scholarly journals Health status of female Moldovan migrants to Italy by health literacy level and age group: a descriptive study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Francesca Alice Vianello ◽  
Federica Zaccagnini ◽  
Carlo Pinato ◽  
Pietro Maculan ◽  
Alessandra Buja
Keyword(s):  
Health Care ◽  
Health Literacy ◽  
Health Care Services ◽  
Age Groups ◽  
Migrant Women ◽  
Care Services ◽  
Health Literacy Level ◽  
Care Workers ◽  
Access To Health ◽  
Literacy Level

Abstract Background Migration flows from Eastern Europe to Italy have been large and continue to grow. The purpose of this study was to examine the health status of a population of Moldovan migrant women, and their access to health care services in northern Italy, by age group and health literacy level. Methods We administered an ad-hoc questionnaire to adult Moldovan women. A bivariate analysis was conducted to test the association between health literacy and age groups with other variables (lifestyles, symptoms and diseases, access to health services). A stepwise logistic regression analysis was run to test the association between access to primary care and health literacy. Moreover, the study compare Moldovan women data with a sample of Italian women of the same age range living in North-Eastern region. Results Our sample included 170 Moldovan women (aged 46.5 ± 12.3) in five occupational categories: home care workers (28.2%); cleaners (27.1%); health care workers (5.9%); other occupations (28.8%); and unemployed (10%). Active smokers were twice as prevalent among the women with a low health literacy. Health literacy level also determined access to primary healthcare services. For all age groups, the Moldovan sample reported a higher prevalence of allergies, lumbar disorders and depression than the Italian controls. Conclusions The reported prevalence of some diseases was higher among Moldovan migrant women than among Italian resident women. Health literacy was associated with the migrant women’s lifestyle and the use of primary health care services, as previously seen for the autochthonous population.

scholarly journals Health status of female Moldovan migrants to Italy by health literacy level and age group: a descriptive study

2020 ◽  
Author(s):  
Francesca Alice Vianello ◽  
Federica Zaccagnini ◽  
Carlo Pinato ◽  
Pietro Maculan ◽  
Alessandra Buja
Keyword(s):  
Health Care ◽  
Health Literacy ◽  
Health Care Services ◽  
Age Groups ◽  
Migrant Women ◽  
Care Services ◽  
Health Literacy Level ◽  
Care Workers ◽  
Access To Health ◽  
Literacy Level

Abstract Background: Migration flows from Eastern Europe to Italy have been large and continue to grow. The purpose of this study was to examine the health status of a population of Moldovan migrant women, and their access to health care services in northern Italy, by age group and health literacy level.Methods: We administered an ad-hoc questionnaire to adult Moldovan women. A bivariate analysis was conducted to test the association between health literacy and age groups with other variables (lifestyles, symptoms and diseases, access to health services). A stepwise logistic regression analysis was run to test the association between access to primary care and health literacy. Moreover, the study compare Moldovan women data with a sample of Italian women of the same age range living in North-Eastern region. Results: Our sample included 170 Moldovan women (aged 46.5 ± 12.3) in five occupational categories: home care workers (28.2%); cleaners (27.1%); health care workers (5.9%); other occupations (28.8%); and unemployed (10%). Active smokers were twice as prevalent among the women with a low health literacy. Health literacy level also determined access to primary healthcare services. For all age groups, the Moldovan sample reported a higher prevalence of allergies, lumbar disorders and depression than the Italian controls.Conclusions: The reported prevalence of some diseases was higher among Moldovan migrant women than among Italian resident women. Health literacy was associated with the migrant women’s lifestyle and the use of primary health care services, as previously seen for the autochthonous population.

scholarly journals Health status of female Moldovan immigrants to Italy by health literacy level and age group

2020 ◽  
Author(s):  
Francesca Alice Vianello ◽  
Federica Zaccagnini ◽  
Carlo Pinato ◽  
Pietro Maculan ◽  
Alessandra Buja
Keyword(s):  
Health Care ◽  
Health Literacy ◽  
Health Care Services ◽  
Age Groups ◽  
Age Group ◽  
Care Services ◽  
Health Literacy Level ◽  
Care Workers ◽  
Access To Health ◽  
Literacy Level

