scholarly journals Health literacy among first-generation Italian immigrants in Norway

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L Terragni ◽  
G Calogiuri ◽  
H Finbråten

Abstract Background People with an immigration background often have poorer health than the general population. Italians in Norway have tripled throughout the past 15-years, but little is known about their health. Health literacy (HL) has been emerging as a fundamental construct in enabling citizens to play an active role in improving their own and theirs community's health. The objective of our study was i) to describe HL among first-generation Italian immigrants in Norway, ii) examine the association between HL and health-related empowerment, and iii) compare HL in Italian immigrants with the general Norwegian population's. Methods The data was retrieved from a cross-sectional survey (n = 321) conducted within the study Mens Sana in Corpore Sano (inclusion criteria: age ≥18 years, living in Norway permanently, having lived in Italy at least until age 16). HL was measured using the short form of the European Health literacy survey questionnaire (HLS-Q12; α = 0.83). Empowerment was assessed using a 4-items scale (α = 0.73), developed on basis the World Health Organization's definition of individual empowerment and aspects of patient empowerment. Additionally, information about gender, age, educational level, and self-rated health was collected. Results Preliminary results indicated that 8% had inadequate HL, whereas about 40% had marginal HL. No significant differences in HL were observed in relation to gender, age, education level or general health. A medium correlation was found between HL and empowerment (r = 0.42, p < 0.001). The Italian's HL was significantly lower than the general Norwegian population's (M±SD = 32.46±4.79 and 33.11 ± 4.12, respectively; p = 0.028). Conclusions This is the first study investigating HL and its associations with the health-related empowerment of first-generation Italian immigrants in Norway. More research is needed in order to better understand this phenomenon as well as the effectiveness of HL-enhancing initiatives. Key messages We investigated the levels of health literacy and health-related empowerment among first-generation Italian immigrants in Norway. The Italians’ heath literacy, which correlated with empowerment, was lower than the general Norwegian population’s. There were no differences across gender, age, education level or general health.

Author(s):  
Anna Aaby ◽  
Karina Friis ◽  
Bo Christensen ◽  
Helle Terkildsen Maindal

Health literacy (HL) is a dynamic determinant of health and a promising target of health equity interventions in noncommunicable disease prevention. Among people referred to a cardiac rehabilitation program, we examined the associations between (1) HL and participation in cardiac rehabilitation and (2) HL and health-related quality of life (HRQoL). Using a cross-sectional design, we invited 193 people referred to cardiac rehabilitation in Randers Municipal Rehabilitation Unit, Denmark, to respond to a questionnaire in 2017. Of these, 150 people responded (77.7%). HL was measured using the nine scales of the Health Literacy Questionnaire (HLQ), while HRQoL was measured using the Short Form Health Survey 12 (version 2) (SF-12). The mean age of respondents was 67.0 years; 71.3% of the sample were men. Nonrespondents had significantly lower educational attainment and more often lived alone than respondents. Using multiple regression analyses, we found no significant associations between HL and participation in cardiac rehabilitation. There were significant positive associations between several aspects of HL and physical and mental HRQoL. HL could be a factor of interest in initiatives aimed at improving participation and outcomes of cardiac rehabilitation.


2021 ◽  
Vol 31 (Supplement_3) ◽  
Author(s):  
S Jordan ◽  
OM Domanska ◽  
AK Loer

Abstract Background For developing effective interventions to promote health literacy in adolescence, differentiated data on the distribution of health literacy levels is required, but still lacking for this age group in many countries. The study aims to measure the distribution of generic health literacy (GHL) among adolescents addressing cognitive, behavioural, communicative and motivational dimensions of GHL. Methods We conducted a representative nationwide cross-sectional online survey among 14-17-year-olds living in Germany (n = 1,235). Data on GHL were collected from 09.2019-12.2019 using the “Measurement of Health Literacy Among Adolescents”-Questionnaire (MOHLAA-Q). It was specially developed for this age-group and consists of a total of 29 items in four subscales: A: “Difficulties in Dealing with Health-Related Information”, B: “Health-Related Communication Skills”, C: “Attitudes toward One's Own Health & Health Information” and D: “Health-Related Knowledge”. We also collected data on socio-demographic factors. Bivariate and multiple logistic regression analyses were carried out. Results About half of the 14-17-year-olds reported many (8.4%) or some difficulties (42.2%) in dealing with health information. We observed low communication-related skills in 28.1% of adolescents. Regarding the attitude towards their own health and health information, 56.8% of respondents had a rather “partly passive/partly active” attitude and 8.8% had a “passive” attitude. 22.7% of the adolescents had a low level of health-related knowledge. All socio-demographic factors apart from age showed significant differences in each of the scales: by family affluence in all scales, by gender and by educational level in 3 scales and by migration background in 1 scale. Conclusions The results indicate a need for promoting GHL among adolescents. The differences in the four scales suggest that all dimensions of GHL should be addressed, but also considering socio-demographic factors at the same time.


