scholarly journals Evaluation of public health literacy in adults who applied for primary health care in Turkey

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A Kılınç ◽  
C Çam ◽  
S Aydoğan Gedik ◽  
D Oktar ◽  
U Taşcıoğlu ◽  
...  

Abstract Background The climate change, conflicts, mass migrations and global epidemics happening in today's world shows that it's necessary for the communities to implement public health decisions. In this context, the degree of obtaining and complying with the information required for individuals to process, understand and evaluate public health decisions has revealed the concept of public health literacy. The aim of the study was to determine the public health literacy (PHL) levels in adults applying for health care. Methods This is a cross-sectional study conducted on 1672 adults who applied for primary health care in Eskişehir in 2019. Public Health Literacy Knowledge Scale (PHLKS) which is created with a WHO initiative was used to assess the PHL levels. The scores that can be obtained from this scale ranges from 0 to 17 and higher score implies higher literacy levels. In the study group, Cronbach's alpha value was 0.72 for the PHLKS. Multiple linear regression was used to determine the variables that affect PHLKS score. Results In the study group; 924 (55.3%) were male, 399 (23.9%) were living in a rural area, their ages ranged from 18 to 87 and the mean age was 40.94 ± 15.22. The median score from the PHLKS was 13.0 and mean score was 12.38 ± 2.99. Among the participants, 27.8% of them had a correct response rate of ≥ 90% for the items of the scale. Variables related to PHLKS were found to be high level of education, to exercise regularly and to perceive the general health status as good (F = 28.869, p < 0.001, R2 = 0.161). Education level was the most important variable related with PHL level (Standardized β coefficient: 0.34 95% CI: 0.28-0.39). Conclusions PHL levels of the participants was thought to be moderate. Education level and the lifestyle choices were related to PHL. Key messages It was thought that new and improved tools to measure public health literacy levels are needed. Societies should improve their education levels and invest in health education programs for more effective public health interventions.

2019 ◽  
Vol 72 (suppl 2) ◽  
pp. 266-273
Author(s):  
Victor Roberto Santos Costa ◽  
Polyana D’arc Rezende Costa ◽  
Eduardo Yoshio Nakano ◽  
Daniel Apolinário ◽  
Alfredo Nicodemos Cruz Santana

ABSTRACT Objective: to assess the relationship between inadequate functional health literacy and inadequate blood pressure control in older people with hypertension in Primary Health Care. Method: a cross-sectional study with sample calculated at 392. SAHLPA-18 tool was used for functional health literacy; blood pressure was measured; sociodemographic and clinical data were collected. Hierarchical logistic regression was used. Results: (high) inadequate blood pressure and (low) functional inadequate health literacy were present in 41.6% and 54.6% of the people, respectively. Factors associated with inadequate blood pressure were: inadequate functional health literacy, black-brown skin color, overweight-obesity, hypertension diagnosis time, non-adherence to exercise/diet, drug treatment. Schooling had no association with inadequate blood pressure Conclusion: hypertensive elderly people with inadequate health literacy were more likely to have inadequate blood pressure. Thus, health professionals need to value functional health literacy as a possible component to control blood pressure.


2018 ◽  
Vol 5 (2) ◽  
pp. 130
Author(s):  
Alvin Faizah

Surabaya had more than 1.600 pharmacists in 2016. However, based on the data there were 144 pharmacists that did not have practice licenses in hospitals and primary health care in Surabaya. It meant that the implementation of The Regulation of Health Minister Number 889 Year 2011 was ineffective. The purpose of this research was describing the pratice lincesing of pharmacist in hospitals and primary health care in Surabaya and the factors that influenced the problem. This research was an observational descriptive study with cross sectional method. Primary data were collected through observation, interview and discussion with the staff in charged in Surabaya Public Health Office. While the secondary data could be achieved from official documents, reports, and archives. Comparing the number of pharmacists in the hospitals or primary health care with the minimum manpower standard of pharmacist based on The Regulation of Health Minister Number 56 Year 2014, the result showed that 33 hospitals had not fulfilled the standard minimum number of pharmacists which mean they had not made their practice licenses. Therefore, the given recommendation was strengthening Public Health Office’s role to direct warning and punishment toward hospitals and pharmacists.Keywords: pharmacist, practice license, hospital and primary health care


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Juan-José Zamora-Sánchez ◽  
Edurne Zabaleta-del-Olmo ◽  
Vicente Gea-Caballero ◽  
Iván Julián-Rochina ◽  
Gemma Pérez-Tortajada ◽  
...  

Abstract Background The Frail-VIG frailty index has been developed recently. It is an instrument with a multidimensional approach and a pragmatic purpose that allows rapid and efficient assessment of the degree of frailty in the context of clinical practice. Our aim was to investigate the convergent and discriminative validity of the Frail-VIG frailty index with regard to EQ-5D-3L value. Methods We carried out a cross-sectional study in two Primary Health Care (PHC) centres of the Catalan Institute of Health (Institut Català de la Salut), Barcelona (Spain) from February 2017 to January 2019. Participants in the study were all people included under a home care programme during the study period. No exclusion criteria were applied. We used the EQ-5D-3L to measure Health-Related Quality of Life (HRQoL) and the Frail-VIG index to measure frailty. Trained PHC nurses administered both instruments during face-to-face assessments in a participant’s home during usual care. The relationships between both instruments were examined using Pearson’s correlation coefficient and multiple linear regression analyses. Results Four hundred and twelve participants were included in this study. Frail-VIG score and EQ-5D-3L value were negatively correlated (r = − 0.510; P < 0.001). Non-frail people reported a substantially better HRQoL than people with moderate and severe frailty. EQ-5D-3L value declined significantly as the Frail-VIG index score increased. Conclusions Frail-VIG index demonstrated a convergent validity with the EQ-5D-3L value. Its discriminative validity was optimal, as their scores showed an excellent capacity to differentiate between people with better and worse HRQoL. These findings provide additional pieces of evidence for construct validity of the Frail-VIG index.


2015 ◽  
Vol 38 (5) ◽  
pp. 343-356
Author(s):  
Ana Maseda ◽  
José Carlos Millán-Calenti ◽  
Julia Carpente ◽  
José Luis Rodríguez-Villamil ◽  
Carmen de Labra

Author(s):  
Silvia Helena De Bortoli Cassiani ◽  
Lynda Law Wilson ◽  
Sabrina de Souza Elias Mikael ◽  
Laura Morán Peña ◽  
Rosa Amarilis Zarate Grajales ◽  
...  

Objective: to assess the situation of nursing education and to analyze the extent to which baccalaureate level nursing education programs in Latin America and the Caribbean are preparing graduates to contribute to the achievement of Universal Health. Method: quantitative, descriptive/exploratory, cross-sectional study carried out in 25 countries. Results: a total of 246 nursing schools participated in the study. Faculty with doctoral level degrees totaled 31.3%, without Brazil this is reduced to 8.3%. The ratio of clinical experiences in primary health care services to hospital-based services was 0.63, indicating that students receive more clinical experiences in hospital settings. The results suggested a need for improvement in internet access; information technology; accessibility for the disabled; program, faculty and student evaluation; and teaching/learning methods. Conclusion: there is heterogeneity in nursing education in Latin America and the Caribbean. The nursing curricula generally includes the principles and values of Universal Health and primary health care, as well as those principles underpinning transformative education modalities such as critical and complex thinking development, problem-solving, evidence-based clinical decision-making, and lifelong learning. However, there is a need to promote a paradigm shift in nursing education to include more training in primary health care.


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