scholarly journals E-health and health literacy of young adult Ukrainian female immigrants and Polish counterparts

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
Y Krasko ◽  
J Marianowska ◽  
M Duplaga

Abstract Background According to recent projections, even 10% of Polish gross domestic product is contributed by Ukrainian immigrants. There is also a considerable number of Ukrainians continuing university education in Poland. The level of health literacy in Ukrainian society has not been studied so far. The aim of the study was the comparison of health literacy (HL) and e-health literacy (eHL) of young adult Ukrainian (UA) women with their Polish (PL) counterparts Methods A snowball technique was used to recruit a sample of UA women working or studying in Poland to the Internet-based survey. The questionnaire used in the study consisted of the 16-item European HL Survey questionnaire (HLS-EU-16), eHealth Literacy Scale (eHEALS), the set of the questions asking about health behaviours (HB), self-assessment of health status (HS) and items exploring sociodemographic variables. For comparison, the data of an age-matched sample of 100 respondents was extracted from the online survey performed in a representative sample of PL women. Results The mean age (standard deviation, SD) of 57 UA respondents was 20.23 (1.78) years and in Polish sample 20.25 (1.79). HL did not differ between both groups (11.06 (4.22) vs 11.44 (4.34), respectively, p = 0.53), but eHL was significantly lower in UA group (25.91 (5.36) vs 28.17 (5.37), U Mann-Whitney test, p = 0.01). Only 58.5% of UA respondents vs 80.5% of PL ones assessed their HS as at least good (Fisher exact test, p < 0.001). The rates of active smoking (34.6% vs. 35.0%, p = 0.55), using e-cigarettes (35.3% vs 34.0%, p = 0.99), frequent alcohol consumption (26.9% vs. 20%, p = 0.41), and intensive physical activity (49.0% vs. 38.0%, p = 0.22) did not differ between study groups. Conclusions Young UA women show lower eHL than PL counterparts. Although HL and HB in both groups did not differ significantly, UA respondents have assessed their HS much lower than PL participants. Key messages E-health literacy and self-assessed health status were significantly lower among young Ukrainian than among Polish women. Both groups did not differ for health literacy and health behaviours.

2017 ◽  
Vol 27 (2) ◽  
pp. 125-131 ◽  
Author(s):  
Tze Gek Ho ◽  
Hassan Hosseinzadeh ◽  
Bayzidur Rahman ◽  
Mohamud Sheikh

Background: Health literacy affects how individuals navigate and make decisions within the healthcare system and has been recognized to influence health behaviours. However, less is known about its associations with health-promoting behaviours amongst Australian migrant populations. This study is an attempt to fill this gap by investigating the level of health literacy and its associations with physical activity, healthy diet, smoking and health services utilization among Australian-Singaporean communities. Methods: A total of 157 participants were recruited from Singaporean communities living in Sydney metropolitan areas, New South Wales, Australia. Data was collected through a cross-sectional online survey from January 2016 to August 2016. Results: Most of the respondents were female (56.1%), employed (70.7%) and had lived in Sydney for >5 years (80.3%). About 60% of the participants were inadequately health-literate (Brief Health Literacy Screening Tool score ≤ 16). The level of health literacy varied significantly based on participants’ socioeconomic status. Regression analysis indicated that health literacy was a reliable predictor of health-promoting behaviours including diet, body mass index, smoking and alcohol consumption, physical activity and having a medical check-up. Conclusions: This study’s findings have significant implications for health policy makers and suggest that health literacy should be encouraged and included in any health-promoting behaviour interventions amongst migrant populations.


2010 ◽  
Vol 14 (1) ◽  
pp. 15 ◽  
Author(s):  
G. QUADRI ◽  
N. NATALE ◽  
C. SPREAFICO ◽  
C. BELLONI ◽  
D. BARISANI ◽  
...  