2010 ◽  
Vol 196 (4) ◽  
pp. 302-309 ◽  
Author(s):  
Anna Fernández ◽  
Juan Ángel Bellón Saameño ◽  
Alejandra Pinto-Meza ◽  
Juan Vicente Luciano ◽  
Jaume Autonell ◽  
...  

BackgroundThe World Health Organization (WHO) has stated that the three leading causes of burden of disease in 2030 are projected to include HIV/AIDS, unipolar depression and ischaemic heart disease.AimsTo estimate health-related quality of life (HRQoL) and quality-adjusted life-year (QALY) losses associated with mental disorders and chronic physical conditions in primary healthcare using data from the diagnosis and treatment of mental disorders in primary care (DASMAP) study, an epidemiological survey carried out with primary care patients in Catalonia (Spain).MethodA cross-sectional survey of a representative sample of 3815 primary care patients. A preference-based measure of health was derived from the 12-item Short Form Health Survey (SF–12): the Short Form–6D (SF–6D) multi-attribute health-status classification. Each profile generated by this questionnaire has a utility (or weight) assigned. We used non-parametric quantile regressions to model the association between both mental disorders and chronic physical condition and SF–6D scores.ResultsConditions associated with SF–6D were: mood disorders, β =−0.20 (95% CI −0.18 to −0.21); pain, β = −0.08 (95%CI −0.06 to −0.09) and anxiety, β =−0.04 (95% CI −0.03 to −0.06). The top three causes of QALY losses annually per 100 000 participants were pain (5064), mood disorders (2634) and anxiety (805).ConclusionsEstimation of QALY losses showed that mood disorders ranked second behind pain-related chronic medical conditions.


2021 ◽  
Vol 9 (1) ◽  
pp. 113
Author(s):  
Bahtiar Bahtiar ◽  
Wiwi Saputri ◽  
Rostika Salenda Paseleng ◽  
Muh Akbar ◽  
Restu Abady

The elderly are vulnerable to experience health problems and physical deterioration characterized by high rates of chronic diseases among the elderly. Health literacy ability becomes crucial for the elderly with chronic diseases to treat and maintain their health. This study was aimed to describe the literacy levels of the elderly with chronic diseases during the COVID-19 pandemic in Makassar. The method of study was a descriptive survey with a cross-sectional study. The research population is elderly with chronic diseases in Makassar city, and the samples are 124 elderly with age ≥60 years old and suffering chronic diseases more than six months in two selected sub-district. The research was conducted a cross-sectional survey, and descriptive univariate data analysis was used. The instrument was used Indonesia's health literacy short-form survey questionnaire (HLS-EU-SQ10-IDN). The result of this study reveals that the health literacy levels vary: insufficient criteria by 33.99%, problematic criteria by 49.2%, sufficient criteria by 16.1%, and perfect criteria by 0.8%. The results prove that the health literacy level of the elderly with chronic diseases is insufficient. This study concluded that the dominant level of the health literacy of the elderly with chronic diseases is inadequate and problematic. Health education program to improve their literacy is necessarily improved during the COVID-19 outbreak


2020 ◽  
Author(s):  
Zhaomeng Niu ◽  
Bo Li ◽  
Jessica Willoughby ◽  
Ze Li ◽  
Rongting Zhou

BACKGROUND Empirical research has demonstrated that people frequently use social media for gathering and sharing online health information. Health literacy, social media use, and self-efficacy are important factors that may influence people’s health behaviors online. OBJECTIVE This study aims to examine the associations between health literacy, health-related social media use, self-efficacy and health behavioral intentions online. METHODS We conducted a cross-sectional survey of Chinese adults aged 18 and above (N = 449) to examine predictors of health-related behavioral intentions online including health literacy, social media use, and self-efficacy. Hayes’ PROCESS macro was used to analyze the mediation and moderation models. RESULTS Two moderated mediation models were constructed. Self-efficacy mediated the effects of health literacy (Bindirect=0.213, 95% CI: 0.101 to 0.339) and social media use (Bindirect=0.023, 95% CI: 0.008 to 0.045) on health behavioral intentions on social media. Age moderated the effects of health literacy on self-efficacy (P=.029), while previous experience moderated the effects of social media use on self-efficacy (P<.001). CONCLUSIONS Health literacy and health-related social media use influenced health behavioral intentions on social media via their prior effects on self-efficacy. The association between health literacy and self-efficacy was stronger among younger respondents, whereas the association between health-related social media use and self-efficacy was stronger among those who previously had positive experiences with health information on social media. Health practitioners should target self-efficacy among older population and increase positive media experience related to health. CLINICALTRIAL


