scholarly journals Avaliação da literacia para a saúde de pacientes portadores de diabetes acompanhados em um ambulatório público

2021 ◽  
Vol 37 (10) ◽  
Author(s):  
Ana Luiza Braz Pavão ◽  
Guilherme Loureiro Werneck ◽  
Luis Saboga-Nunes ◽  
Rosane Aparecida de Sousa
Keyword(s):  
Health Literacy ◽  
Odds Ratio ◽  
Rio De Janeiro ◽  
Literacy Survey ◽  
European Health

Resumo: Literacia para a saúde (LS), ou literacia em saúde, pressupõe o conhecimento, a motivação e as competências dos indivíduos para acessarem, compreenderem, avaliarem e aplicarem as informações sobre saúde, a fim de fazer julgamentos e tomar decisões na vida diária, relacionadas aos cuidados de saúde, à prevenção de doenças e à promoção de saúde, para manter ou melhorar a sua qualidade de vida. O objetivo foi medir o nível de LS e seus fatores associados: sexo, idade, escolaridade, renda, cor da pele, autoavaliação do estado de saúde, tipo de diabetes e presença de comorbidades. Foram avaliados 107 adultos portadores de diabetes acompanhados em um ambulatório público, na cidade do Rio de Janeiro, Brasil. Não foram incluídos pacientes de primeira vez, pacientes sem diagnóstico de diabetes ou com limitações de visão ou audição. A LS foi avaliada pela versão brasileira do questionário European Health Literacy Survey (HLS-EU-BR). Modelos de regressão logística ordinal simples e múltiplos foram construídos, considerando-se, como variável dependente, os quatro níveis de LS. As associações foram expressas na forma de odds ratio (OR). Cerca de 95% da amostra apresentou nível de LS ruim ou limitado (94,8%; IC95%: 90,3-99,3). Sexo feminino, idades mais avançadas e menor escolaridade estiveram associados a uma menor chance de ter um nível de LS excelente. No modelo ajustado, apenas a variável escolaridade permaneceu estatisticamente significativa em relação ao seu efeito sobre a LS (OR ajustado = 0,41; IC95%: 0,17-0,98; p < 0,05). Escolaridade foi a característica que esteve mais fortemente relacionada ao nível de LS.

Gesundheitskompetenz von Menschen mit chronischer Erkrankung in Deutschland

2020 ◽  
Vol 82 (11) ◽  
pp. 836-843
Author(s):  
Doris Schaeffer ◽  
Lennert Griese ◽  
Eva-Maria Berens
Keyword(s):  
Health Literacy ◽  
Vital Sign ◽  
Odds Ratio ◽  
Survey Questionnaire ◽  
Prävention Und Gesundheitsförderung ◽  
Literacy Survey ◽  
European Health ◽  
Newest Vital Sign

