Peculiarities of health literacy in people with mental disorders: A cross-sectional study

2019 ◽  
Vol 66 (1) ◽  
pp. 10-22 ◽  
Author(s):  
Pauline Katharina Mantell ◽  
Annika Baumeister ◽  
Hildegard Christ ◽  
Stephan Ruhrmann ◽  
Christiane Woopen

Background: Health literacy (HL) is considered a key concept to positively address relevant decisions concerning physical and mental health. According to an integrated model of a European Consortium, the process to access, understand, appraise and apply health information is at the centre of practising HL. Aim: In this study, we examine HL in a population with an early onset of a mental disorder (MD). Methods: Results are based on a cross-sectional survey among people with MD ( n = 310) who sought help at an early detection centre for MD in Cologne, Dresden or Munich. Help-seekers filled out the European Health Literacy Survey questionnaire (HLS-EU-Q) on perception-based HL, socio-demographic data and general health status. Psychopathology was assessed separately by trained specialists. Data are compared with a representative sample of the German population. Results: Overall, HL was lower in a sample with MD compared with the general population. Disease-specific limitations were present in accessing, appraising and applying health information, whereas understanding was perceived fairly easy. Statistical analysis of limited HL revealed correlations with the diagnosis of affective disorders and anxiety disorders, an increase of depressive symptoms as well as the presence of more than one MD. In line with these findings, low levels of HL were associated with a worse general health status. Conclusion: In a population with MD, accessing, appraising and applying health information seemed to be particularly challenging. Therefore, educational programmes that mainly focus on increasing knowledge might not be sufficient for improving the HL in people with MD. Further research should concentrate on context-specific HL to foster behavioural change and improve overall health.

2014 ◽  
Vol 23 (7) ◽  
pp. 1935-1944 ◽  
Author(s):  
Saku Väätäinen ◽  
Sirkka Keinänen-Kiukaanniemi ◽  
Jouko Saramies ◽  
Hannu Uusitalo ◽  
Jaakko Tuomilehto ◽  
...  

2010 ◽  
Vol 4 (6) ◽  
pp. 861-868 ◽  
Author(s):  
Prakobkiat Hirunwiwatkul ◽  
Patnarin Mahattanasakul

Abstract Background: Sleep-disordered breathing (SDB) has been a rapidly increasing health problem in Thai. Its effect on quality of life of Thai patients has not been adequately addressed. Objective: Determine the relationship between SDB and self-reported general health status in Thai patients. Materials and methods: A descriptive and cross-sectional study was used. Two hundred and sixtyeight patients (195 men and 73 women, age: 16-82 years) are recruited from King Chulalongkorn Memorial Hospital between January 2006 and December 2007. A health profile was obtained by self-administered questionnaire. SDB severity was assessed using an attended single-night comprehensive polysomnography. Results: SDB was not directly associated with the general health status. Presence of excessive daytime sleepiness, which was the major symptom of obstructive sleep apnea, was associated with a decrease in all domains of Short Form 36. Age, sex, and body mass index were also related to a lower physical function. Hypertension and excessive daytime sleepiness were associated with the severity of SDB. Conclusion: SDB is indirectly related to a lower general health status, and this relationship is of clinical significance.


Author(s):  
Valeria Stella Vanni ◽  
Antonio Quartucci ◽  
Agnese Rebecchi ◽  
Laura Privitera ◽  
Alessia Limena ◽  
...  

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e025904 ◽  
Author(s):  
Ewelina Rydzewska ◽  
Laura Anne Hughes-McCormack ◽  
Christopher Gillberg ◽  
Angela Henderson ◽  
Cecilia MacIntyre ◽  
...  