2022 ◽  
Vol 8 (4) ◽  
pp. 153-155
Author(s):  
Jigna Chaudhary ◽  
Sarfraznawaz F Shah

COVID-19 pandemic has affected India to a great extent. Till date total of 3.30 crore peoples has been cured and discharged and 44.6 lakh are died due to covid -19 in India. COVID-19 has a long-term systemic effect on lungs, liver, spleen, anxiety and depression and persistence of inflammatory response even after getting cured or COVID negative. Which may affect quality of life. So, there is a need to evaluate quality of life in post COVID patients.A cross-sectional study was conducted on the 100 COVID-19 recovered Participants. Participants were selected on the basis of inclusion and exclusion criterion. Basic assessment of symptom history, medical history and hospitalisation was done by investigator. A quality of life was evaluated using short form-36 questionnaire (SF-36). Statistical analysis was done using Microsoft excel-2019.A total of 100 participants 61% were male and 39% were female participants. We found that general health component was greatly affected with 68.50%. Following general health emotional well-being (69.68%), social functioning (68.14), pain (64.38%), limitation due to emotional problems (64.19%), energy/fatigue (63.3%), limitation due to physical health (59.61) and physical functioning (48.27%) were affected.We found that there was mild – moderate affection in quality of life in covid recovered subjects. There was more affection in quality of life in participants with other comorbidities. We also found that there were persistence of breathlessness and fatigue after recovery.


2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Shivangini Singh ◽  
Sahana Devadasa Acharya ◽  
Ashwin Kamath ◽  
Sheetal D. Ullal ◽  
Rathnakar P. Urval

This study aimed to assess the health literacy (HL) of patients having diabetes mellitus, their understanding of prescription instructions (PI), and the correlation between HL and understanding of PI. A cross-sectional survey was conducted in 263 adult diabetic patients who were assessed for their understanding of route of intake of the prescribed medication(s), frequency of intake, number of medication(s) to be consumed each time, indication for the medication(s), and the relation of drug intake with food. The HL of the patients was assessed by using Rapid Estimate of Adult Literacy in Medicine, a screening test comprising of 66 health-related words. The number of correctly pronounced words was used to assign a grade-equivalent reading level. There was a significant difference in the understanding of PI in patients with low and high HL levels. A significant difference was observed between the mean total score for interpreting PI in patients with 7 or fewer years of education compared with the other groups with a higher educational status (P<0.001). To conclude, diabetic patients with low HL level will have difficulty in understanding PI. Hence, an alternative comprehensive strategy needs to be adopted in clinical practice in these patients to provide them the instructions to take medications properly.


Urolithiasis ◽  
2019 ◽  
Vol 48 (4) ◽  
pp. 313-320 ◽  
Author(s):  
Frank Modersitzki ◽  
David S. Goldfarb ◽  
Ross L. Goldstein ◽  
Roger L. Sur ◽  
Kristina L. Penniston

AbstractCystinuria comprises less than 1% of kidney stones and is associated with impaired health-related quality of life (HRQOL). Limited evidence is available regarding HRQOL of patients with cystinuria treated with tiopronin (Thiola®). The objective of this study was to assess the HRQOL of patients with or without tiopronin treatment. For this cross-sectional survey, patients on tiopronin treatment were recruited through the “Thiola® Total Care Hub,” a specialty pharmacy used to dispense tiopronin, and compared with patients not taking tiopronin (non-tiopronin group) who were identified from the Cystinuria Contact Registry at New York University School of Medicine. Consented patients responded to a survey that included questions about their experiences with kidney stones, the Wisconsin stone quality of life (WISQOL) (disease-specific) questionnaire, and the short form-36 version 2 (SF-36v2) (generic) HRQOL questionnaire. Statistical analyses included independent-sample t tests, one-way analysis of variance (ANOVA), and correlations. The survey was completed by 312 patients: 267 in the tiopronin group (144 male, 123 female; mean 49 years) and 45 in the non-tiopronin group (10 male, 35 female; mean 48 years). Both groups utilized pain medications similarly (24% overall). Patients on tiopronin had a significantly better HRQOL than patients not on tiopronin for all WISQOL domains (p < 0.001) and all but the physical functioning SF-36v2 domain (p < 0.001), where both groups approached the US normative mean, when controlling for the last stone event. Compared with patients in the non-tiopronin group, patients taking tiopronin reported better HRQOL on both the WISQOL and SF-36v2.


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