Zusammenfassung Hintergrund Menschen mit chronischen Erkrankungen (MmcE) sind mit vielfältigen Anforderungen der Krankheitsbewältigung und der Versorgungsnutzung konfrontiert. Entsprechend hoch ist ihr Bedarf an Information und auch an Gesundheitskompetenz (GK). Während das Thema international seit längerem die Aufmerksamkeit der Forschung findet, fehlen für Deutschland bislang Untersuchungen zur GK von MmcE. Ziel und Methode Ziel der vorliegenden Analyse ist es, die GK von MmcE in Deutschland vertiefend zu analysieren. Dazu wurden Querschnittsdaten von insgesamt 499 MmcE des deutschen Gesundheitskompetenzsurveys (HLS-GER) genutzt. Die GK wurde mit dem European Health Literacy Survey Questionnaire (HLS-EU-Q 47) erfasst. Potenzielle Unterschiede bei der Verteilung von GK wurden nach Geschlecht, Alter, Sozialstatus, finanzielle Ressourcen, Bildungsniveau und literale Fähigkeiten (gemessen mit dem Newest Vital Sign (NVS)) und krankheitsbezogenen Merkmalen (Krankheitsanzahl und -dauer) mittels Chi-Quadrat Test geprüft. Ebenso wurde der Einfluss dieser Faktoren auf GK bei MmcE mittels multipler logistischer Regression untersucht. Ergebnisse 72,7% der MmcE weisen eine geringe GK auf. Dabei variiert die GK stark nach den untersuchten Bereichen Krankheitsbewältigung/-versorgung, Prävention und Gesundheitsförderung. Ein niedriger Sozialstatus (Odds Ratio (OR): 4,4 [1, 8; 10, 7]), geringe finanzielle Ressourcen (OR: 2,0 [1,2; 3,1]), limitierte literale Fähigkeiten (OR: 2,7 [1,4; 5,0]) sowie ein mittleres Bildungsniveau (OR: 0,5 [0,3; 0,9]) sind in der multiplen logistischen Regression mit geringer Gesundheitskompetenz assoziiert. Krankheitsanzahl und -dauer zeigen keinen signifikanten Zusammenhang mit geringer GK. Schlussfolgerung Die Analyse liefert erste Erkenntnisse für Deutschland, die künftig der Vertiefung bedürfen. Sie liefern aber schon jetzt wichtige Hinweise für die Interventionsentwicklung. Erforderlich ist es, zielgruppenspezifische Interventionen zur Stärkung der persönlichen GK von MmcE zu entwickeln, die sich speziell an chronisch Erkrankte mit niedrigem Sozialstatus, geringen finanziellen Ressourcen und eingeschränkter Literalität richten. Um Stigmatisierungen zu vermeiden, ist es wichtig, dass Interventionen zugleich auf die Reduktion bestehender Anforderungen in der Lebensumwelt zielen und die Suche, Aneignung und Verarbeitung von Information erleichtern und damit zur Verringerung von Ungleichheiten beitragen.

European Health Literacy Survey Questionnaire--French Versions

2018 ◽  
Author(s):  
Alexandra Rouquette ◽  
Théotime Nadot ◽  
Pierre Labitrie ◽  
Stephan Van den Broucke ◽  
Julien Mancini ◽  
...  
Keyword(s):  
Health Literacy ◽  
Survey Questionnaire ◽  
Literacy Survey ◽  
European Health

scholarly journals Alfabetización en salud en la comunidad

2021 ◽  
Author(s):  
Dolors Juvinyà-Canal
Keyword(s):  
Health Literacy ◽  
Literacy Survey ◽  
European Health

Este articulo trata sobre la alfabetización en salud en la comunidad.  En primer lugar se clarifica que se entiende  la salud como  un derecho de todos los seres humanos y tiene que ser sostenida por la sociedad. Se introduce la promoción de la salud como enfoque teniendo en cuenta que se define como un proceso que permite a las personas incrementar el control sobre su salud y la importancia de la alfabetización en salud como uno de los pilares básicos. Se desarrolla el concepto de alfabetización en salud a partir de múltiples definiciones, se revisan algunas por su significación y se recogen tres elementos claves a partir del análisis de la mayoría de ellas. Se reconoce que el concepto es multidimensional, complejo y heterogéneo. Se recopilan los conocimientos sobre el tema a partir de los estudios realizados. Se presentan algunos de los instrumentos para la medida de la alfabetización en salud. Por su relevancia en el contexto europeo se presenta el modelo de Sorensen y su desarrollo en el cuestionario European Health Literacy Survey que permitió conocer el nivel de alfabetización en salud en ocho países europeos. Finalmente se introducen los entornos saludables como estrategia para facilitar la alfabetización en salud de las personas en la comunidad y se comentan los aspectos más relevantes de cada uno de ellos.

scholarly journals Migration and integration: the case of health literacy (HLS-EU-PT) as a foundation to promote cultural sensitiveness

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
L Saboga-Nunes ◽  
A Silva ◽  
S Mendes ◽  
B Almeida ◽  
M R André ◽  
...  
Keyword(s):  
Health Literacy ◽  
Cultural Patterns ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Migration Patterns ◽  
Proxy Variable ◽  
Literacy Survey ◽  
European Health ◽  
New Challenges ◽  
A Company

