scholarly journals National indicators of health literacy: ability to understand health information and to engage actively with healthcare providers - a population-based survey among Danish adults

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Anne Bo ◽  
Karina Friis ◽  
Richard H Osborne ◽  
Helle Terkildsen Maindal
2021 ◽  
pp. 140349482110459
Author(s):  
Sofie Emilie Pedersen ◽  
Anna Aaby ◽  
Karina Friis ◽  
Helle Terkildsen Maindal

Aim: Individuals with multimorbidity often have complex healthcare needs challenging their health literacy skills. This study aimed to investigate the association between the number of physical conditions and health literacy and to examine the difference in health literacy levels between individuals with multimorbidity based on physical conditions and individuals with additional mental disorders. Methods: Respondents aged 25 years or older from a Danish population-based survey were included ( N = 28,627). Multimorbidity was assessed based on 18 self-reported chronic conditions; health literacy was measured using two scales from the Health Literacy Questionnaire focusing on understanding health information and engaging with healthcare providers. Associations were examined using multiple logistic regression analysis. Results: We found a positive association between number of physical conditions and the odds of having difficulties in understanding health information and engaging with healthcare providers. For example, the adjusted odds ratio (OR) of having difficulties in understanding health information was 1.45 (95% confidence interval (CI): 1.09–1.94) for individuals with two physical conditions compared with individuals without multimorbidity. The associations formed a positive exposure–response pattern. Furthermore, respondents with both mental and physical conditions had more than twice the odds of having health literacy difficulties compared to respondents with only physical conditions (adjusted OR 2.53 (95% CI 2.02–3.18) and 2.28 (95% CI 1.92–2.72) for the scales, respectively). Conclusions: Our results suggest that responding to patients’ health literacy needs is crucial for individuals with multimorbidity – especially those with combined mental and physical conditions.


2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Annabel Boyer ◽  
Yannick Begin ◽  
Julie Dupont ◽  
Mathieu Rousseau-Gagnon ◽  
Nicolas Fernandez ◽  
...  

Abstract Background Health literacy refers to the ability of individuals to gain access to, use, and understand health information and services in order to maintain a good health. It is especially important in nephrology due to the complexity of chronic kidney disease (CKD). The present study sought to define health literacy levels in patients followed in predialysis clinic, in-center dialysis (ICHD), peritoneal dialysis (PD) and home hemodialysis (HHD). Methods This transversal monocentric observational study analysed 363 patients between October 2016 and April 2017. The Brief Health Literacy Screen (BHLS) and the Health Literacy Questionnaire (HLQ) were used to measure health literacy. Multivariate linear regressions were used to compare the mean scores on the BHLS and HLQ, across the four groups. Results Patients on PD had a significantly higher BHLS’score than patients on ICHD (p = 0.04). HLQ’s scores differed across the groups: patients on HHD (p = 0.01) and PD (p = 0.002) were more likely to feel understood by their healthcare providers. Compared to ICHD, patients on HHD were more likely to have sufficient information to manage their health (p = 0.02), and patients in the predialysis clinic were more likely to report high abilities for health information appraisal (p < 0.001). Conclusion In a monocentric study, there is a significant proportion of CKD patients, especially in predialysis clinic and in-centre hemodialysis, with limited health literacy. Patients on home dialysis (HHD and PD) had a higher level of health literacy compared to the other groups.


2016 ◽  
Vol 14 (1) ◽  
pp. 34-40 ◽  
Author(s):  
K. J. Serrano ◽  
M. Yu ◽  
W. T. Riley ◽  
V. Patel ◽  
P. Hughes ◽  
...  

2013 ◽  
Vol 37 (4) ◽  
pp. 547 ◽  
Author(s):  
Jaklina Michael ◽  
Tracy Aylen ◽  
Rajna Ogrin

Australia has a high number of people from culturally and linguistically diverse (CALD) backgrounds whose primary language is not English. CALD population groups have comparatively lower levels of education and health literacy, and poorer health outcomes compared with the Australian-born population. The delivery of consumer health information to people from CALD backgrounds usually includes the use of translated resources. Unfortunately, the quality of translated resources available on health issues is highly variable and may impact efforts to address the disparities in health outcomes. Currently applied guides to translation focus on accuracy and literalness of the translation; however, for health translations, conveying meaning and incorporating culturally relevant information is essential. Minimum standards for developing translated resources are needed to provide an indication of quality for end users, including healthcare providers, the client and carer. This paper describes the development of a Translation Standard, led by a community nursing organisation in collaboration and consultation with CALD community members and peak community organisations in Melbourne, Australia. The Translation Standard includes 10 components that have been identified as necessary to ensure a minimum standard of translation that is of high quality and caters to the health literacy levels of the target audience. What is known about the topic? There are many people from CALD backgrounds who have worse health outcomes than people who are Australian born. There is a gap in guidance to health professionals on how to develop high-quality translations of consumer health information that consider culture and health literacy. Higher-quality translations are needed to better inform CALD groups about their health. What does this paper add? The description of a new Translation Standard to guide the development of culturally relevant consumer health translations, considering the cultural needs and health literacy level of the target audience. What are the implications for practitioners? The Translation Standard provides assurance to practitioners that any translation that has followed this Standard is of high quality and increases the likelihood that the target audience will find the information relevant and understandable. The Translation Standard can assist consumers to make more informed choices and decisions about their health. Future translations would benefit by using such a guide.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
D do Ó ◽  
J Raposo ◽  
A Goes ◽  
I Loureiro

Abstract Background Glycemic control and self-management of diabetes are influenced by a range of factors, including health literacy - the ability to access, understand, appraise, and use health information. This study explored associations between domains of health literacy (HL), glycemic control and perceived general health in people with diabetes. Methodology Cross-sectional study, with 453 people with diabetes,attending the Portuguese Diabetes Association (APDP). We collected information on HL, demographics, glycemic control and self-perception of health. HL was assessed using the Health Literacy Questionnaire. Descriptive and correlational analysis were performed. Results 85.4% consider Feeling understood and supported by healthcare providers but only 54.1% have the Ability to actively engage with healthcare providers and 27.8% feel the Ability to find good health information,66.5% consider Having sufficient information to manage my health but only 38.7% are Understanding health information well enough to know what to do and 28.5% refer the Ability to find good health information. Higher HL scores were associated with better glycemic control and more positive perception of general health(GH) across the following domains: Having sufficient information to manage my health, Appraisal of health information, Ability to find good health information, Actively managing my health and social support for health. The domains Ability to actively engage with healthcare providers and Navigating the healthcare system were also associated with more positive perception of GH. Associations achieved either p &lt; 0.001 or p &lt; 0.05. Considering HL levels, a statistically significant negative association was found with the levels of HbA1c and positive association with perceived general health, even for functional HL. Conclusions The results emphasize the importance of improving the level of HL of people with diabetes in order to improve glycemic control and the perceive General Health Key messages Health literacy is critical for diabetes self-management. People with diabetes need to understand and use health information to promote well-being and diabetes control.


Author(s):  
Machi Suka ◽  
Katsumi Yoshida

This chapter introduces an interactive communication tool, the ‘HRA System’. The recent rapid penetration of the Internet has made it a leading mode for gathering and sharing health information. People who access information on the Internet differ considerably in their ‘health literacy’, or the ability to understand and act on health information. The HRA System was developed in an effort to promote health education among people with inadequate health literacy. The system was designed in accordance with the clients’ health literacy skills, as well as the clients’ computer skills. A number of healthcare providers have registered with our research group to provide health education using the HRA System to the general public. The authors provide some ideas regarding how to apply interactive communication technology to health education successfully.


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