Exploring Health Literacy in Patients with Chronic Diseases in Chongqing, China in 2018: A Cross-Sectional Study

2020 ◽  
Author(s):  
Hongyan Liu ◽  
Chengbin Wu ◽  
Yu Zhao ◽  
Weiyun Lai ◽  
Yong Zhao ◽  
...  

Abstract Background: Improving health literacy is the key to chronic disease prevention and improved interventions. However, little is known about the status of health literacy and its influencing factors in patients with chronic diseases. Accordingly, this study aimed to explore the different aspects and factors influencing health literacy among patients with chronic diseases in Chongqing, China.Methods: A cross-sectional survey was conducted in areas of Chongqing using the 2018 National Questionnaire on Health Literacy of Residents administered to 27,336 patients with chronic diseases. The research investigated the prevalence and factors of health literacy in patients with chronic diseases in Chongqing, China using χ 2 tests and logistic regression analysis.Results: Among the participants (n = 27,336), 51.3% were males and 48.7% were females. Only a small number of patients with chronic diseases were health literate (21.6%). Regression analyses indicated that inadequate health literacy was associated with rural area residents (OR: 0.92), minorities (OR: 1.31), farmers (OR: 1.18), nonlocal registered permanent residents (OR: 1.05), and patients with self-rated unhealthy status (OR: 1.80). Patients with chronic diseases aged 25–34 (OR = 1.18) and 35–44 (OR = 1.18) were more likely to have health literacy than patients with chronic diseases aged 65–69. Illiterate or slightly literate patients (OR = 0.10) were less likely to have health literacy than patients who were in the junior college or had a bachelor’s degree or above. Patients with an average annual household income of less than 3,000 yuan (OR = 0.65) were all less likely to have health literacy than patients with an average annual household income of more than 15,000 yuan.Conclusions: Health literacy of patients with chronic conditions remains at a low level and varies significantly with their demographic and sociological characteristics. Therefore, developing and adopting appropriate health promotion programs would be necessary to improve the health literacy of all patients with different types of chronic diseases.

2021 ◽  
Vol 9 (1) ◽  
pp. 113
Author(s):  
Bahtiar Bahtiar ◽  
Wiwi Saputri ◽  
Rostika Salenda Paseleng ◽  
Muh Akbar ◽  
Restu Abady

The elderly are vulnerable to experience health problems and physical deterioration characterized by high rates of chronic diseases among the elderly. Health literacy ability becomes crucial for the elderly with chronic diseases to treat and maintain their health. This study was aimed to describe the literacy levels of the elderly with chronic diseases during the COVID-19 pandemic in Makassar. The method of study was a descriptive survey with a cross-sectional study. The research population is elderly with chronic diseases in Makassar city, and the samples are 124 elderly with age ≥60 years old and suffering chronic diseases more than six months in two selected sub-district. The research was conducted a cross-sectional survey, and descriptive univariate data analysis was used. The instrument was used Indonesia's health literacy short-form survey questionnaire (HLS-EU-SQ10-IDN). The result of this study reveals that the health literacy levels vary: insufficient criteria by 33.99%, problematic criteria by 49.2%, sufficient criteria by 16.1%, and perfect criteria by 0.8%. The results prove that the health literacy level of the elderly with chronic diseases is insufficient. This study concluded that the dominant level of the health literacy of the elderly with chronic diseases is inadequate and problematic. Health education program to improve their literacy is necessarily improved during the COVID-19 outbreak


2020 ◽  
Author(s):  
Pratik Khanal ◽  
Navin Devkota ◽  
Minakshi Dahal ◽  
Kiran Paudel ◽  
Shiva Raj Mishra ◽  
...  

AbstractBackgroundHealth workers involved in COVID-19 response might be at risk of developing fear and psychological distress. This study aimed to identify factors associated with COVID-19 fear among health workers in Nepal during the early phase of pandemic.MethodsA web-based cross-sectional survey was conducted in the month of April-May 2020 among 475 health workers directly involved in COVID-19 management. The Fear Scale of COVID 19 (FCV-19S) was used to measure the status of fear. Scatter plots were used to observe the relationship between fear and other psychological outcomes: anxiety, depression and insomnia. Multivariable logistic regression was done to identify factors associated with COVID fear.ResultsCOVID-19 fear score was moderately correlated with anxiety and depression, and weakly correlated with insomnia (p<0.001). Nurses (AOR=2.29; 95% CI: 1.23-4.26), health workers experiencing stigma (AOR=1.83; 95% CI: 1.12-2.73), those working in affected district(AOR=1.76; 95% CI: 1.12-2.77) and presence of family member with chronic diseases (AOR=1.50; 95% CI: 1.01-2.25) was associated with higher odds of developing COVID-19 fear as compared to other health workers, health workers not experiencing stigma, working in non-affected district and not having family member with chronic diseases respectively.ConclusionNurses, health workers facing stigma, those working in affect district and having family member with chronic diseases were more at risk of developing COVID-19 fear. It is thus recommended to improve work environment to reduce fear among health workers, employ stigma reduction interventions, and ensure personal and family support for those having family member with chronic diseases.