ObjectivesReported childhood prevalence of autism varies considerably between studies and over time, and general health status has been little investigated. We aimed to investigate contemporary prevalence of reported autism by age, and general health status of children/young people with and without autism.DesignSecondary analysis of Scotland’s Census, 2011 data. Cross-sectional study.SettingGeneral population of Scotland.ParticipantsAll children (n=916 331) and young people (n=632 488) in Scotland.Main outcome measuresNumber (%) of children/young people reported to have autism and their general health status; prevalence of autism; prevalence of poor health (fair, bad and very bad health); odds ratios (95% confidence intervals) of autism predicting poor health, adjusted for age and gender and OR for age and gender in predicting poor health within the population with reported autism.ResultsAutism was reported for 17 348/916 331 (1.9%) children aged 0–15, and 7715/632 488 (1.2%) young people aged 16–24. The rate increased to age 11 in boys and age 10 in girls, reflecting age at diagnosis. Prevalence was 2.8% at age 10 (4.4% for boys; 1.1% for girls), and 2.9% at age 11 (4.5% for boys; 1.1% for girls). 22.0% of children and 25.5% of young people with autism reported poor health, compared with 2.0% and 4.4% without autism. Autism had OR=11.3 (11.0 to 11.7) in predicting poor health. Autistic females had poorer health than autistic males, OR=1.6 (1.5 to 1.8).ConclusionAccurate information on the proportion of autistic children and their health status is essential plan appropriate prevention and intervention measures and provide resources for those who may put demand on services designed for autistic people.


2018 ◽  
Vol 11 (02) ◽  
pp. 34-40
Author(s):  
Bimala Sharma ◽  
S Wagle ◽  
N Shrestha ◽  
MP Bhatt ◽  
BR Tiwari

Introduction: Self-rated health reflects respondents’ overall perceptions of their general health status. It is a simple and reliable measure of general health status of the population. Objective: The objective of the study was to assess prevalence and associated factors of poor self-rated health among adult population in Machhapuchhre Rural Municipality of Kaski District, Nepal. Methods: A cross-sectional household survey was conducted among adult population at Machhapuchhre Rural Municipality. A structured questionnaire was used for the face to face interview. Household survey was conducted in July 2018. Self-rated health was measured by using a single question such as ‘In general, how would you rate your health?’ Responses were arranged along a five-point Likert-type scale: ‘excellent’, ‘good’, ‘fair’, ‘poor’ and very poor. The outcome variable was dichotomized as ‘good’ (excellent, good or fair) or ‘poor’ (poor or very poor). Chi-square test and multiple logistic regression analysis were performed; and odds ratios with corresponding 95% confidence intervals for poor self-rated health were presented. Results: Of total respondents, 13.2% respondents reported that they perceived their health as poor. Of the total, 14.3% respondents stated themselves as overweight and 8.8% mentioned they were unhappy. The study found that illiterate respondents, respondents with smoking habit and the individuals with poor psychological conditions were more likely to perceive their health as poor. Illiteracy, current smoking, perceived overweight, unhappiness, suicidal ideation and having depressed feeling were significant factors associated with poor self-rated health in the study. Conclusion: Education, health behavior and psychosocial health variables has important influences on self-rated health.


2020 ◽  
Author(s):  
Zahra Kavosi ◽  
Sara Vahedian ◽  
Arefeh Dehghani Tafti ◽  
Mohammad Amin Bahrami

BACKGROUND Given the increasing availability of internet, it has become a common source of health information for all population including students. However, the actual effect of this increased access to information on the health status and its different aspects needs to be studied more. OBJECTIVE This study aimed to investigate the correlations between online health information seeking behavior and general health dimensions in a sample of high school students of Iran. METHODS A survey was conducted among secondary school girl students of Yazd province, Iran in 2019. A total of 295 students participated in the study. The required data were gathered using two valid questionnaires including eHIQ (Kelly et al., 2015) to measure the online health information seeking experience and validated Persian version of SF-36 to measure the general health status of the participants. The collected data were analyzed through descriptive statistics and Pearson correlation coefficient using SPSS version 23. RESULTS Online health information seeking behavior and its subscales showed no statistical correlations with general health status and its dimensions. CONCLUSIONS The findings suggest that seeking online health information does not improve the general health status. The possible causes are discussed but this finding should be studied more. CLINICALTRIAL Not applicable


