scholarly journals Health literacy and e-health literacy among Arabic-speaking migrants in Sweden: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lina Bergman ◽  
Ulrica Nilsson ◽  
Karuna Dahlberg ◽  
Maria Jaensson ◽  
Josefin Wångdahl

Abstract Background Health inequities arise when the public cannot access and understand health information in an easy, accessible, and understandable way. Evidence supports that health literacy (HL) is a determinant for health outcomes, and when HL is limited this may have a major impact on morbidity as well as mortality. Migrants are known to have limited HL. Therefore, this study aimed to explore comprehensive health literacy (CHL) and electronic health literacy (eHL) among Arabic-speaking migrants in Sweden. Methods This was a cross-sectional observational study conducted in Sweden. A total of 703 persons were invited to participate between February and September 2019. Two questionnaires – the Health Literacy Survey European Questionnaire (HLS-EU-Q16) and the eHealth Literacy Scale (eHEALS) – and questions about self-perceived health and Internet use were distributed in Swedish and Arabic. Various statistical analyses were performed to determine the associations for limited CHL and eHL. Results A total of 681 respondents were included in the analysis. Of these, 334 (49%) were native Arabic-speaking migrants and 347 (51%) were native Swedish-speaking residents. CHL and eHL differed between the groups. The Arabic speakers had significantly lower mean sum scores in eHL 28.1 (SD 6.1) vs 29.3 (6.2), p = 0.012 and lower proportion of sufficient CHL 125 (38.9%) vs 239 (71.3%), p < 0.001 compared to Swedish speakers. Multiple regression analysis showed on associations between limited CHL and eHL and being Arabic speaking, less Internet use, and not finding the Internet to be important or useful. Furthermore, longer time spent in Sweden was associated with higher levels of CHL among the Arabic speakers, (OR 0.94, 95% CI 0.91–0.98, p < 0.01). Conclusions CHL and eHL differ between Arabic-speaking migrants and native Swedish speakers, but also between Arabic speakers who have lived different lengths of time in Sweden. Though it seems that the eHealth literacy is less affected by language spoken, the Internet is suggested to be an appropriate channel for disseminating health information to Arabic-speaking migrants.

2021 ◽  
Author(s):  
Dame Elysabeth Tarihoran ◽  
Dian Anggraini ◽  
Enni Juliani ◽  
Ressa Ressa ◽  
Ihlus Fardan

Background: Nurses should have a good level of e-health literacy to help patients utilize e-health information. Objective: To measure e-health literacy skills and contribute factors. Methods: A cross-sectional study of 2209 nursing student in Indonesia (October–November 2019) using eHeals. Result: The overall eHealth literacy was 4 (Scale 1–5). There were statistically significant differences between e-Heals score with contribute factors (<0.001). Conclusion: Indonesian nursing students already have basic necessary skills of e-health.


2019 ◽  
Author(s):  
Mintesnot Hawaze Derseh ◽  
Kassahun Dessie Gashu ◽  
Tekeba Meshesha ◽  
Baye Ashenafi ◽  
Abebe Getachew Wolde ◽  
...  

Abstract Background: Utilization of Internet is critical to retrieve health information particularly for countries where health care delivery system is incongruent with its population otherwise it could be difficult to address all health problems of the people with limited health professionals. This study sought to determine the magnitude of the Internet use for health information and its associated factors.Objective: The aim of this study was to assess the status of Internet utilization to access health information and its associated factors among the undergraduate students in Addis Ababa University, Ethiopia.Methods: A facility based cross-sectional study was conducted among 845 undergraduate students who were selected by Stratified multi-stage sampling from 19 randomly selected departments of Addis Ababa University. Data were collected from March to April 2019 using a pretested structured interviewer-administered questionnaire. The data were entered in to Epi-Info version 7 and exported to the SPSS version 23 for analysis. A binary logistic regression analysis was conducted to assess the association between the study and outcome variables. Result: Almost all 761 (98.8%) of the University students have ever used the Internet for general purposes. Among these the proportion of Internet use, about 59.1% (95% CI: 55.5-62.7) of them used the Internet for health information. Adjusting for all other factors in the final model, Digital health literacy (AOR=1.656, 95% CI: (1.143, 2.397), field of study (AOR= 0.025, 95% CI: (0.007, 0.087), year of study (AOR= 1.609, 95% CI: (1.130, 2.290), and computer device ownership (AOR= 2.314, 95% CI: (1.392, 3.844) were found to be significantly associated with the Internet use for health information.Conclusion: The proportion of Internet use for health information was found to be lower. Digital health literacy, being health science student, year of study and computer ownership were found to be important predictors.