Intravesical prostaglandin E2 is effective in the recovery of spontaneous voiding after transvaginal reconstruction of the pubocervical fascia and short arm sling according to Lahodny. The aim of the study was to compare the effects of intravesical prostaglandin E2 in the prevention of urinary retention after transvaginal reconstruction of the pubocervical fascia and short arm sling according to Lahodny. STUDY DESIGN: From November 1996 to June 1999 fifty women underwent the Lahodny procedure for moderate/severe cystocele and stress urinary incontinence. Women were randomly assigned to 1 of the 2 study groups: intravesical prostaglandin E2 versus controls. Data obtained were analyzed with the Student t test and the Fisher exact test. RESULTS: Two patients of the treatment group had to be excluded from the study, one because of the wrong measurement of the post-voidal residual volume and another due to a fastidious burning sensation which appeared immediately after prostaglandin instillation and required the suspension of the treatment. No other side effects such as nausea, vomiting, diarrhea or hyperthermia were observed. Patients who underwent the prostaglandin E2 treatment showed a recovery of spontaneous voiding after 7.9±6.7 days, whereas this interval was significantly longer in the control group, being 12.9±9.7 days (p=0.04, Two tailed Unpaired Student's T test). CONCLUSION: The effectiveness and the low associated morbidity mark the treatment with intravesical prostaglandin E2 useful in the recovery of normal voiding after transvaginal pubocervical fascia reconstruction and short arm sling with the procedure according to Lahodny.


2009 ◽  
Vol 2009 ◽  
pp. 1-5 ◽  
Author(s):  
P. Vounotrypidis ◽  
E. Efremidou ◽  
P. Zezos ◽  
M. Pitiakoudis ◽  
E. Maltezos ◽  
...  

Objective. The objective is the investigation of Joint Hypermobility (JH) and the Hypermobility Syndrome (HMS) in patients with inflammatory bowel disease (IBD).Methods. We examined 83 patients with IBD and 67 healthy individuals for the presence of JH. Patients were excluded if they were under 18 or over 50 years of age and if they had other conditions which affect joint mobility. Thex2and the Fisher exact test were used appropriately between study groups. Odds ratios (ORs) for the risk of JH and HMS in IBD groups were calculated.Results. A total of 150 individuals (83 IBD patients and 67 healthy controls) participated in the study. 69 IBD patients, 41 with Crohn's Disease (CD) and 28 with ulcerative colitis (UC), were finally eligible. JH was detected in 29 CD patients (70.7%), in 10 UC patients (35.7%), and in 17 healthy control subjects (25.4%). Significant difference was detected on JH in CD patients as compared to UC patients (P=.0063) and controls (P<.0001). The estimated OR for JH was 7.108 (95% CI: 2.98–16.95) in CD and 1.634 (95% CI: 0.63–4.22) in UC patients. HMS was detected in 5 (12.2%) CD and in 1 (3.57%) UC patients. The OR for HMS in CD was 3.75 (95% CI: 0.41–34.007), while 7 (17.1%) CD patients had overlapping symptoms for both HMS and early spondylarthropathy.Conclusions. JH and the HMS are common in CD patients, thus articular manifestations should be carefully interpreted. This implies an involvement of collagen varieties in the pathogenesis of IBD.


Hand ◽  
2016 ◽  
Vol 12 (2) ◽  
pp. 175-180 ◽  
Author(s):  
Gregory R. Waryasz ◽  
Joseph A. Gil ◽  
Daniel Chiou ◽  
Paul Ramos ◽  
Jonathan R. Schiller ◽  
...  

Background: Health literacy is the ability of a patient to understand their medical condition. The purpose of this investigation is to determine whether patients are able to obtain an elementary understanding of the fundamental principles of carpal tunnel release and the postoperative instructions after going through the process of informed consent and being provided an additional standardized postoperative instruction document. Our hypothesis is that patients will lack an understanding of these principles and, therefore, will be at risk for being noncompliant in their postoperative care. Methods: Fifty patients with a diagnosis of carpal tunnel surgery who elected to undergo carpal tunnel release alone were enrolled. A standardized education process was performed. Patients completed the questionnaire at their postoperative visit. Results: The average percentage of correct answers was 75.8% (8.34 out of 11 correct). Fisher exact test analysis demonstrated that patients with a lower education level were less likely to know how long it takes for their preoperative symptoms to resolve ( P = .0071), and they were less likely to correctly choose all of the important elements of postoperative care during the first week after surgery ( P = .022). Conclusions: Although we made efforts to help patients achieve health literacy in carpal tunnel surgery, we found that patients continued to lack comprehension of pertinent components of carpal tunnel surgery, particularly understanding the involved anatomy.


