scholarly journals 113Social gradient in health literacy among primary healthcare users in Cyprus

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Nicos Middleton ◽  
Nicolas Andreou ◽  
Evridiki Papastavrou ◽  
Nicos Middleton
Keyword(s):  
Health Promotion ◽  
Health Literacy ◽  
Cognitive Skills ◽  
Social Position ◽  
Critical Determinant ◽  
Convenience Sample ◽  
Steep Gradient ◽  
Metric Properties ◽  
Broad Concept ◽  
Prevention And Health Promotion

Abstract Background From a notion concentrated on the ability to understand health information, health literacy (HL) has become a broad concept, considered a critical determinant of community health. The HLS-EU-measures perceived HL based on a theoretical model of the concept. Methods This study explored the metric properties of the tool in a new European setting among a convenience sample of 300 healthcare users in a state General Hospital, including the construct and known-group validity by social position and health-related behaviours. Results While factor analysis did not reveal the 12 theoretical subscales, there was a meaningful 3-factor structure (52.1% variance): “access to information”, “prevention and health promotion” and “user-provider interaction”. The postulated four cognitive skills (access, understand, appraise, apply) were evident within each domain (healthcare, prevention, health promotion), and vice versa. Overall, HL was problematic in 50.7% of participants with a steep gradient by social position. Alcohol consumption and physical activity were associated with HL, but not being overweight (mean BMI 26.8, SD: 5.2) or smoking (45.6% current or past smokers), which were generally prevalent. Conclusions HLS-EU-Q47 supports at least partly the theoretical construct of HL. The social gradient supports the criterion validity of the tool and highlights an important aspect of health inequality. Key messages HLS-EU-Q47 is a valid measure of perceived health literacy There was a steep gradient in low health literacy by social position

scholarly journals Social gradient in health literacy among primary healthcare users in Cyprus

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
N Andreou ◽  
C Nicolaou ◽  
E Papastavrou ◽  
N Middleton
Keyword(s):  
Health Literacy ◽  
Tertiary Education ◽  
Age Groups ◽  
Health Behaviours ◽  
Social Position ◽  
Social Gradient ◽  
Critical Determinant ◽  
Metric Properties ◽  
Health Domains ◽  
Urban Rural

Abstract Background Health literacy (HL) is a critical determinant of health and citizens’ control over their health. The European Health Literary consortium developed a conceptual model and related HLS-EU-Q47 tool of four cognitive and three health domains and showed high levels of inadequate HL in eight European countries. Methods This methodological and descriptive study evaluated the metric properties of the tool in a new setting and assessed HL among a Greek-Cypriot population. Differences in HL by social position and health behaviours was assessed. Results A sample of 300 adults from a General Hospital participated, 65%:35% urban vs rural, 15.3% divorced/widowed, 33% tertiary education, as expected according to census. 53% rated their health as “less than good”, 45.6% were current or past smokers and mean BMI was 26.8 (SD 5.2). Cronbach’s alpha coefficient for internal consistency was >0.80 for cognitive (access, understand, appraise, and apply) and health sub-scales (healthcare, prevention, health promotion). A three factor structure explaining 52.1% of the variance was identified in exploratory factor analysis (“access to information”, “prevention and promotion-related literacy” and “user-provider interaction”). Half of the participants (50.7%) reported inadequate or problematic HL with statistically lower HL in older age-groups but no difference by urban: rural status. A clear social gradient was observed by education, income and subjective social position on a 10-step ladder. Regular alcohol consumption and low physical exercise were related with low HL, but not smoking or BMI. Conclusions HLS-EU-Q47 showed good metric properties in a new language and setting. The proportion of population with inadequate or problematic HL appears high but consistent with findings from other European populations. The observed social gradient in HL supports the criterion known-group validity of the tool as well as highlights an important aspect of health inequality. Key messages There is support for HLS-EU-Q47 as a valid and reliable measure of health literacy. A high proportion of the Cypriot population with problematic health literacy with a clear social gradient.

scholarly journals THE ROLE OF HEALTH LITERACY IN PREDICTING PATIENT SATISFACTION WITH HEALTH CARE

2018 ◽  
Vol 7 ◽  
pp. 240
Author(s):  
Vineta Silkane ◽  
Agnese Davidsone ◽  
Linda Veliverronena
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Patient Satisfaction ◽  
Health Literacy ◽  
Health Care Services ◽  
Technical Quality ◽  
Care Services ◽  
Study Results ◽  
Prevention And Health Promotion

