

Background: The ability of families to care for avoidant restrictive food intake disorder children is still low. There is only few studies that examined relationship between family factor to ability to care children with avoidant restrictive food intake disorder. The purpose of this study was to identify the influence of socio-demographic factors on the ability of families to represent children with avoidant restrictive food intake disorder.Method: The study design was cross-sectional, and the majority of samples were gathered using the rule of the thumb, totaling 245 participants. The sampling technique used a type of multistage sampling. Data were collected by questionnaire. We then conducted an analysis of the univariate data using frequency distribution, while for the bivariate data, we used the chi-square technique. All of the data was processed using IBM SPSS 23.0 statistics.Results: The results showed that the ability of care from the families (health promotion behavior) of children with avoidant restrictive food intake disorder  was influenced by the socio-demographic factors, namely maternal age (p= 0.010), the number of children (p= 0.047) and education (p= 0.036).Conclusion: Young mothers need appropriate guidance and direction through good health education. Good health education in young mothers can reduce the pressure faced by the mothers when caring for their children with avoidant restrictive food intake disorder. Health promotion behavior is influenced by maternal education and maternal age. Through good mother's education, the mother will be able to provide a good pattern of care to children who experience avoidant restrictive food intake disorder.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
S D Dowlut ◽  
M B D Balcou Debussche ◽  
X D Debussche

Abstract Diabetes Type 2 is being categorized as a health crisis in Mauritius where 22.8% of the population suffers from it coupled with a 19.5% who are pre-diabetic. Government is already spending a huge proportion of the national budget in care of diabetic patients. Since one of the known means to better control diabetes is structured diabetes education, we tested the “learning nests” as a prevention measure for Type2 Diabetes. The “learning nests” is a structured health education programme which takes into account both biomedical and psychosocial dimensions which has already proved its effectiveness in other countries and it is theoretically based on socio-constructivism, social contextualization, empowerment and action planning. Health literacy refers to the capacity to access, understand and use health related information to make appropriate health decisions. A concept which is highly correlated to the health outcomes of a population since it addresses necessary competencies to maintain oneself in good health. The objectives of the educational sessions were to educate people on the risk factors of diabetes and at the same time these people can disseminate the knowledge acquired in their social environment. Six educational sessions were organized for 30 participants whereby the main eligibility criteria was age > =18 years. A qualitative study was conducted with the participants to analyse the learning process as well as their health literacy competencies in terms of access, comprehension and evaluation of health information. The study was conducted before and after three structured educational sessions based on cardiovascular risks, Physical Activities and managing fat intake. The findings show that these learning situations when contextualized can prove to be promising, in terms of health actions being undertaken by participants and improvement in health literacy competences in a middle-income country like Mauritius. Key messages Improvement of Health Literacy level can decrease the prevalence of Diabetes. Structured Health Education can help in improving health literacy.


Author(s):  
Ruth Cross ◽  
Ivy O'Neil

Abstract This book chapter seeks to: (i) consider models of communication and assess their relevance to health communication; (ii) suggest that health promotion must adopt participatory means of communication; (iii) critique top-down 'banking' approaches to communication and education; (iv) discuss the implications of digital technology development on health communication; (v) assert the importance of health education and consider the idea of health literacy; (vi) explore and critique social marketing; and (vii) explore and critique psychological models of behaviour change.


2017 ◽  
Vol 38 (2) ◽  
pp. 99-105 ◽  
Author(s):  
Folake B. Lawal ◽  
Juliana O. Taiwo

Background Providing evidence for institution of school-based oral health promotion programs is paramount in developing countries, due to increasing unmet dental needs impacting on quality of life of children. Aim To evaluate oral health knowledge, attitude and practices (KAP) of pupils in a country lacking formal school oral health promotion. Methods A cross-sectional study was conducted among 1,297 pupils in randomly selected primary schools in one city. Information on oral health KAP were obtained using interviewer-administered questionnaire. Responses to questions were graded, standardized, and data analyzed using SPSS. Results The mean age was 10.6 (±1.7) years. Mean KAP percentage scores were 18.1 (±5.0)%, 18.3 (±4.9)%, and 17.3 (±12.8)%, respectively. Older age, male gender, and previous dental consultations were significantly associated with higher KAP scores. Those who had been educated informally about oral health had higher mean KAP scores ( p = .013, p < .001, and p < .001, respectively). Previous oral health education and consultation with dentists were significant predictors of higher oral health practice scores. Conclusion Poor oral health KAP exists among the pupils. Those who had consulted the dentist or had oral health education had better KAP. These findings reinforce the need for formal school-based oral health promotion.