Abstract Background: Migration flows from Eastern Europe to Italy have been large and continue to grow. The purpose of this study was to examine the health status of a population of Moldovan immigrant women, and their access to health care services in northern Italy, by age group and health literacy level. Methods: We administered an ad-hoc questionnaire to adult Moldovan women. A bivariate analysis was conducted to test the association between health literacy and age groups with other variables ( lifestyles, symptoms and diseases, access to health services). A stepwise logistic regression analysis was run to test the association between access to primary care and health literacy. Moreover, the study compare Moldovan women data with a sample of Italian women of the same age range living in North-Eastern region. Results: Our sample included 170 Moldovan women (aged 46.5 ± 12.3) in five occupational categories: home care workers (28.2%); cleaners (27.1%); health care workers (5.9%); other occupations (28.8%); and unemployed (10%). Active smokers were twice as prevalent among the women with a low health literacy. Health literacy level also determined access to primary healthcare services. For all age groups, the Moldovan sample reported a higher prevalence of allergies, lumbar disorders and depression than the Italian controls. Conclusions: The reported prevalence of some diseases was higher among Moldovan immigrant women than among Italian resident women. Health literacy was associated with the immigrant women’s lifestyle and the use of primary health care services, as previously seen for the autochthonous population.

scholarly journals Health status of female Moldovan immigrants to Italy by health literacy level and age group

2020 ◽  
Author(s):  
Francesca Alice Vianello ◽  
Federica Zaccagnini ◽  
Carlo Pinato ◽  
Pietro Maculan ◽  
Alessandra Buja
Keyword(s):  
Health Care ◽  
Health Literacy ◽  
Health Care Services ◽  
Age Groups ◽  
Age Group ◽  
Care Services ◽  
Health Literacy Level ◽  
Care Workers ◽  
Access To Health ◽  
Literacy Level

Abstract Background: Migration flows from Eastern Europe to Italy have been large and continue to grow. The purpose of this study was to examine the health status of a population of Moldovan immigrant women, and their access to health care services in northern Italy, by age group and health literacy level.Methods: We administered an ad-hoc questionnaire to adult Moldovan women. A bivariate analysis was conducted to test the association between health literacy and age groups with other variables ( lifestyles, symptoms and diseases, access to health services). A stepwise logistic regression analysis was run to test the association between access to primary care and health literacy. Moreover, the study compare Moldovan women data with a sample of Italian women of the same age range living in North-Eastern region. Results: Our sample included 170 Moldovan women (aged 46.5 ± 12.3) in five occupational categories: home care workers (28.2%); cleaners (27.1%); health care workers (5.9%); other occupations (28.8%); and unemployed (10%). Active smokers were twice as prevalent among the women with a low health literacy. Health literacy level also determined access to primary healthcare services. For all age groups, the Moldovan sample reported a higher prevalence of allergies, lumbar disorders and depression than the Italian controls.Conclusions: The reported prevalence of some diseases was higher among Moldovan immigrant women than among Italian resident women. Health literacy was associated with the immigrant women’s lifestyle and the use of primary health care services, as previously seen for the autochthonous population.

scholarly journals Health status of female Moldovan immigrants to Italy by health literacy level and age group

2020 ◽  
Author(s):  
Francesca Alice Vianello ◽  
Federica Zaccagnini ◽  
Carlo Pinato ◽  
Pietro Maculan ◽  
Alessandra Buja
Keyword(s):  
Health Care ◽  
Health Literacy ◽  
Health Care Services ◽  
Age Groups ◽  
Age Group ◽  
Care Services ◽  
Health Literacy Level ◽  
Care Workers ◽  
Access To Health ◽  
Literacy Level

Abstract Background: Migration flows from Eastern Europe to Italy have been large and continue to grow. The purpose of this study was to examine the health status of a population of Moldovan immigrant women, and their access to health care services in northern Italy, by age group and health literacy level.Methods: We administered an ad-hoc questionnaire to adult Moldovan women. A bivariate analysis was conducted to test the association between health literacy and age groups with other variables ( lifestyles, symptoms and diseases, access to health services). A stepwise logistic regression analysis was run to test the association between access to primary care and health literacy. Moreover, the study compare Moldovan women data with a sample of Italian women of the same age range living in North-Eastern region. Results: Our sample included 170 Moldovan women (aged 46.5 ± 12.3) in five occupational categories: home care workers (28.2%); cleaners (27.1%); health care workers (5.9%); other occupations (28.8%); and unemployed (10%). Active smokers were twice as prevalent among the women with a low health literacy. Health literacy level also determined access to primary healthcare services. For all age groups, the Moldovan sample reported a higher prevalence of allergies, lumbar disorders and depression than the Italian controls.Conclusions: The reported prevalence of some diseases was higher among Moldovan immigrant women than among Italian resident women. Health literacy was associated with the immigrant women’s lifestyle and the use of primary health care services, as previously seen for the autochthonous population.