Patient satisfaction has become one of the central indicators to measure quality of provision of health care services. However, it has been made clear in previous literature that the effectiveness and efficiency of the health care services is not directly proportional to the satisfaction level, because an array of patient’s personal, psychological, and cognitive factors such as beliefs, expectations, knowledge and others may come into play. In this current article, we report on a study aiming to examine the role of health literacy in predicting patient satisfaction with health care in Latvia. In summer-autumn 2017, data were collected from a random sample of 451 participants (44 % male) in age from 18 to 81 years. The participants filled-in the questionnaire consisting of: Patient Satisfaction Questionnaire (PSQ-III, Ware, Snyder, & Wright, 1976) and European Health Literacy Survey Questionnaire (HLS-EU-Q, HLS-EU Consortium, 2012). We measured four out of the seven aspects of PSQ, namely, general satisfaction, technical quality, interpersonal aspects, and communication. HLS-EU-Q contains three subscales: health care, disease prevention, and health promotion. Study results confirm that one of the health literacy aspects - health care - was the most important predictor of all patient satisfaction aspects, while health promotion predicted technical quality.  

Comprehensive Health Literacy and Health-Related Behaviors Within a General Japanese Population: Differences by Health Domains

2018 ◽  
Vol 30 (8) ◽  
pp. 717-726 ◽  
Author(s):  
Eiko Goto ◽  
Hirono Ishikawa ◽  
Kazuhiro Nakayama ◽  
Takahiro Kiuchi
Keyword(s):  
Health Promotion ◽  
Health Literacy ◽  
Disease Prevention ◽  
Exercise Behavior ◽  
Cross Sectional ◽  
Health Related Behaviors ◽  
Health Domains ◽  
Comprehensive Health ◽  
Prevention And Health Promotion ◽  
Health Related

The present study aimed to explore how different health-related domains of health literacy, as measured by the European Health Literacy Survey Questionnaire, were associated with health-related behaviors among a general population in Japan. We conducted a cross-sectional observational study of 1002 Japanese residents. Our questionnaire addressed socioeconomic status, health status, health-related behaviors, and health literacy. Among the 3 health-related domains of health literacy (health care, disease prevention, and health promotion), a multivariate model revealed that the disease prevention domain was associated with exercise behavior and alcohol consumption. The health promotion domain was associated with dietary behavior and exercise behavior. There were strong correlations among all health-related domains of health literacy; however, there were different associations between health literacy and health-related behaviors depending on those domains. Additional research is needed to determine how and to what extent each domain of health literacy is related to what health behaviors and outcomes.

scholarly journals Validation of a Single Question Health Literacy Screening Tool for Older Adults

2017 ◽  
Vol 3 ◽  
pp. 233372141771309 ◽  
Author(s):  
Nikki Keene Woods ◽  
Amy K. Chesser
Keyword(s):  
Older Adults ◽  
Health Literacy ◽  
Cognitive Skills ◽  
Screening Tool ◽  
Literacy Skills ◽  
Screening Tools ◽  
Functional Health ◽  
Literacy Assessment ◽  
Convenience Sample ◽  
Sample Age

Objectives: Health Literacy skills are important for people of all ages. Older adults have the lowest health literacy rates. The purpose of this study was to assess health literacy rates and validate the use of a screening tool with older adults. Methods: Participants included a convenience sample, age 65 years or older, English speaking with corrected vision of 20/100 or better and typical cognitive skills. Participants completed the 36-item Short Test of Functional Health Literacy Assessment (STOFHLA) and a single item screening (SIS) tool. Results of STOFHLA and SIS were compared using nonparametric statistics. Results: Of the 64 participants, 94% had adequate scores on the STOFHLA, while 64% self-reported confidence in filling out medical forms, p = .006, χ2 = 7.606, df(1). Conclusion: Results suggest that use of health literacy screening tools for older adults may be of value. Additional studies are needed to expand the study sample and validate the findings of this study.

scholarly journals Nivel de alfabetización en salud de estudiantes universitarios

UVserva ◽  
2019 ◽  
pp. 77-87
Author(s):  
Karla Diane Morales Chacón ◽  
Carolina Palmeros Exome ◽  
Antonia Barranca Enríquez
Keyword(s):  
Health Promotion ◽  
Health Literacy ◽  
Future Research ◽  
Survey Questionnaire ◽  
Prevention And Health Promotion ◽  
Literacy Survey ◽  
European Health ◽  
Promotion Strategies ◽  
The University ◽  
Estudiantes Universitarios