2020 ◽  
Vol 7 (1) ◽  
pp. 205510292091407
Author(s):  
Mai Thi Hue ◽  
Nguyen Hang Nguyet Van ◽  
Phung Phuong Nha ◽  
Ngo Tuan Vu ◽  
Pham Minh Duc ◽  
...  

This study aimed to describe the status of antenatal depression and its associated factors among pregnant women in Vietnam. A cross-sectional study was conducted in four obstetric hospitals in Vietnam from January to September 2019. A total of 1260 pregnant women were interviewed using a structured questionnaire. A Tobit regression model was used to determine factors associated with antenatal depression. Results showed that pregnant women were at high risk of antenatal depression (24.5%). Women with fetus abnormalities and higher education were at higher risk of antenatal depression. We highlighted the need for implementing formal screening programs to early detect antenatal depression.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Xin Mei ◽  
Qing Zhong ◽  
Gong Chen ◽  
Yuanxia Huang ◽  
Junlin Li

Abstract Background In recent years, research on health literacy has become increasingly focused on the health care system and public health. This cross-sectional study aimed to investigate health literacy and analyse the risk factors that affect health literacy in Wuhan, China. Methods Multistage stratified random sampling was used to select 5304 urban and rural residents aged 15 to 69 years from 204 monitoring points in 15 districts of Wuhan. Using the Chinese Citizen Health Literacy Questionnaire (HLQ) (2018 edition), a face-to-face survey was conducted from November to December 2018. Risk factors that may affect health literacy were assessed using the Chi-square test and multivariate logistic regression models. Results The knowledge rate of health literacy was relatively low (19.3%). The knowledge rate of health-related behaviour and lifestyle (BAL, 17.3%) was the lowest of the three aspects of health literacy, and the knowledge rate of chronic diseases (CD, 19.0%) was the lowest of the six dimensions of health literacy. Respondents who lived in urban areas, had higher education levels, worked as medical staff, had a higher household income and did not suffer from chronic diseases were likely to have higher health literacy. Conclusions The health literacy levels of citizens in Wuhan are insufficient and need to improve.


2016 ◽  
Vol 13 (4) ◽  
pp. 377-384 ◽  
Author(s):  
Helene Buch Pedersen ◽  
Morten Helmer-Nielsen ◽  
Karin Brochstedt Dieperink ◽  
Birte Østergaard

Background:Exercise on prescription (EOP) is an attempt to increase physical activity among sedentary adults with signs of lifestyle diseases. Until now, no studies have focused on patients with chronic diseases and how they assess the long-term effect of participating in EOP consisting of supervised interventions of different intensities. This study aimed to describe and compare self-reported physical activity in the long term among participants in 3 EOP modules of different intensities.Methods:A cross-sectional survey was conducted among 1152 former participants in EOP between July 2005 and May 2007 in 2 Danish counties. Physical activity was measured as number of days with a minimum 30 minutes of moderate/vigorous activity.Results:Seventy-five percent (n = 854) returned the questionnaire. Of these, 36% reported being physically active ≥ 5 days/week. Comparing leisure-time activities before EOP 29% was sedentary vs. 15% (P < 0 .01) after, moderate + hard leisure-time activities was 7% before vs. 19% after EOP (P < 0 .01). Time postintervention did not influence the numbers reporting to be physical active negatively.Conclusions:This study in community-dwelling adults with chronic diseases participating in EOP finds that approximately one-third reported being physically active in the long term postintervention, but no differences between the modalities were found.


2020 ◽  
Author(s):  
kejimu sunzi ◽  
cheng lei ◽  
jun pan ◽  
mei ju

Abstract Background: Nursing is becoming ever more demanding, and is regarded as a stressful occupation because of manpower shortages and various other challenges associated with nursing practice.This article describes the students’ professional commitment and career maturity, and students establish their career objectives during the early stages of their graduate study. Methods: A cross sectional,survey design was conducted at universities in China. A sample of 184 students was selected using the professional commitment scale and career maturity scale to investigate the status quo of professional commitment and career maturity of full-time nursing postgraduates. Data was collected using self-designed demographic characteristics of the student, professional commitment scale, career maturity scale in 2019.Data was analyzed using correlation coefficient test(α < 0.05 ).Results: Participants returned 184 surveys (response rate, 100%) . Career maturity (105.12±11.13), Specialty commitment(90.0 ±12.09),Career maturity was positively correlated with Professional Commitment (r=0.20).Conclusions: The career maturity and professional commitments of full-time nursing postgraduates were of an average level. Career planning courses could be useful to strengthen the vocational education of the post-graduate students.