scholarly journals Health status of female Moldovan immigrants to Italy by health literacy level and age group: a descriptive study

2020 ◽  
Author(s):  
Alessandra Buja ◽  
Francesca Alice Vianello ◽  
Federica Zaccagnini ◽  
Carlo Pinato ◽  
Pietro Maculan
Keyword(s):  
Health Care ◽  
Health Status ◽  
Health Literacy ◽  
Health Services ◽  
Health Care Services ◽  
Care Services ◽  
Health Literacy Level ◽  
Care Workers ◽  
Access To Health ◽  
Literacy Level

Abstract Background: Migration flows from Eastern Europe to Italy have been large and continue to grow. The purpose of this study was to examine the health status of a population of Moldovan immigrant women, and their access to health care services in northern Italy, by age group and health literacy level. Methods: We administered an ad-hoc questionnaire to adult Moldovan women to assess their lifestyles, self-reported health status (symptoms and diseases), access to health services, and health literacy. Then, using descriptive statistics, we compared our data with findings for a sample of Italian women of the same age living in the north-east of the country. Results: Our sample included 170 Moldovan women (aged 46.5 ± 12.3) in five occupational categories: home care workers (28.2%); cleaners (27.1%); health care workers (5.9%); other occupations (28.8%); and unemployed (10%). Active smokers were twice as prevalent among the women with a low health literacy. Health literacy level also determined access to healthcare services: women with a higher health literacy tended to use scheduled health services and screening programs, while those with a lower health literacy relied more on emergency health services. For all age groups, the Moldovan sample reported a higher prevalence of allergies, lumbar disorders and depression than the Italian controls. Conclusions: The reported prevalence of some diseases was higher among Moldovan immigrant women than among Italian resident women. Health literacy was associated with the immigrant women’s lifestyle and the use of health care services, as previously seen for the autochthonous population.

scholarly journals The adaptation of Turkish health literacy scale for literate Syrian adult refugees living in Turkey: a reliability–validity study

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Şevkat Bahar Özvarış ◽  
Bahar Güçiz Doğan ◽  
Hande Konşuk Ünlü ◽  
Gamze Aktuna ◽  
Tacettin İnandı ◽  
...  
Keyword(s):  
Health Care ◽  
Health Literacy ◽  
Health Care Services ◽  
Short Form ◽  
Syrian Refugees ◽  
Cronbach’S Alpha ◽  
Cronbach's Alpha ◽  
Care Services ◽  
Health Literacy Level ◽  
Literacy Level

Abstract Background Turkey hosts the world’s largest refugee population of whom 3.5 million are Syrians and this population has been continuously growing since the year 2011. This situation causes various problems, mainly while receiving health-care services. In planning the migrant health-care services, for the policy makers of host countries, health literacy level of migrants is an important measure. Determination of health literacy level of Syrian refugees in Turkey would be supportive for planning some interventions to increase health-care service utilization, as well as health education and health communication programs. An “original health literacy scale” for 18–60 years of age Turkish literate adults (Hacettepe University Health Literacy Scale-HLS) was developed to be used as a reference scale in 2018. Since it would be useful to compare the health literacy levels of Turkish adults with Syrian adult refugees living in Turkey with an originally developed scale, in this study, it was aimed to adapt the HLS-Short Form for Syrian refugees. Methods This methodological study was carried out between the years 2019–2020 in three provinces of Turkey where the majority of Syrians reside. The data was collected by pre-trained, Arabic speaking 12 interviewers and three supervisors via a questionnaire on household basis. At first, the original Scale and questionnaire were translated into Arabic and back translated into the original language. The questionnaire and the Scale were pre-tested among 30 Syrian refugees in Ankara province. A total of 1254 refugees were participated into the main part of the study; 47 health-worker participants were excluded from the validity-reliability analysis. Confirmatory factor analysis (CFA) was performed. Cronbach’s alpha and Spearman–Brown coefficients were calculated. Results Of the participants, 52.9% was male; 26.1% had secondary education level or less; almost half of them had moderate economic level; 27.5% could not speak Turkish. The Cronbach’s Alpha was 0.75, Spearman–Brown Coefficient was 0.76; RMSEA = 0.073, CFI = 0.93, TLI = 0.92 and GFI = 0.95 for the Scale. The Cronbach’s Alpha was 0.76, Spearman–Brown Coefficient was 0.77; RMSEA = 0.085, CFI = 0.93, TLI = 0.91 and GFI = 0.95 for self-efficacy part. Conclusion In conclusion, the adapted HLS would be a reliable instrument to evaluate the health-literacy level of Syrian refugees living in Turkey and could allow for a comparison of the host country’s health literacy level to that of the refugees using the same scale.