Abstract Background Portugal has experienced trough-out his recent history successive migration patterns. Lately, with instability in Syria and the Mediterranean routes of migration between Africa and Europe, new challenges have emerged. One of them is related to migrants’ health and their navigation of health care system. In order to better understand cultural patterns of migrants, this research aims to explore their health literacy (HL) in the context of the European Health Literacy Survey framework (HLS-EU). Methods A total of 748 participants from the different offices of a company in the financial sector (Portugal, main land and autonomous territories) participated in a cross sectional survey (CAWI). Age ranged from 25 to 65 years and HL was measured using the HLS-EU instrument validated to Portuguese (HLS-EU-PT). Each participant was allocated to one of the groups, either of satisfactory HL (when scores ≥30) or insufficient HL (when scores &lt;30). In order to access the migrant condition, a proxy variable considered the participant’s parents origin: at least one of the parents was born in a foreign country. Results Out of the 748 participants, 4.1% (n = 31) were considered migrants. Of the migrant participants, 6.9% have inadequate, 51.7% problematic, 24.1% sufficient and 17.2% excellent HL (HLS-EU-PT). Migrants have lower levels of HL when compared with nationals in this sample (respectively 58.6% and 45.8% for insufficient HL) but this difference is not statistically significant. Conclusions Although results didn’t show an association between being migrant and lower levels of HL (when compared with nationals), it is nevertheless relevant to consider that more than 1 in every two migrants (58.6%) have insufficient HL levels. Special consideration should be given to this group to promote HL levels and further research is needed to better understand how HL and cultural sensitiveness may work for a better integration of migrants.

scholarly journals Exploring the Influencing Factors of Health Literacy among Older Adults: A Cross-Sectional Survey

Medicina ◽  
2020 ◽  
Vol 56 (7) ◽  
pp. 330
Author(s):  
Hsiao-Ting Chiu ◽  
Han-Wei Tsai ◽  
Ken N. Kuo ◽  
Angela Y.M. Leung ◽  
Yao-Mao Chang ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Literacy ◽  
Influencing Factors ◽  
Situational Factors ◽  
Personal Factors ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Study Results ◽  
Literacy Survey ◽  
European Health

Background and Objectives: To investigate the health literacy (HL) among older adults in Taiwan, we referenced an existing integrated model of HL to confirm the influencing factors of HL in older adults. We propose this study to examine the personal, situational, and socioenvironmental factors influencing HL among older adults. Materials and Methods: A cross-sectional survey was conducted at a district hospital and affiliated community center in northern Taiwan from August 2016 to May 2017. This study used the Mandarin Chinese version of the European Health Literacy Survey Questionnaire (EU-Q47). We designed three models based on the three domains of HL. Model 1 assesses personal factors. Model 2 incorporates situational factors. Model 3 adds the socioenvironmental factor. Results: We recruited 161 participants aged over 65 years. Most adults in this study had limited overall HL. The final regression model revealed that age >85 years, unknown insurance status, and dominant spoken dialect of Hakka or Taiwanese were significantly associated with higher scores of HL. Conclusions: Our study results may help clinicians with early identification of older adults at high risk for poor HL and help health administrators establish geriatric policies and health education plans.

scholarly journals Establishing the HLS-M-Q18 short version of the European health literacy survey questionnaire for the Malaysian context

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Emma Mirza Wati Mohamad ◽  
Manimaran Krishnan Kaundan ◽  
Mohammad Rezal Hamzah ◽  
Arina Anis Azlan ◽  
Suffian Hadi Ayub ◽  
...  
Keyword(s):  
Health Literacy ◽  
Short Version ◽  
Survey Questionnaire ◽  
Literacy Survey ◽  
European Health

scholarly journals Translation and cross-cultural adaptation of the European Health Literacy Survey Questionnaire, HLS-EU-Q16: the Icelandic version

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Sonja Stelly Gustafsdottir ◽  
Arun K. Sigurdardottir ◽  
Solveig A. Arnadottir ◽  
Gudmundur T. Heimisson ◽  
Lena Mårtensson
Keyword(s):  
Health Literacy ◽  
Cultural Adaptation ◽  
Cross Cultural ◽  
Survey Questionnaire ◽  
Cross Cultural Adaptation ◽  
Literacy Survey ◽  
European Health

scholarly journals Psychometric properties of the adapted instrument European Health Literacy Survey Questionnaire short-short form