2021 ◽  
Vol 21 (2) ◽  
Author(s):  
Ana Gabriela De Sousa Costa ◽  
Randerson José De Araujo Sousa ◽  
Ligia Amaral Filgueiras

Objective: to analyze the nutritional status of adolescents in the status state of Pará, Brazil, in order to observe the trends in the Height x Age and BMI x Age indexes. Material and Methods: it was a quantitative, retrospective and cross-sectional study from 2010 to 2019. The female and male sex were evaluated in each nutritional status index “Height x Age” and “BMI x Age”. The collected data were organized in Microsoft Excel 2010 software and statistics was performed in the Action Stat 3.7 program. A theoretical framework was adopted with complete scientific articles published in the BVS, SciELO, MEDLINE, LILACS databases and institutional documents. The ethics committee's assessment was not necessary. Results: in “Height x Age”, a total of 132,114 adolescents were registered and the female gender prevailed (65.8%), normality in the distribution of data was observed and a difference was noted in the category “Suitable for age”, which registered more notifications (80.9%). In the "BMI x Age", 132,204 were reported, a normal distribution was found, but there was a statistical difference between the sexes in the categories: "overweight", "obesity", "severe obesity" and "eutrophy", which represented the largest percentage (73.4%). Conclusion: the population is mostly female, and the distribution of records is heterogeneous. Both sexes were shown to be of adequate height for their age and eutrophic. However, it was noticed that the nutritional scenario is changing, which may lead, in the future, to public health problems, such as the increase in the number of patients with chronic non-communicable diseases.


Author(s):  
Youn-Jung Son ◽  
Dae Shim ◽  
Eun Seo ◽  
Eun Seo

Heart failure (HF) is a chronic condition requiring continuous self-care. Health literacy is increasingly recognized as a key factor of self-care behaviors in patients with chronic diseases. Recently, frailty in chronic diseases has also been associated with self-care behaviors. However, relationships among health literacy, frailty, and self-care in the HF population are not well understood. Therefore, this cross-sectional study aimed to identify the impact of health literacy and frailty on self-care behaviors in patients with HF. Data were collected from 281 adults attending a cardiovascular outpatient clinic in Korea. Health literacy, frailty, and self-care behaviors were measured using Korean-validated instruments. The mean scores of health literacy and self-care behaviors were 8.89 (±3.44) and 31.49 (±5.38), respectively. The prevalence of frailty was around 26.3%. Health literacy was significantly associated with frailty and self-care behaviors. In a hierarchical linear regression analysis, health literacy was a significant determinant of self-care behaviors after adjusting for confounding variables, but frailty was not. Educational level was also a significant predictor of self-care behaviors. Our main findings showed that health literacy can facilitate improvements in HF self-care behaviors. Healthcare professionals should assess patients’ health literacy and educational backgrounds when designing self-management programs.


2020 ◽  
Vol 6 (1) ◽  
pp. e000850 ◽  
Author(s):  
Lee Smith ◽  
Louis Jacob ◽  
Laurie Butler ◽  
Felipe Schuch ◽  
Yvonne Barnett ◽  
...  

ObjectiveTo investigate the levels and correlates of physical activity during COVID-19 social distancing in a sample of the UK public.MethodsThis paper presents analyses of data from a cross-sectional study. Levels of physical activity during COVID-19 social distancing were self-reported. Participants also reported on sociodemographic and clinical data. The association between several factors and physical activity was studied using regression models.ResultsNine hundred and eleven adults were included (64.0% were women and 50.4% of the participants were aged 35–64 years). 75.0% of the participants met the physical activity guidelines during social distancing. Meeting these guidelines during social distancing was significantly associated with sex (reference: male; female: OR=1.60, 95% CI 1.10 to 2.33), age (reference: 18–34 years; ≥65 years: OR=4.11, 95% CI 2.01 to 8.92), annual household income (reference: <£15 000; £15 000–<£25 000: OR=2.03, 95% CI 1.11 to 3.76; £25 000–<£40 000: OR=3.16, 95% CI 1.68 to 6.04; £40 000–<£60 000: OR=2.27, 95% CI 1.19 to 4.34; ≥£60 000: OR=2.11, 95% CI 1.09 to 4.09), level of physical activity per day when not observing social distancing (OR=1.00 (per 1 min increase), 95% CI 1.00 to 1.01), and any physical symptom experienced during social distancing (reference: no; yes: OR=0.31, 95% CI 0.21 to 0.46).ConclusionDuring COVID-19, social distancing interventions should focus on increasing physical activity levels among younger adults, men and those with low annual household income. It should be noted in the present sample that women and younger adults are over-represented.


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