scholarly journals Does better availability mean better accessibility? Spatial inequalities in the care of acute myocardial infarction in Hungary

2020 ◽  
Vol 69 (4) ◽  
pp. 401-418
Author(s):  
Annamária Uzzoli ◽  
Zoltán Egri ◽  
Dániel Szilágyi ◽  
Viktor Pál
Keyword(s):  
Myocardial Infarction ◽  
Health Care ◽  
Acute Myocardial Infarction ◽  
Statistical Analysis ◽  
Health Literacy ◽  
Access To Health Care ◽  
Health Care Services ◽  
Care Services ◽  
Spatial Inequalities ◽  
Access To Health

The availability of health care services is an important issue, however, improving availability of health care services does not necessarily mean better accessibility for everybody. The main aim of this study is to find out how better availability in the care of acute myocardial infarction vary with accessibility of patients’ geographical location within Hungary. We applied statistical analysis and interview techniques to unfold the role of spatiality in the conditions of access to health care. Results of statistical analysis indicate significant health inequalities in Hungary. Decreasing national mortality rates of acute myocardial infarction, has been coupled by increasing spatial inequalities within the country especially at micro-regional level. According to in-depth interviews with local health care stakeholders we defined factors that support access to health care as well as important barriers. The supporting factors are related to the improvement of availability (i.e. infrastructural developments), while geographical distance, lack of material and human resources, or low level of health literacy proved to be the most relevant barriers. Main conclusion is that barriers to accessibility and availability are not only spatial but are also based on individual stages of acute myocardial infarction care. The development of cardiac catheter centres in Hungary has improved the short-term chances of infarction survival, but long-term survival chances have worsened in recent years due to deficiencies in rehabilitation care as well as low level of health literacy.

scholarly journals Health issues in female Moldovan migrants in a north-eastern Italian region

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A Buja ◽  
F A Vianello ◽  
F Zaccagnini ◽  
C Pinato ◽  
P Maculan
Keyword(s):  
Health Care ◽  
Health Status ◽  
Health Literacy ◽  
Health Services ◽  
Health Care Services ◽  
Care Services ◽  
Access To Health ◽  
North Eastern ◽  
Reported Health ◽  
Italian Women

Abstract Background Migration from Eastern Europe to Italy is still massively expanding, with a subsequent increase of migrants in the job market who are traditionally employed in low specialized and high strain jobs. In this context Health Literacy is a known factor contributing to immigrant health disparities. The purpose of this study was to evaluate the health status of a population of migrant Moldovan women and their access to health care services in northern Italy by age class and health literacy level. Methods We administered an ad-hoc questionnaire to adult Moldovan women to assess their lifestyles, employment status, reported health status, access to Health Services and Health Literacy. Moreover, the study compared our data with a sample of Italian women of the same age range living in North-Eastern region interviewed in 2015. Analysis employs descriptive statistics. Results The sample included 170 Moldovan women (age 46.5 ±12.3). Prevalence of active smokers was found double in women with a low Health Literacy. Health Literacy status also determined the different access to Public Health Services, with women with higher literacy using more programmed health services and screening programs, and women with lower literacy conversely using more emergency health services. Overall reported health status was found worse in our sample than in Italian women and reported disease prevalence among age ranges was different than Italian ones with an increased probability for allergies, lumbar diseases and depression. Conclusions Some diseases have a higher prevalence in Moldovan than in Italian women. Health literacy is associated with lifestyles and use of health care services also in migrants, as previously demonstrated for native population. Key messages Tailored prevention programs and intervention should be designed in Moldovan women to address high prevalence diseases in this population. Strategy to improve health literacy should involve immigrants. Some diseases resulted well-spread over the whole sample and not influenced by age or employment; the difficulties migrants have to overcome might influence their health status.

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