VASA ◽  
2009 ◽  
Vol 38 (4) ◽  
pp. 338-345 ◽  
Author(s):  
Richter ◽  
Schneider ◽  
Klein-Weigel

Background: Exploring patients’ computer and internet use, their expectations and attitudes is mandatory for successful introduction of interactive online health-care applications in Angiology. Patients and methods: We included 165 outpatients suffering from peripheral arterial disease (PAD; n = 62) and chronic venous and / or lymphatic disease (CVLD; n = 103) in a cross-sectional-study. Patients answered a paper-based questionnaire. Results: Patients were predominantly female (54.5 %). 142 (86.1 %) reported regular computer use for 9.7 ± 5.8 years and 134 (81.2 %) used the internet for 6.2 ± 3.6 years. CVLD-patients and internet-user were younger and higher educated, resulting in a significant difference in computer and internet use between the disease groups (p < 0.01 for both). Time spent online summed up to 4.3 ± 2.2 days per week and 1.44 ± 1.2 hours per day for all internet users without significant differences between the groups. The topics retrieved from the internet covered a wide spectrum and searches for health information were mentioned by 41.2 %. Although confidence in the internet (3.3 ± 1.1 on a 1-6 Likert scale) and reliability in information retrieved from the internet (3.1 ± 1.1) were relatively low, health-related issues were of high actual and future interest. 42.8 % of the patients were even interested in interactive applications like health educational programs, 37.4 % in self-reported assessments and outcome questionnaires and 26.9 % in chatforums; 50 % demanded access to their medical data on an Internetserver. Compared to older participants those < 50 yrs. used the internet more often for shopping, chatting, and e-mailing, but not for health information retrieval and interactive applications. Conclusions: Computers are commonly used and the internet has been adopted as an important source of information by patients suffering from PAD and CVLD. Besides, the internet offers great potentials and new opportunities for interactive disease (self-)management in angiology. To increase confidence and reliability in the medium a careful introduction and evaluation of these new online applications is mandatory.


Author(s):  
Krittai Tanasombatkul ◽  
Kanokporn Pinyopornpanish ◽  
Chaisiri Angkurawaranon ◽  
Nida Buawangpong ◽  
Auswin Rojanasumapong ◽  
...  

Medical students tend to use the internet as a primary resource when seeking health information. This study aims to assess the patterns of internet use, eHL level, and learning outcomes with eHL among medical students at Chiang Mai University. A cross-sectional study was conducted among 88 medical students in the first clinical year. The eHL level was determined using the Thai version of the electronic Health Literacy Scale or eHEALS. The patient case report scores were obtained representing the learning outcome. Linear regression was used to identify factors influencing their eHL level and case report scores. Students recognized the importance and usefulness of the internet. The mean eHEALS score was 33.45. There was a lower degree of agreement on questions regarding internet usage, having skills to evaluate the resources, and confidence in using health information to make health decisions. The eHEALS score had no statistically significant association with most variables and case report scores, but with the longer time of internet use (p-value = 0.014). Although medical students perceived that they have high eHL levels, they report lower confidence in using the information. Including critical thinking skills for electronic health information in the medical curriculum could be useful.


2019 ◽  
Author(s):  
Fatemah Alnofal ◽  
Rawabi Aljadani ◽  
Amani Alqahtani ◽  
Nasser BinDhim

BACKGROUND According to a Health Information National Trends Survey, people tend to go to the Internet rather than a physician as their first source of health information; although a vast amount of health information is available to empower and educate people, very few master the ability to use this information for their own benefit. OBJECTIVE The aim of this study was to investigate the levels and demographic determinants of e-health literacy among Saudi adults and to explore their behavior related to health information obtained through the Internet. METHODS A cross-sectional study was conducted in Saudi Arabia between (November 2017- July 2018) using an electronic questionnaire and including Arabic-speaking Saudi residents aged 18 years and above. The questionnaire included questions about socio-demographic characteristics, Internet and smartphone usage to obtain health information, participants’ behavior toward the obtained information, and eHEALS scores. RESULTS A total of 705 participants agreed to take the survey in different regions of Saudi Arabia; 59.4% (410/705) of them were 29 years old or younger, and 60.71% (428/705) of them were female. Majority of the participants 70.22% (441/705) trusted health information obtained from the Internet. Overall, mean e-health literacy was 28.9 ± 6.34, maximum and minimum scores found were 40 and 8, 44.4% (313/705) were found to have high e-health literacy levels. Older participants were more likely to have low e-health literacy levels (P = 0.001), while participants with higher education levels were more likely to have higher e-health literacy levels (P = 0.001). Over half of participants 52.2% (368/705) of the participants had downloaded a health application on their smartphone; sports and physical activity applications were the most-downloaded health applications 73.37% (270/368). CONCLUSIONS Considerably high e-health literacy levels were found among the Saudi population. We also found high trust levels in the health information obtained from the Internet. Younger adults and participants with higher education levels were more likely to have higher e-health literacy levels.