2012 ◽  
Vol 1 (2) ◽  
Author(s):  
Laura Monsalve Lorente

ABSTRACTPromotion and Health Education developed from Schools is one of the key tools of health interventions. Access to children and young people is almost complete because of the obligatory education. In the period of the obligatory people education are more receptive for the learning, being the period of the vital development in which acquire major life habits that are consolidated with the years (physical activity, food, etc.) It also is an area of social intervention that counts with health workers who have high qualifications from the pedagogical point of view. In this context, the main objective of ESP is to develop activities and encourage the students to achieve the highest attainable standard of health, through the acquisition of knowledge and skills that promote choice and adoption of healthy lifestyles, seeking the participation, the interaction and social integration and the ability to work critically and creatively, and the search for solutions. Schools, along with the home are two of the key places where takes place the individual and social development of people in its early stages, exerting an important role in shaping behavior and social values of children, adolescence and youth. The achievement of positive educational outcomes in the teaching centers closely related to the achievement of good health among students. According to this reality, schools have the need to include addressing the issues related to health promotion as one of the foundations that will enable them to achieve educational goals.RESUMENLa Promoción y Educación para la Salud desarrollada desde los Centros educativos Es-pañoles es una de las herramientas clave de las intervenciones en salud. Por un lado, el acceso a la población infantil y juvenil es casi total debido a la obligatoriedad de la educación. Por otro lado, en esta época de la vida las personas se hallan más receptivas para el aprendizaje, siendo la época del desarrollo vital en la que se adquieren los principales hábitos de vida que se consolidarán con los años (actividad física, alimentación, etc.). Además se trata de un ámbito de intervención social que cuenta con agentes de salud que disponen de alta calificación desde el punto de vista pedagógico: el profesorado, ya sea en el nivel de educación Infantil, como en Primaria y Secundaria. En este marco, el principal objetivo de la Educación para la salud, es desarrollar actividades e incentivar al alumnado para conseguir el mayor grado posible de salud, mediante la adquisición de conocimientos y habilidades que favorezcan la elección y adopción de estilos de vida saludables; buscando la participación, la interacción y la integración social, y trabajando la capacidad crítica y creativa, así como la búsqueda de soluciones. Los Centros escolares, junto con el hogar, son dos de los lugares clave donde tiene lugar el desarrollo individual y social de las personas en sus estadios más tempranos, ejerciendo un importante papel en la configuración de la conducta y los valores sociales de la infancia, la adoles-cencia y la juventud.


2016 ◽  
Vol 22 (3) ◽  
pp. 226 ◽  
Author(s):  
Robert Stanton ◽  
David Scott ◽  
Brenda Happell

Governments invest heavily in health promotion strategies to improve physical health behaviours. However, the dietary and physical activity practices of many Australians fail to meet minimum levels for health, leading to the unacceptably high prevalence of chronic and complex illness. Health literacy is known to impact on health behaviour, and to be related to health knowledge; however, no studies have specifically examined knowledge of physical health behaviours in an Australian context. We assessed knowledge of physical health behaviours in 1244 adults in Queensland, Australia. Almost two-thirds of respondents had a ‘Good’ knowledge of physical health behaviour. People with ‘Good’ knowledge of physical health behaviours were more likely to be female, educated beyond secondary school, be employed and have an annual household income of >$52000 (P<0.05). People with ‘Low’ knowledge of physical health behaviours were significantly more likely to report insufficient intake of vegetables and have at least one chronic illness (P<0.05). Binary logistic regression shows low daily intake of vegetables to have the strongest association with low knowledge of physical health behaviours. Given the association between health knowledge and health literacy, assessment of the knowledge of physical health behaviours may provide considerable insight into the effectiveness of future health promotion interventions.


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