scholarly journals Socioeconomic Determinants of Melanoma-Related Health Literacy and Attitudes Among College Students in China: A Population-Based Cross-Sectional Study

2021 ◽  
Vol 9 ◽  
Author(s):  
Tianhao Wu ◽  
Xianggui Wang ◽  
Shuang Zhao ◽  
Yi Xiao ◽  
Minxue Shen ◽  
...  

Objectives: To investigate the association of gender, ethnicity, living region, and socioeconomic status (SES) with health literacy and attitudes toward nevi and melanoma in Chinese adolescents and to examine whether health literacy mediates the association of SES with attitudes.Study Design: A multicenter cross-sectional study was conducted among newly enrolled college students. First-year students were recruited from five universities in different regions of China in 2018 using the cluster sampling method. The observers were blinded to the participants.Methods: Health literacy and attitudes were measured using a previously validated tool (Nevus and Melanoma Health Literacy and attitudes Test). SES was measured by annual family income and parental highest educational level. Nonparametric test was used to examine the association of participants' characteristics with health literacy and attitudes. Two-level generalized linear model with logarithm link function and Gamma distribution was used individually for SES. The mediation effect model was used to examine the mediation effect of health literacy.Results: A total of 21,086 questionnaires were completed by college students with a mean age of 18.0 ± 0.8 years. The mean scores of health literacy and attitudes were 9.83 ± 7.46 (maximum score: 28) and 16.98 ± 2.92 (maximum score: 20), respectively. Female, Han nationality, annual family income, and parental educational levels were positively associated with health literacy and attitudes. Regional differences showed different effects on health literacy and attitudes. A mediation model showed that literacy mediated the association of SES with attitudes toward nevi and melanoma. Health literacy mediated ~30–50% of the association of SES with attitudes.Conclusions: Melanoma-related health literacy among Chinese college students is generally insufficient and needs to be improved. Targeted and personalized health education for improving health literacy related to nevi and melanoma may improve the general population's attitudes and further promote health-related behavior to prevent and identify early-stage melanoma.

2021 ◽  
Author(s):  
Zhongyu Ren ◽  
Jianhua Cao ◽  
Bing Cao ◽  
Shuang E ◽  
Jujiao Kuang

Abstract Background The association between health literacy and depressive symptoms has been examined among Chinese middle school students, however there is no evidence are available from college students. Aims This study aimed to examined the association between health literacy and depressive symptoms among Chinese college students. Methods This cross-sectional study recruited 2771 college students in Southwest University. Depressive symptoms was assessed using Zung self-rating depression scale and a score of ≥ 50 represented having depressive symptoms. We used Chinese adolescent interactive health literacy questionnaire to assess health literacy. Multivariate logistic regressions analysis was applied to assess the association between health literacy and depressive symptoms. Results The prevalence of depressive symptoms was 34.9% (967/2771). Multivariate logistic regressions analysis showed an inverse association between health literacy and depressive symptoms after adjusting for potential confounders. The multivariate adjusted ORs (95%CIs) for depressive symptoms across quartiles of health literacy level were 1.000 (reference), 0.48 (0.39, 0.60), 0.25 (0.19, 0.32), and 0.16 (0.12, 0.21) (P for trend: <0.001). Similar associations were also found when all 6 health literacy dimensions were analyzed separately. Conclusion The results of this cross-sectional study indicated that higher health literacy level was associated with lower risks of depressive symptoms. Further prospective studies or randomized controlled trials should be conducted to prove the causal association between health literacy and risk of depressive symptoms.


Author(s):  
Dilip L Kumar ◽  
Mehul Patel ◽  
Matariswa Samanta ◽  
Nitesh Mangal ◽  
KA Varghese

Introduction: The outbreak of COVID-19 pandemic during early 2020 forced the people to make drastic changes in their lifestyle. The people’s response to preventive measures initiated by the Government to control COVID-19 is the focus of the study. Aim: To assess the knowledge for prevention and adoption of safety measures against COVID-19 by the tribal masses. Materials and Methods: The cross-sectional study, covering 300 selected tribal families, was conducted in a tribal belt during the period September 2020 to December 2020. The questionnaire covered socio-demographic profile, knowledge aspects and adoption pattern regarding preventive measures of COVID-19. The head of the family or in his/her absence any available adult family member has been the respondent to provide the required information. Based on maximum score of 15 for correct knowledge, the families were categorised as poor (≤5), average (6-10) and good (11-15). With a maximum score of 24 for correct adoption, the categorisation was made as poor (≤8), average (9-16) and good (17-24). The association of socio-demographic factors with knowledge and practice level was tested through Chi-square test and correlation coefficient between knowledge and adoption scores. Results: Among the 300 families studied, the nuclear type tribal families dominated in the study area 204 (68%) and the average age of respondents was 61 years. The mean knowledge score was 7.6 (50.67%) and adoption score was 11.22 (46.75%). The percentage shares of respondents in poor, average and good categories were 31.33%, 35.33% and 33.33% for knowledge and 32.66%, 34.66% and 32.66%, respectively for adoption scores. The education level, income of the family and access to media sources were found to have significant association between knowledge and adoption scores. Conclusion: The highest education level of family members, family income and access to media sources were significantly associated with knowledge as well as practice. The positive correlation between knowledge and adoption scores indicated that the adoption level can be improved by enhancing knowledge to the socially backwards tribal communities. Socially visible practices like mask wearing were well adopted by tribals whereas the adoption level of invisible components like immunity building was relatively low.


Physiotherapy ◽  
2019 ◽  
Vol 105 (3) ◽  
pp. 346-353
Author(s):  
Laura M. Mackey ◽  
Catherine Blake ◽  
Maire-Brid Casey ◽  
Camillus K. Power ◽  
Ray Victory ◽  
...  

Author(s):  
José João Mendes ◽  
João Viana ◽  
Filipe Cruz ◽  
Dinis Pereira ◽  
Sílvia Ferreira ◽  
...  

We aimed to investigate the association between blood pressure (BP) and tooth loss and the mediation effect of age. A cross-sectional study from a reference dental hospital was conducted from September 2017 to July 2020. Single measures of BP were taken via an automated sphygmomanometer device. Tooth loss was assessed through oral examination and confirmed radiographically. Severe tooth loss was defined as 10 or more teeth lost. Additional study covariates were collected via sociodemographic and medical questionnaires. A total of 10,576 patients were included. Hypertension was more prevalent in severe tooth loss patients than nonsevere tooth lost (56.1% vs. 39.3%, p < 0.001). The frequency of likely undiagnosed hypertension was 43.4%. The adjusted logistic model for sex, smoking habits and body mass index confirmed the association between continuous measures of high BP and continuous measures of tooth loss (odds ratio (OR) = 1.05, 95% CI: 1.03–1.06, p < 0.001). Age mediated 80.0% and 87.5% of the association between periodontitis with both systolic BP (p < 0.001) and diastolic BP (p < 0.001), respectively. Therefore, hypertension and tooth loss are associated, with a consistent mediation effect of age. Frequency of undiagnosed hypertension was elevated. Age, gender, active smoking, and BMI were independently associated with raised BP.


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