La alfabetización en salud se relaciona con las habilidades de las personas para emplear la información en salud y tomar decisiones en la atención y el cuidado sanitario, la prevención de enfermedades y la promoción de la salud durante la vida. La comunidad universitaria desempeña un papel importante en la sociedad, pudiendo influir directamente en las prácticas y actitudes de la alfabetización en salud. Se midió el nivel de alfabetización en salud de 22 estudiantes de la Universidad Veracruzana mediante la encuesta versión en español del European Health Literacy Survey Questionnaire HLS-EU-Q-47, compuesta por 47 ítems evaluados en una escala de Likert. Se observó que el 27% de los estudiantes tiene un nivel insuficiente de alfabetización en salud. Los resultados señalan la necesidad de implementar estrategias de promoción de la salud que contribuyan a mejorarlos; asimismo, se recomiendan futuras investigaciones que involucren otras variables de estudio.Palabras clave: Alfabetización en salud; estudiantes universitarios; promoción de la salud; universidad saludable; Veracruz AbstractHealth literacy relates to the skills of people to use health information and make decisions in the care and health care, disease prevention and health promotion during life. The university community plays an important role in society, being able to directly influence the practices and attitudes of health literacy. We measured the level of literacy in health of 22 students from the University of Veracruz using the survey spanish version of the European Health Literacy Survey Questionnaire HLS-EU-Q-47, composed of 47 items evaluated in a Likert scale. It was noted that the 27% of students has an insufficient level of health literacy. The results point to the need to implement health promotion strategies that contribute to improving them; it also recommended future research involving other variables under study.Keywords: Health literacy; university students; health promotion; healthy university, Veracruz 

Health psychology and health promotion

2008 ◽  
Vol 16 (3) ◽  
pp. 123-126 ◽  
Author(s):  
Toni Faltermaier
Keyword(s):  
Health Psychology ◽  
Health Promotion ◽  
Health Resources ◽  
Target Groups ◽  
Occupational Groups ◽  
Socially Disadvantaged ◽  
Research Activities ◽  
Health And Illness ◽  
Prevention And Health Promotion ◽  
Basic And Applied Research

Abstract. The Flensburg health psychology group takes a salutogenic perspective and aims at developing innovative health promotion approaches. It stands in the interdisciplinary context of health and educational sciences. Our focus in research is on both, stress processes and lay representations of health and illness in the context of salutogenic theories of health. Basic and applied research activities aim at developing subject-oriented approaches of prevention and health promotion that are designed to promote health resources and competencies in selected settings and target groups. Current research is concentrated on socially disadvantaged groups, on occupational groups and on men to develop tailored health promotion approaches that reach groups in need and which show sustainable effects.

Mental Health Literacy: A Strategy for Global Adolescent Mental Health Promotion

2020 ◽  
Vol 10 (2) ◽  
pp. 73-83
Author(s):  
Caroline S. Clauss-Ehlers ◽  
Maria Guevara Carpio ◽  
Mark D. Weist
Keyword(s):  
Mental Health ◽  
Health Promotion ◽  
Health Literacy ◽  
Mental Health Literacy ◽  
Global Mental Health ◽  
Public Awareness ◽  
Adolescent Mental Health ◽  
Mental Health Promotion ◽  
Research Practice ◽  
Structural Components

Background: Adolescence is defined by key transitional elements which are considered within a cross-cultural context. The importance of building mental health capacity for adolescents in low- and middle-income countries (LMICs) as well as high-income countries (HICs) is reviewed. Objectives: To review the developmental period of adolescence, global needs for mental health promotion, the needs of LMICs while emphasizing building adolescent mental health capacity, and the importance of efforts to promote mental health literacy. Methods: Mental health literacy (MHL) is presented as a strategy that can increase public awareness regarding mental health issues among adolescents. Increased awareness through an MHL framework is discussed as a way to build adolescent mental health capacity; with this work ideally occurring through global communities of practice (COP), dialogue, collaboration, and mutual support that aim to build innovation in systems of mental health promotion. Results: The authors review structural components in research, practice, and policy that seek to build global adolescent mental health capacity, nested within COPs involving HICs and LMICs working together to advance mental health promotion for children, adolescents, and young people. Conclusion: The article concludes with a discussion of how the three structural components (i.e., research, practice, and policy) can address gaps in the provision of global mental health services for adolescents to meet adolescent mental health needs in LMICs and HICs. A multi-sectoral approach emphasizing a global COP is presented as a way to scale up capacity and maximize outcomes.

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