Author(s):  
Mariusz Duplaga

The growth of the fitness industry observed in the last decade has been accompanied by the emergence of an occupation as a social media fitness influencer. The most popular are able to accumulate millions of followers. The marketing potential of fitness influencers is a subject of interest, not only for the fitness industry but also for other sectors offering products related to health, wellness, or healthy nutrition. However, the activities of fitness influencers related to the promotion of physical activity and healthy lifestyle converge with the aims of those promoting public health. The main objective of this study was to make an assessment of the determinants of regular access to fitness influencers’ sites (FIS) and their relationship with the health behaviors of young adult women. It was based on the data originating from an online survey on a representative sample of Polish women aged 18–35 years. Chi2 test, univariate, and multiply logistic regression models were used to determine the relationships between FIS and the variables related to the respondents’ characteristics of and their health behaviors. FIS were accessed by 29.3% of respondents (n = 1030) at least once a week. It was found that those living in cities with a population ranging from 20,000 to 100,000 were more likely to access FIS than those living in rural areas. Similarly, greater access was made by those in a high-income household rather than those with the lowest income, by those with inadequate rather than those with problematic health literacy and by those with high rather than low e-health literacy. The use of FIS was significantly associated with the consumptions of fruit and vegetables (OR, 95%CI: 2.77, 2.01–3.82), physical activity (1.74, 1.27–2.38), breast self-examination (1.54, 1.11–2.13), and also with the greater use of e-cigarettes (1.63, 1.09–2.43) and increased consumption of alcohol (1.37, 1.01–1.88). In conclusion, as access to Internet resources run by fitness influencers was a prevailing predictor of young adult Polish women’s health behaviors, FIS may play a potentially important role in promoting a healthy lifestyle in this population. However, it should be remembered that there are complex patterns of associations with specific behaviors, e.g., the use of e-cigarettes or alcohol consumption.


2018 ◽  
Vol 32 (2) ◽  
pp. 131-140
Author(s):  
Logan S. Bale ◽  
Sean O. Herrin ◽  
Natasha M. Brandt ◽  
Naomi M. Enos

Objective: Muscle variants are common findings in dissection laboratories. These anomalous structures can be relevant in the diagnosis and management of certain conditions and therefore could be incorporated into anatomy curricula at chiropractic colleges. We aimed to create an online resource of muscle variants to facilitate student self-directed learning within this area of study. Methods: At the time of their discovery during routine educational dissection, muscle variants included in the catalog were documented and subsequent case reports written. All content created for this resource, including photographs and videos, was hosted on the institution's learning management system. Students enrolled in our doctor of chiropractic program were invited to view the catalog and encouraged to leave feedback by completing an online survey. Results: Student responses to Likert-style survey questions generally indicated high levels of satisfaction regarding the utility and features of the catalog. Open-ended and Likert-style survey questions were used to help guide the future directions of this developing resource. Concurrent anatomy students were not more likely to contribute to the catalog compared to students who had previously completed the university's anatomy course series (p = .75, 2-tailed Fisher exact test). Conclusion: An online supplement to graduate-level gross anatomy courses can aid in the instruction of muscle variants by providing an opportunity for student self-directed learning. This resource will be updated continually and will be expanded on to include neurovascular and visceral variants. Student participation will be sought in developing future content to be included in this catalog.


2020 ◽  
Vol 3 ◽  
Author(s):  
Losi Sa'u Lilo ◽  
El-Shadan Tautolo ◽  
Melody Smith

The social and cultural determinants of health among Pacific people must be addressed to understand the underlying factors related to poor health outcomes. Such factors may include (but are not be limited to) culture, religion, education, socioeconomic status and health literacy. One study, using the lens of Pacific culture, found that almost 90% of Pacific males and females aged 15 years and over have low health literacy. Individuals with low health literacy are less likely to manage ill health, seek professional medical assistance or interpret nutrition related information.  It is possible that the high rates of non-communicable diseases (NCDs) as a significant issue in the Pacific population, including amongst Pacific mothers, are in some part associated with low levels of health literacy, which in turn link to cultural determinants of health. Findings from this review show that inadequate health literacy was consistent among adult females, particularly older adults of low socioeconomic status, lower level of education, non-English speakers and adults with compromised health status. Further, culture may play a role in attainment of adequate health literacy. These individuals were more likely to report worse chronic physical conditions, such as diabetes, including lack of knowledge of their condition such as the inability to identify normal blood sugar levels, the range of a normal blood pressure or how to self-manage hypoglycaemia. Public health practitioners should apply effective communication using a culturally and ethnically tailored approach to support Pacific peoples to understand health messages, improve health behaviours and health status. The author reviewed 33 papers on the issue of health literacy definitions, measurement and determinants; Pacific peoples and NCDs; and discussed it in the light of a cultural determinants’ approach.