2021 ◽  
Vol 29 ◽  
Author(s):  
Fábio Luiz Mialhe ◽  
Katarinne Lima Moraes ◽  
Fernanda Maria Rovai Bado ◽  
Virginia Visconde Brasil ◽  
Helena Alves De Carvalho Sampaio ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Health Literacy ◽  
Psychometric Properties ◽  
Short Form ◽  
Survey Questionnaire ◽  
Full Data ◽  
Brazilian Version ◽  
Confirmatory Factor ◽  
Literacy Survey ◽  
European Health

Objective: to investigate the psychometric properties of the Brazilian Portuguese version of the health literacy questionnaire European Health Literacy Survey Questionnaire short-short form (HLS-EU-Q6) in Brazilian adults. Method: the instrument was translated and pre-tested in a sample of 50 individuals. Subsequently, it was applied to a sample of 783 adult individuals. The data went through an appropriate process of testing the properties, with the combination of techniques of Exploratory Factor Analysis, Confirmatory Factor Analysis and Item Response Theory. For the assessment of reliability, the Cronbach's alpha and McDonald's Omega indicators were used. Cross-validation with full data analysis was applied. Results: the majority of the participants was female (68.1%), with a mean age of 38.6 (sd=14.5) years old and 33.5% studied up to elementary school. The results indicated a unidimensional model with an explained variance of 71.23%, adequate factor load levels, commonality and item discrimination, as well as stability and replicability of the instrument to other populations. Conclusion: the Brazilian version of HLS-EU-Q6 indicated that the instrument is suitable for indiscriminate application in the population to which it is intended to assess health literacy levels.

scholarly journals Adapting the European Health Literacy Survey for Fourth-Grade Students in Germany: Questionnaire Development and Qualitative Pretest

2020 ◽  
Vol 4 (2) ◽  
pp. e119-e128 ◽  
Author(s):  
Torsten Michael Bollweg ◽  
Orkan Okan ◽  
Paulo Pinheiro ◽  
Janine Bröder ◽  
Dirk Bruland ◽  
...  
Keyword(s):  
Health Literacy ◽  
Questionnaire Development ◽  
Fourth Grade ◽  
Fourth Grade Students ◽  
Literacy Survey ◽  
European Health

scholarly journals Establishing the HLS-M-Q18 short version of the European Health Literacy survey questionnaire for the Malaysian context

2020 ◽  
Author(s):  
Emma Mohamad ◽  
Manimaran Krishnan Kaundan ◽  
Mohammad Rezal Hamzah ◽  
Arina Anis Azlan ◽  
Suffian Hadi Ayub ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Health Literacy ◽  
Confirmatory Factor Analysis ◽  
Categorical Variables ◽  
Short Version ◽  
Survey Questionnaire ◽  
Confirmatory Factor ◽  
Literacy Survey ◽  
European Health ◽  
Item Scale

Abstract Background: The European Health Literacy Survey Questionnaire (HLS-EU-Q47) is becoming a widely used tool to measure health literacy (HL), including in Malaysia. There are efforts to reduce the 47-item scale to parsimonious short item scales that still reflect the assumptions and requirements of the conceptual model. This study used confirmatory factor analysis to reduce the 47-item scale to a short scale that can offer a feasible HL screening tool with sufficient psychometric properties. Methods: A cross-sectional survey was conducted on the Malaysian population based on ethnic distribution to ensure that the short version instrument reflects the country’s varied ethnicities. The survey was administered by well-trained interviewers working for the Ministry of Health Malaysia. A total of 866 responses were obtained. Data was analysed using multi-factorial confirmatory factor analysis (CFA) with categorical variables. Results: The analysis resulted in a satisfactory 18-item model. There were high correlations among the 18 items. The internal consistency reliability was robust, with no floor/ceiling effects. These results represented equivalence and consistency among the responses to items, suggesting that these items were homogenous in measuring Malaysian health literacy. The strong convergent and discriminant validity of the model makes the proposed 18 items a suitable short version of the health literacy instrument for Malaysia. Conclusions: The researchers propose the 18-item instrument to be named HLS-M-Q18. This short version instrument may be used in measuring health literacy in Malaysia as it achieved robust reliability, structural validity and construct validity that fulfilled goodness-of-fit criteria.

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