Author(s):  
Priyanka . ◽  
R K Pal

Introduction: Excessive use of the Internet affects the academic achievements of students. This study aimed to investigate the prevalence of Internet addiction and the pattern of Internet use among undergraduate medical students. Method: This analytical cross-sectional study conducted on 177 undergraduate medical students in batch 2016, 2017 and 2018, who were included in this study by convenience sampling method. The study tool was  Young’s Internet Addiction Test containing questions regarding the pattern of Internet use. Data entry and analysis was done by using Microsoft excel and SPSS version 21. Qualitative data were described in terms of frequency and percentage while quantitative data were expressed as mean and standard deviation. Chi square test and multiple linear regression were used to find out the relationship between various factors and Internet Addiction (IA).  The significance level was considered 0.05. Results: The mean age of the participants was 20.3 years (± 1.19), and 62 % of the subjects were males. The prevalence rate of Internet Addiction (IA) was found to be 56.5% and 42.9% of them were in mild and 13.6% were in moderate addiction category. Being male (β= -0.143, p=0.038), staying at a hostel (β= 0.167, p=0.018), not having a time preference for using the Internet (β= -0.174, p=0.012), spending more time on the Internet everyday (β= 0.201, p=0.000), being always online (β= 0.276, p=0.000) and more years of using the Internet (β= 0.175, p=0.015) were significantly related with IA in students. Conclusion: A large proportion of medical students were found to be addicted to the Internet. Therefore, this issue should be addressed immediately.


Author(s):  
Neha Priya ◽  
Samreen Khan ◽  
Sachin Lal

Background: Internet is a boon and has certainly helped to bring the world closer. It has been a great medium for students to communicate and get information by transforming the academic landscape. However the excessive and undisciplined use of internet by individuals especially in the last decade, has led to the emergence of the concept of internet addiction. Therefore, a cross sectional study has been conducted to investigate the use of internet facility among undergraduate students from Teerthankar Mahaveer University using a validated questionnaire. There were about 42 million active internet users in urban India in 2008 when compared to 5 million in 2000. India now has the world’s third-largest national digital population, with approximately, 159 million Internet users in 2014, which is projected to reach 314 million by 2017 (IMRB 2014). The aim was to study prevalence and pattern of internet usage among undergraduate students in Moradabad. Methods: A cross sectional study was conducted among medical students (n=382) belonging to all the professionals of medical college, to assess the pattern of internet usage. A semi-structured proforma along with Young’s internet addiction scale was used. Results: Of the 382 adolescents who took part in the study, 150 (39.27%) were female and 232 (60.73%) were males. Their mean age was 16.20 years. Using Young’s original criteria, 22 (5.76%) were found to be addicts, 230 (60.21%) were moderately addicted, 45 (11.78%) were average users while in 85 (22.25%) of student’s internet use was less than average. Most of internet use was for social networking 183(47.9%), downloading media files 125 (32.7%), online gaming 45 (11.8%), academic purposes 10 (2.6%) and others 19 (5%). About 275 (72%) of the students were using smart phones to access the internet. Conclusions: Most of the internet usage was for the purpose of social networking (Facebook, Whats App, Mails, etc). Availability of high speed free wi-fi internet on mobile phones as well as more reliance on virtual friendship than real may be the reason for spending more time on social network websites. 


Author(s):  
Ravikiran Kamate ◽  
Sulakshna Baliga ◽  
M. D. Mallapur

Background: Internet addiction is not clinical diagnosis, but a potentially pathological behavioral pattern with symptoms: a loss of control over the behavior, preoccupation with the Internet, using the Internet to modify mood, and withdrawal symptoms. Easy access and low cost of Internet packs- are main cause of development of increased internet use in India. Internet addiction – factors like gender, environmental factors, socioeconomic status, etc. have effect on internet use.Methods: Cross-sectional study conducted during January 2016 to February 2016. Data was collected among 500 engineering students of four engineering colleges of Belagavi city using young's questionnaire. Analysis was performed using SPS 20. Chi-square applied as statistical test of significance for the association between age, sex, residence, SES and schooling. P<0.01 was considered to be statistically significant.Results: The present study revealed that 16.2 and 6.2% of participants had moderate and severe form of internet addiction respectively. With increase in age prevalence of addiction increased. Internet addiction was more among Males when compared to females. Addiction was seen more in students whose both parents were working.Conclusions: Internet addiction is an emerging form of addiction among students with males more than females mostly among engineering students who are dependent on internet for their work, carrier and completion of course Hence it's time to develop comprehensive intervention approach to promote healthy and safe internet use from family, college and peers.


2018 ◽  
Vol 5 (5) ◽  
pp. 1750
Author(s):  
Sowndarya T. A. ◽  
Mounesh Pattar

Background: Adolescents use the Internet for a variety of activities besides gaming; they frequently engage themselves with social networking, instant messaging, blogging and downloading information. Heavy Internet use has been associated with potential side effects, such as loss of control over the use of the Internet, adverse effects on other daily activities, emotional status and communication among family members. Objective of present study to assess the prevalence of Internet Addiction (IA) and factors associated with Internet use among Urban and Rural school students.Methods: A school based cross sectional study was conducted in the urban and rural field practice area of a medical college hospital in Mangaluru. Internet addiction was assessed using Young’s Internet Addiction Test.Results: The prevalence of internet addiction among urban school students was found to be i.e. 83.3%, while it was 78% in rural school students. Mild IA was common among both.  Male gender, smart phones and hours spent on internet were common risk factor for IA in both groups.Conclusions: Young’s Internet Addiction Test (IAT) is a simple and easy tool to assess Internet addiction among adolescent school students. Need to give importance of outdoor activity and community level education needed to prevent Internet Addiction.


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