2011 ◽  
Vol 26 (S2) ◽  
pp. 706-706 ◽  
Author(s):  
M.S.B. Yusoff ◽  
A.F. Abdul Rahim ◽  
M.J. Yaacob

ObjectiveThis study interested in gathering data on the prevalence of depression and its contributing factors among final year medical students in USM.MethodsA cross-sectional study was done. A total of 187 final year medical students of the 2007/2008 batch were selected as in study subjects. The Malay Beck's Depression Inventory (M-BDI_ was administered to identify depressed students. Data were collected during housemanship course, one week after their final summative examination.ResultA total of 92 (49.2%) students responded to this survey. The percentage of depression among the students was 21.7%: approximately 19.5% with mild depression and 2.2% with moderate depression respectively. The mean M-BDI scores were found to be significantly increased among female medical students (p < 0.05), those in difficulties with peer and love relationships (p < 0.01), and those with poor general health status (p < 0.001). Logistic regression showed female students, those in difficulties with love relationship and those with poor general health were at higher risk to develop depression (X2 (df) = 26.59 (3), p < 0.001). Multi-factorial ANOVA analysis showed that two factors contribute to depression among final year medical students which were gender and general health status (F (df) = 5.934 (13), p < 0.001).ConclusionThe prevalence of depression among medical student was high. Female medical students, those in difficulties with love relationship, and poor general health status were at high risk to develop depression. Gender and general health status were determinant factors of depression among USM final year medical students.


2018 ◽  
Vol 43 (1) ◽  
pp. 33-40 ◽  
Author(s):  
Youn-Jung Son ◽  
Mi Hwa Won

Heart failure (HF) is the most common cause of frequent hospitalizations and high mortality. Active engagement in self-care behaviors is an essential component of HF disease management. Although the 9-item European Heart Failure Self-care Behaviour Scale (EHFScBS-9) as a commonly used instrument has been validated in different languages, there is no validated tool for addressing self-care behaviors related to HF in Korea. This study aimed to validate the Korean version of the EHFScBS-9. A cross-sectional study was adopted. The EHFSeBS-9 was translated and back-translated into Korean. A convenience sample of 270 patients from an outpatient clinic participated. Reliability was assessed via an internal consistency analysis. Construct validity was tested with exploratory factor and confirmatory factor analysis. Criterion validity was assessed by measuring participants’ health literacy and general health status. Internal consistency was supported based on a Cronbach’s α of .84. We identified three well-fitting factors (consulting behaviors, fluid restriction, and adherence behaviors), which explained 71.85% of the variance in self-care. More self-care behaviors were associated with adequate health literacy and good general health status. The Korean version of the EHFSeBS-9 showed sufficient internal consistency and acceptable validity to support its usage among Korean HF patients.


2018 ◽  
Vol 5 (1) ◽  
pp. 3487-3490
Author(s):  
Emma Rachmawati ◽  
Ame Suciati Setiawan ◽  
Yuliawati Zenab ◽  
Agus Susanto ◽  
Dyah Nindita Carolina ◽  
...  

Oral health status among children has been proven of possessing strong relationship with general health status which is curently well documented. Oral health  status illustrating periodontal tissues health  might be affected by general health status actually associated with some diseases. This statement assumes that periodontal health is influenced by the diseases such as infection, chronic and  degenerative diseases impairing general health status. Aim. The aim of this study was to examine oral health  status and general health status among elementary students  with age of 6-8 years old . Method. This study was descriptive with cross sectional method by selecting 44  students from several elementary school in Bandung City. Oral health status was  established through determining oral hygiene index-simplified (OHI-S) and general health status was determined by using body mass index (BMI) through measuring body weight and height. The data gained was presented into tables. Result. The research results show that 70,45% respondents are male exhibiting the BMI mean of 13,22 with OHI-S mean of 1,12 meanwhile the female respondents is that 29,55% are having BMI mean of 12,67  and OHI-S mean is 1,58. Conclusion. Based on the data obtained, it can be concludes that the elementary students participated in this study either male and female are catagorized of having mild general health status showed by low BMI  with mild oral health status indicated by moderate OHI-S


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