Author(s):  
Elisabeth Rohwer ◽  
Natascha Mojtahedzadeh ◽  
Felix Alexander Neumann ◽  
Albert Nienhaus ◽  
Matthias Augustin ◽  
...  

Health literacy became an important competence during the COVID-19 pandemic. Despite outpatient caregivers being a particularly vulnerable occupational group, their health literacy has hardly been examined yet, especially during the pandemic. Hence, this study aimed to explore this field and provide first empirical insights. Data were collected based on a cross-sectional online survey among 155 outpatient caregivers. In particular, health literacy (HLS-EU-Q16), diet and physical activity, pandemic-related worries, perceived information sufficiency and stress perception were examined. Descriptive and ordinal logistic regression analyses were run to test explorative assumptions. The majority of outpatient caregivers reported high values of health literacy (69% on a sufficient level). Although no significant associations between health literacy and health behaviours or perceived information sufficiency were found, perceived information sufficiency and perceived stress (OR = 3.194; 95% CI: 1.542–6.614), and pandemic-related worries (OR = 3.073; 95% CI: 1.471–6.421; OR = 4.243; 95% CI: 2.027–8.884) seem to be related. Therefore, dissemination of reliable information and resource-building measures to reduce worries may be important parameters for improving outpatient caregivers’ health. Our results provide first explorative insights, representing a starting point for further research. Considering outpatient caregivers’ mobile work setting, they need to be provided with adequate equipment and comprehensible information to ensure physically and mentally healthy working conditions.


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Qiong Chen ◽  
Jessica Pearlman ◽  
Patricia Beffa-Negrini ◽  
Elena Carbone

Abstract Objectives To assess functional, interactive, and critical health literacy and eHealth literacy among Chinese women with young children; to examine the relationships between personal characteristics and different categories of health literacy. Methods We used a cross-sectional online survey to reach a sample of Chinese women with children under three years old. The All Aspect Health Literacy Scale was used to assess functional, interactive, and critical health literacy. The eHealth Literacy Scale was used to assess functional, interactive, and critical eHealth literacy. Student's t-test, one-way ANOVA, Pearson's and Spearman's correlations were used to examine relationships between personal factors and health literacy levels. Results Mean age of the women (N = 382) was 30.3 ± 3.9 years; 73.8% completed college or higher education. Mean functional, interactive, and critical health literacy scores were 2.22 ± .48, 2.79 ± .33, and 2.53 ± .38, respectively (1 - 3, higher score indicates higher literacy). Mean functional, interactive, and critical eHealth literacy scores were 2.92 ± .92, 3.64 ± .65, and 3.95 ± .61, respectively (1 - 5, higher score indicates higher literacy). Education level was associated with higher critical health literacy (rs = .19, P < .001) and functional eHealth literacy (rs = .19, P < .001). Household income level was positively correlated with functional (rs = .11, P < .001), interactive (rs = .14, P < .05), and critical health literacy (rs = .11, P < .001), and functional (rs = .17, P < .001) and critical eHealth literacy (rs = .16, P < .001). Women who engaged in health-related jobs had higher functional literacy (2.58 ± .47 vs. 2.14 ± .44, P < .001) and functional eHealth literacy (3.76 ± .78 vs. 2.75 ± .85, P < .001) compared to those who were unemployed or had other jobs. Conclusions There is room for improvement in all three categories of health literacy and eHealth literacy in this highly educated population. Education, occupation, and household income appear to positively impact some, but not all types of health literacy and eHealth literacy. Funding Sources This research was funded by the University of Massachusetts Amherst School of Public Health and Health Sciences.


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